Certified Midwife Exam Prep

Category - Physiological

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A midwife is assessing a woman who just gave birth 18 hours ago. Which of the following findings should alarm the nurse the most?

Sanitary pads soak up bright red vaginal discharge every hour for more than 2 hours.
The uterus is at the level of the umbilicus.
Perineal swelling.
Body temperature of 100^°F.

Explanation

Answer: A - Sanitary pads saturated every hour with bright red vaginal discharge are a cause of concern. It could indicate the occurrence of postpartum hemorrhage. The uterus is at the level of the umbilicus within the first 24 hours. The other options are normal findings after birth.

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