A nurse on a postpartum unit is caring for a client. Exhibits Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again. Nurses' Notes 2hr postpartum: Client is 2 hr postpartum following vaginal delivery. Client alert and oriented. Lungs clear to auscultation bilaterally. S1 S2 auscultated, no murmur. Abdomen soft, nontender. Uterus firm and midline, 1 cm below the umbilicus. Moderate amount of lochia rubra present on perineal pad. 24 hr postpartum: Client alert and oriented. Lungs clear to auscultation bilaterally. S1,S2 auscultated, no murmur. Abdomen soft, nontender. Uterus boggy and midline, 2 cm below the umbilicus. Moderate amount of lochia rubra present on perineal pad, foul odor present. Vital signs: 1 hr postpartum: Temperature 37.5° C (99.5° F) Heart rate 88/min Respiratory rate 16/min Blood pressure 118/78 mm Hg 24 hr postpartum: Temperature 38.3° C (100.9° F) Heart rate 105/min Respiratory rate 18/min Blood pressure 115/78 mm Hg