elivered 4 hours ago. The nurse assesses the client and finds the following: fundus firm at the level of the umbilicus, m

3-2-1 Code It
6th Edition
ISBN:9781337660549
Author:GREEN
Publisher:GREEN
Chapter15: Cpt Surgery V
Section: Chapter Questions
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A client delivered 4 hours ago. The nurse assesses the client and finds the following: fundus firm at the level of the umbilicus, moderate amount of lochia rubra and midline episiotomy well approximated . The nurse understands that fourth stage nursing care for the client includes which of the following ? 

a. Inspection every 15 minutes during the first hours after childbirth 

b. Ice pack to the perineum for up to 60 minutes per application 

c. Instructions to avoid intercourse for at least 12 weeks 

d. Application of ice beginning 4 hours after delivery

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