When the Nurse Assesses the Perineal Pad Placed on a 3-Hour

When the nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia on it, the nurse would expect to find on further assessment: Select all that apply.

A) A firm fundus the size of a grapefruit
B) A full and turgid bladder
C) Retained placental fragments
D) Vital signs indicative of shock
E) A soft boggy fundus