One hour postdelivery the nurse notes the new mother has saturated three perineal pads. What is the most appropriate nursing action?
a. Check the fundus for position and firmness.
b. Report to the doctor immediately.
c. Change the pads and chart the time.
d. Time how long it takes to soak one pad.
ANS: A
Increased lochia may indicate hemorrhage. The fundus should be assessed for firmness. One pad an hour is an acceptable rate for immediate postdelivery.
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