A client delivered a healthy full-term female neonate 2 hours ago by cesarean delivery. When assessing this client, which finding requires immediate nursing action
A．Tachycardia and hypotension.
B．Gush of vaginal blood when the client stands up.
C．Blood stain 2" (5 cm) in diameter on the abdominal dressing.
D．Complaints of abdominal pain.
参考答案：A
解析：A rising pulse rate and falling blood pressure may be signs of hemorrhage. Lochia pools in the vagina of a postpartum client who has been sitting and may suddenly gush out when she stands up. A 2" blood stain on a fresh surgical incision isn't a cause for immediate concern; however, the area of blood should be circled and timed. An increase in size of the blood stain and oozing of the surgical incision should be promptly reported to the physician. A client who has had a cesarean delivery usually feels pain at the incision site after her anesthesia has worn off.