During an Assessment, the Nurse Notes the Client in the Fourth

question 57

Multiple Choice

During an assessment, the nurse notes the client in the fourth stage of labor is experiencing intense shaking and chills. Based on this data, which conclusion by the nurse is appropriate?

• A)This is evidence of incomplete expulsion of the placenta.
• B)The client has a full bladder.
• C)This is a normal reaction to the ending of the physical exertion of labor.
• D)The client has a fever from a postpartum infection.

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