A nurse is caring for a 35-year-old female client who is immediately postpartum in the labor and delivery unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

Rationale for Correct Condition Postpartum hemorrhage is defined as excessive blood loss (>500 mL in vaginal delivery) and is often caused by uterine atony, impaired uterine contraction, or trauma. This client exhibits a boggy uterus, heavy vaginal bleeding, and clot passage, all hallmark signs of postpartum hemorrhage rather than placenta previa, placental abruption, or preeclampsia. Rationale for Correct Risk Factors Fetal macrosomia contributes to uterine overdistension, increasing the risk of uterine atony and inefficient contractions post-delivery. History of smoking affects vascular integrity, increasing placental dysfunction risks, which can contribute to postpartum bleeding. Rationale for Correct Assessment Findings Uterine atony is the most common cause of postpartum hemorrhage. A boggy uterus indicates insufficient contraction to compress blood vessels after placental delivery. Heavy vaginal bleeding signifies excessive blood loss, requiring intervention to prevent hypovolemia and hemodynamic instability. Rationale for Incorrect Conditions Placenta previa presents with painless antepartum bleeding, not postpartum hemorrhage. Placental abruption leads to painful bleeding before delivery and can cause fetal distress. Preeclampsia involves hypertension and proteinuria, which are absent here. Rationale for Incorrect Risk Factors Prolonged labor can increase hemorrhage risk but is not relevant here. Primipara status does not apply, as the client is multiparous. Maternal weight may contribute but is not a primary hemorrhage risk factor. Rationale for Incorrect Assessment Findings Blood pressure helps assess hemorrhage severity but is not a direct finding of uterine atony. Urine output reflects fluid balance but does not confirm postpartum hemorrhage. Cramping is expected postpartum and does not indicate excessive bleeding.