3 hr postpartum:Client is 3 hr postpartum following a vagina…
3 hr postpartum:Client is 3 hr postpartum following a vaginal delivery. Uterus is firm and midline, at the umbilicus. Moderate amount of lochia rubra present on perineal pad. 2nd degree perineal laceration present, wound edges well approximated, mild edema visible. Temperature 37.4° C (99.3° F)Heart rate 90/minRespiratory rate 20/minBlood pressure 120/74 mm HgSpO2 96% on room air12 hr postpartum:Client reports perineal pain at a level 4 on a numeric pain scale of 0 to 10.Temperature 37° C (98.6° F)Heart rate 82/minRespiratory rate 19/minBlood pressure 113/77 mm HgSpO2 97% on room airThe nurse is planning care for the client. Select 4 interventions the nurse should include in the client’s plan of care.
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