问题
单项选择题
The nurse is caring for a client during the fourth stage of labor. Which of the following nursing interventions would be LEAST appropriate（）
A. Catheterization to protect the bladder from trauma.
B. Perineal assessments for swelling and bleeding.
C. Vital signs and fundal checks every 15 minutes.
D. Time with the neonate to initiate breast-feeding.
答案
参考答案：A
解析：
Catheterization isn’t routinely done to protect the bladder from trauma. It’s done, however, for a postpartum complication of urinary retention. The other options are appropriate measures to include in the plan of care during the fourth stage of labor.