Marie Wilson, a 34-year-old client who is gravida 4, para 3, is transferred to the postpartum unit 2 hours after a prolonged 14-hour labor and forceps delivery of a male infant weighing 9 lb, 2 oz. The placenta was intact upon delivery. The labor and delivery nurse reports that Marie was catheterized for 600 ml of yellow urine just before delivery. Her record indicates that she had a repair of a 4th degree laceration. A postpartum assessment reveals that her vital signs are stable: blood pressure 120/80, pulse 84, respirations 20, temperature 98.9° F. Additional assessment indicates that her fundus is firm and located 1 cm above the umbilicus, and the perineal sutures are intact with edges well-approximated. The client describes herself as exhausted and without pain, since she has had no sensation below her waist since receiving epidural anesthesia.
Marie Wilson, a 34-year-old client who is gravida 4, para 3, is transferred to the postpartum unit 2 hours after a prolonged 14-hour labor and forceps delivery of a male infant weighing 9 lb, 2 oz. The placenta was intact upon delivery. The labor and