A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of
the following clinical findings should the nurse identify as an indication of postpartum
infection?
a. Unilateral breast pain
i. Mastitis - painful or tender localized hard mass and reddened
area, usually on one breast. (Pg. 143) b. Persistent abdominal striae
i. Stretch marks - expected finding
c. Lochia alba
i. Lasts approx day 11 up to 4-8 weeks post-birth
d. WBC count 12,000/mm3
2. A nurse is assessing client who has preeclampsia during a prenatal visit. Which of the
following findings should the nurse report to the provider?
a. Blood glucose 110 mg/dL
b. Deep tendon reflexes of 2+
c. Urine protein of 3+
i. Severe preeclampsia: consists of blood pressure that is 160/110 mmHg or greater,
proteinuria greater than 3+, oliguria, elevated serum creatinine greater than 1.1 mg/dL,
cerebral or visual disturbances (headache and blurred vision), hyperreflexia with possible
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