Which client should the nurse on a postpartum unit see first?

A. A client whose fundus is firm at the umbilicus on day 1
B. A client who wants help with a first shower
C. A client who has soaked a peri pad in 15 minutes
D. A client who reports cramping while breastfeeding

Show answer and rationale

Correct answer: C

Saturating a pad in 15 minutes indicates hemorrhage. Afterpains during breastfeeding and a firm fundus at the umbilicus are expected.

Source: ACOG. Practice Bulletin 183: Postpartum Hemorrhage

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This question is one of 193 Management of Care items in NCLEXSim. On the NCLEX-RN, this category makes up 15–21% of the exam.

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Study tip

Work every 'who first' item through the same ladder: airway, breathing, circulation; then unstable before stable, acute before chronic, actual before potential.
Delegation: the RN keeps initial assessment, care planning, teaching, evaluation, and any unstable client. LPNs take stable, predictable clients. Assistive personnel take routine tasks such as vital signs on stable clients, hygiene, feeding without swallowing risk, and ambulation.

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Which client should the nurse on a postpartum unit see first?

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