The nurse is planning care for four mothers and their newborns. After reviewing the clients' charts, the nurse should make rounds on which of the following clients first?
1. An 18-year-old G2 P2 with an uncomplicated spontaneous vaginal birth 12 hours ago who has abdominal cramps.
2. A 35-year-old G4 P4 with an uncomplicated vaginal birth 4 hours ago. The nurse's notes indicated she soaked two peripads over the last 2 hours; fundus is firm.
3. A 16-year-old G1 P1 with a caesarean section 4 hours ago, diagnosed with preeclampsia and receiving magnesium sulfate at 2 g/h. Reflexes are 2+, and the nurse's notes indicate she has a headache. Vital signs are T 99.4˚F (37.4˚C), P 88, R 20, BP 128/86.
4. An 18-year-old G2 P2 who had a caesarian birth 2 days ago and now has severe breast pain. Vital signs are T 99.8˚F (37.7˚C), P 96, R 22.
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