Difficulty: Medium
Average Score: 94%
Simulated
A nurse is caring for a client who is 2 days postpartum. Which of the following findings should the nurse report to the provider?
Correct answer
D
Rationale
The correct answer is D: 4+ deep-tendon reflexes. Postpartum women may experience hyperactive deep-tendon reflexes, which could indicate preeclampsia or eclampsia. The nurse should report this finding promptly to the provider for further evaluation and management. Scant lochia rubra with a few small clots (A) is expected in the early postpartum period. Urine output of 2,500 mL/day (B) is within normal range. Bilateral ankle edema (C) can be common postpartum due to fluid shifts. Therefore, it is not a concerning finding.