Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
Nurses' Notes: Breasts soft, nipples intact, uterus firm at 0700, soft with lateral deviation at 1100, large lochia rubra at 1100, episiotomy site with mild edema/ecchymosis, pain 2-3/10, able to void, DTR 1+, 2+ peripheral edema. Vital Signs: Temp 36.2-37.2┬░C, HR 80-85/min, RR 16-18/min, BP 136/82-86 mm Hg, O2 sat 99-100%.Select the findings that require immediate follow-up.
Correct answer
C,F
Rationale
Large lochia rubra, soft uterus, and lateral deviation suggest postpartum hemorrhage risk, requiring immediate intervention like fundal massage and bladder assessment.