A woman gave birth to a 7-lb,6-oz infant girl 1 hour ago.The birth was vaginal and the estimated blood loss (EBL)was 1500 ml.When assessing the woman's vital signs,the nurse is concerned to see:

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An EBL of 1500 ml with tachycardia and hypotension suggests hypovolemia caused by excessive blood loss.Temperature 37.4° C,heart rate 88,respirations 36,blood pressure 126/68 are normal vital signs except for an increased respiratory rate,which may be secondary to pain from the birth.Temperature 38° C,heart rate 80,respirations 16,blood pressure 110/80 are normal vital signs except for the temperature.However,temperature may increase to 38° C during the first 24 hours as a result of the dehydrating effects of labor.Temperature 36.8° C,heart rate 60,respirations 18,blood pressure 140/90 are normal vital signs,although the blood pressure is slightly elevated,which may be due to the use of oxytocic medications.

A Woman Gave Birth to a 7-Lb,6-Oz Infant Girl 1