A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and dark red vaginal bleedinG. The tocodynamometer shows low amplitude high frequency uterine activity. The nurse should identify that the client is likely experiencing which of the following complications? (Select onE.:

Choice B. Report the client's temperature elevation is incorrect. The client's temperature is within the normal range for a postpartum woman, which can be slightly elevated due to dehydration, increased metabolism, or breast engorgement. A fever of 38°C (100.4°F. or higher could indicate an infection and should be reporteD.

Choice C. Increase IV fluids is incorrect. The client does not have signs of hypovolemia or dehydration that would require increased IV fluids. Excessive fluid administration can cause fluid overload and pulmonary edema in postpartum women.

Choice D. Encourage the client to nurse more frequently so her milk will come in is incorrect. The client's breasts are soft, which indicates that her milk has not come in yet. Nursing more frequently will stimulate milk production, but it will not help with the current problem of uterine atony and hemorrhagE. The nurse should massage the fundus and administer oxytocin as prescribed to enhance uterine contraction.

Choice A: Absence of family members during labor is not a common practice among Hispanic clients, as they tend to value family support and involvement during childbirtH. The nurse should respect the client's preferences and allow the family members to be present if the client wishes.

Choice B:Traditionally, Hispanic postpartum practices emphasize warmth and avoidance of cold. Cold fluids are generally discouraged, as cultural beliefs hold that they may cause imbalance or illness. Thus, requesting cold fluids immediately after delivery is unlikely.

Choice C: Practice of maternal fasting following the birth is not a common practice among Hispanic clients, as they tend to consume warm and nutritious foods and beverages to promote healing and lactation. The nurse should encourage the client to eat a balanced diet and provide culturally appropriate foods if possiblE.

Choice D: Delaying breastfeeding for several days is a recognized cultural practice among some Hispanic families. Colostrum may be viewed as “dirty” or insufficient, and mothers may wait until mature milk comes in before initiating breastfeeding. Nurses should anticipate this belief and provide culturally sensitive education about the benefits of early breastfeeding while respecting the client’s values.