Which assessment finding should be reported to the healthcare provider after a prolonged vaginal delivery?

Prepare for the UWorld Maternity Test with comprehensive flashcards and multiple-choice questions, complete with detailed explanations. Get ready to ace your exam with confidence!

In the context of assessing a patient after a prolonged vaginal delivery, it is crucial to monitor for signs of infection and other complications. An oral temperature of 100.1°F (37.8°C) is significant because it can indicate the onset of an infection, especially in the postpartum period where the risk of infection is heightened due to potential trauma or interventions during labor.

Infections in the postpartum period may present with elevated temperatures and can lead to serious complications if left unaddressed. A temperature above 100.4°F is typically considered a threshold for concern, but in the context of a recent delivery, even a slightly elevated temperature should prompt further assessment. Reporting this finding to the healthcare provider is important to evaluate for possible infection or other complications, leading to timely intervention.

Observations such as discomfort during fundal palpation may be normal following a prolonged labor, as the uterus is adjusting and can be sensitive post-delivery. Foul-smelling lochia could also suggest an infection, but it is not as immediate or specific as a fever to report. While a white blood cell count of 24,000/mm³ can indicate infection or inflammation, the context is important; some elevation can be expected in the postpartum period without necessarily indicating a

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