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학습 자료 둘러보기 →| Option | Assessment Finding | Clinical Interpretation |
|---|---|---|
| 1 | Lochia rubra with small clots and mild cramping during breastfeeding | Expected finding. Breastfeeding releases exogenous oxytocin, causing physiologic afterpains and a transient increase in lochia flow. Small clots are normal in the first 24 hours. |
| 2 | Fundus 3 cm above the umbilicus and displaced to the right | Abnormal and urgent. Indicates a distended bladder causing uterine displacement and atony. This is the primary precursor to PPH if not immediately corrected by bladder emptying and fundal massage. |
| 3 | Breast engorgement with mild tenderness | Expected physiologic change as milk transitions from colostrum to mature milk around 24–72 hours postpartum. Managed with frequent feeding and cold compresses, not an emergency. |
| 4 | Perineal edema with intact sutures and no signs of infection | Expected finding following tissue trauma and repair. Ice packs and hygiene are appropriate nursing interventions, but this does not pose an immediate systemic threat. |
Scenario: A nurse identifies a postpartum client's fundus as boggy, located 3 cm above the umbilicus, and displaced to the right. This is a clinical emergency requiring immediate action to prevent postpartum hemorrhage (PPH) due to uterine atony.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.