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The Nurse Is Monitoring a New Client in the Fourth

Question 67

Multiple Choice

The nurse is monitoring a new client in the fourth stage of labor for signs of hemorrhage. Which of the following signs, if noted in the mother, would indicate an early sign of excessive blood loss?


A) A temperature of 100.4º F
B) An increased pulse rate of 88 to 102 beats/min
C) A blood pressure change from 130/88 to 124/80 mm Hg
D) An increase in the respiratory rate from 18 to 22 breaths/min

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