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History and Physical Nurses’ Notes More Notes Laboratory results Flow Sheet Orders A 36-year-old client who is gravida 5 para 5(GSPS) transferred to the postpartum unit 1 hour after delivery of a 9 lb 1 oz (4.1 kg) female. She was in labor for 25 hours and forceps were used to assist with the delivery. She was given an epidural for anesthesia that was effective. The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale. Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery. Her spouse was at the bedside for delivery and appeared supportive. Blood type A+. Estimated blood loss was 600 ml after delivery. The nurse reviews the nurse’s notes and flow chart to identify trends. Click to specify the notations that require immediate follow up (more than one notation may be correct.) Body System Circulatory . Heart rate 96 beats/minute . Blood pressure 90/62 mm Hg . IV infusing at 125 ml/hr . Respirations 16 breaths/minute Respiratory . Oxygen saturation of 89% . Several deep breaths Integumentary . Episiotomy intact with no redness . Pad is saturated with blood

 
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