Exhibits The nurse reviews the nurse's notes and flow chart to identify trends. Click to specify the notations that require immediate follow up (more than one notation may be correct.) Body System Nurses Notes and Flow Sheet Respiratory Respirations 16 breaths/minute Oxygen saturation of 89% Several deep breaths Integumentary Episiotomy intact with no redness Pad is saturated with blood 18 gauge IV to left forearm Circulatory Heart rate 96 beats/minute Blood pressure 90/62 mm Hg IV infusing at 125 mL/hr Genital/Urinary Boggy fundus 1 cm above umbilicus Fundus rotated to the right Voided 200 mL of clear yellow urine