At the 1145 time point, select which findings would be
At the 1145 time point, select which findings would be expected, indicating normal postpartum progression, and which findings would be unexpected, indicating a need for follow-up. Health History Nurses’ Notes |Physical Assessment Lab Tests 1145: Breast: Soft, no pain to palpation. Breath sounds: Clear to auscultation. Fundus: Soft, boggy, deviated laterally to the left. Lochia: Large clots, large amount of lochia rubra, dark red. Perineum: Laceration well approximated with sutures in place. Reports mild pain to the area. Bladder: Bladder distention noted on palpation of the abdomen. Abdomen: Soft, active bowel sounds in all quadrants. Lower extremities: Deep tendon reflexes 1+, peripheral edema 1+ nonpitting. Assessment Finding Expected Need for Follow-up Breast Breath sounds Fundus Lochia Perineum Bladder Abdomen Lower extremities O A. Expected: Breast, Breath sounds, Abdomen, Lower extremities Need for Follow-up: Fundus, Lochia, Perineum, Bladder O B. Expected: Breast, Breath sounds, Perineum, Abdomen, Lower extremities Need for Follow-up: Fundus, Lochia, Bladder O C. Expected: Breast, Breath sounds, Perineum, Abdomen Need for Follow-up: Fundus, Lochia, Bladder, Lower extremities O D. Expected: Breast, Breath sounds, Abdomen Need for Follow-up: Fundus, Lochia, Perineum, Bladder, Lower extremities
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