Question

The nurse assesses a client who gave birth 24 hours earlier. Which of the following findings reveals the need for further evaluation?

1. Chills




2. Scant lochia rubra




3. Thirst and fatigue




4. Temperature of 100.2° F (37.9° C)

Answer 1

A temperature of 100.2°F (37.9°C) is a finding that reveals the need for further evaluation in a client who gave birth 24 hours earlier.

Step-by-step explanation:

Out of the given options, the finding that reveals the need for further evaluation in a client who gave birth 24 hours earlier is a temperature of 100.2°F (37.9°C). A postpartum temperature above 100.4°F (38°C) is considered a sign of infection and requires further evaluation. Chills, scant lochia rubra, and thirst and fatigue are normal postpartum findings and do not necessarily indicate a need for further evaluation.