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    ATI RN VATI Maternal Newborn Proctored Exam

    A nurse is caring for a female client, 32 years old, in the postpartum unit following an emergency cesarean birth. Exhibits Drag words from the choices below to fill in each blank in the following sentence. Based on the assessment findings, the nurse identifies that the client is at greatest risk for developing dropdown and dropdown.

    Explanation & Rationale

    Based on the assessment findings, the nurse identifies that the client is at greatest risk for developing: Postpartum infection Hemorrhage Here's the Postpartum infection: The client has a history of prolonged rupture of membranes and is experiencing a moderate amount of lochia rubra, both of which increase the risk of infection. Additionally, she reports feeling weak, fatigued, and has a temperature of 38.5°C (101.3°F), which are signs of a possible infection. Hemorrhage: The moderate amount of lochia rubra and a boggy fundus above the umbilicus indicate that the client may be at risk for postpartum hemorrhage. The provider's prescription for administering oxytocin if needed also suggests a concern for uterine atony, which can lead to hemorrhage.

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