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A Client Who Gave Birth Vaginally with Epidural Anesthesia Still

Question 19

Multiple Choice

A client who gave birth vaginally with epidural anesthesia still has limited movement and strength of the right leg, and reports no urge to urinate at 2 hours postpartum.  The nurse palpates the client's fundus 2 cm above the umbilicus and to the right.  What should the nurse do next?


A) Assist the client to the bathroom in a wheelchair
B) Encourage the client to drink plenty of fluids
C) Perform in-and-out catheterization
D) Reassess for bladder distension hourly

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