CNM Certified Nurse Midwife

Category - Postpartum

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Which of the following clients has the greatest risk for delayed uterine involution?

A client who gave birth to a 7-pound baby girl.
A multiparous client who completed the second stage of labor in 1 ½ hours.
A client who voids every 2 hours.
A client who gave birth to twins.

Explanation

Answer: D - Multiple gestation increases the risk for delayed uterine involution. Other risk factors include hydramnios, exhaustion, prolonged labor, retained placental fragments, full bladder, difficult birth, multiparity and excessive administration of analgesia.

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