Nurse Zasha is overseeing Mrs. Zexy Lucero, 25 years old, G1P XXXXXXXXXXduring the early postpartum period. Zexy alerts Nurse Zasha that she is having pain. Mrs. Zexy on interview reports severe...

Nurse Zasha is overseeing Mrs. Zexy Lucero, 25 years old, G1P1 (1001) during the early postpartum period. Zexy alerts Nurse Zasha that she is having pain. Mrs. Zexy on interview reports severe perineal and rectal pressure. Nurse Zasha obtains her vital signs, and performs a physical assessment with the following findings:

Vital Signs:

T: 99° F:

P: 108 beats/min;

R: 20 breaths/min

BP: 105/60 mm Hg.

Physical Assessment

Episiotomy surrounded by edema and ecchymosis

Fundus is firm

Client Interview

No lochia present

What does this assessment

not likely indicate
? (Select all that apply)

a.Urinary infection

b.Vaginal hematoma

c.Postpartum hemorrhage

d.Uterine infection