Practice Question
The nurse is collecting data from the client 24 hr later. How should the nurse interpret the findings?
Answer Choices:
Correct Answer:
Temperature 38.4°C (101°F): Sign of potential worsening condition.
Rationale:
🔷 A postpartum temperature above 38°C (100.4°F) is a sign of infection or inflammation and warrants immediate assessment.
🔷 Fever at 24 hours post-delivery could indicate endometritis or another postpartum infection, which can become life-threatening if not promptly treated.
🔷 Elevated temperature signals a change from expected recovery to potential complication, necessitating intervention such as antibiotics.
🔷 Monitoring for fever postpartum is a key nursing role to ensure early detection and management of infections.
🔷 Documentation and communication of abnormal vital signs help guide further care and prevent deterioration.
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This question is from ATI LPN Maternal Newborn-2021 which contains 57 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4