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    ATI Capstone Maternal Newborn Proctored Exam

    A nurse on a postpartum unit is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?

    Explanation & Rationale

    Choice A rationaleAdministering Rh(D) immune globulin is important but does not indicate an acute threat to the client’s health, as it can be given within 72 hours postpartum.Choice B rationaleBreast fullness 3 days postpartum suggests normal lactation and does not constitute a critical issue requiring immediate intervention.Choice C rationaleIncreased urinary output 12 hours postpartum is a typical physiological diuresis process following fluid shifts and does not warrant urgent attention.Choice D rationaleSaturating a perineal pad every hour 8 hours postpartum indicates heavy vaginal bleeding, potentially signifying postpartum hemorrhage, a life-threatening condition requiring immediate evaluation and intervention. .

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