A nurse on a postpartum unit is receiving a change-of-shift report for four clients.Which of the following clients should the nurse see first?
Explanation & Rationale
Choice A rationaleAdministering Rh(D) immune globulin prevents alloimmunization in Rh-negative clients. However, a delay in administration within the recommended postpartum window is less urgent than active signs of hemorrhage.Choice B rationaleBreast fullness indicates engorgement but is non-urgent. Warm compresses or nursing can alleviate symptoms without immediate intervention, making this lower priority.Choice C rationaleIncreased urinary output postpartum is normal due to diuresis of excess fluid from pregnancy. This finding is expected and not urgent compared to signs of bleeding.Choice D rationaleSaturating a perineal pad hourly indicates possible hemorrhage. Postpartum hemorrhage can be life-threatening if unaddressed, requiring immediate assessment and intervention to prevent hypovolemic shock.