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Exam NCLEX-RN topic 2 question 69 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 69
Topic #: 2
[All NCLEX-RN Questions]

The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

  • A. Pulse rate of 50–70 bpm by her third postpartum day
  • B. Diuresis by her second or third postpartum day
  • C. Vaginal discharge or rubra, serosa, then rubra
  • D. Diaphoresis by her third postpartum day
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Suggested Answer: C 🗳️
(A) Bradycardia is an expected assessment during the postpartum period. (B) Diuresis can occur during labor and the postpartum period and is an expected physiological adaptation. (C) A return of rubra after the serosa period may indicate a postpartal complication. (D) Diaphoresis, especially at night, is an expected physiological change and does not indicate an infectious process. Bradycardia, diuresis, and diaphoresis are normal postpartum physiological responses to adjust the cardiac output and blood volume to the nonpregnant state.

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