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Nurses' Notes 0915: The client is 8 days postpartum following a cesarean birth and calls the obstetric clinic. She was discharged on postoperative day 3 after an uncomplicated recovery. The client reports a headache that began yesterday and has not improved after acetaminophen and fluids. She states, "I see flashing spots when I stand and walk across the room." She reports sleeping in 2-hour blocks while feeding the newborn. The client states that both ankles are mildly swollen by evening and improve when elevated. She reports pink-brown lochia that is lighter than at hospital discharge. The client reports new pain under the right ribs with intermittent nausea. She states that her breasts feel full before feeding and soften after the newborn nurses. During the call, the nurse notes that the client becomes short of breath while speaking and pauses to finish a sentence. The client reports incisional discomfort rated 3/10 with turning that improves at rest. She reports one soft bowel movement this morning after taking the prescribed stool softener. The client states that her oral temperature is 37.4 °C (99.3 °F). The incision is dry with the edges approximated. She denies unilateral calf pain, and her partner is available to drive.