The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?

Correct Answer: B. A. Providing a stool softener for constipation might be necessary postpartum but isn't the initial action indicated by the client's current status. B. Assessing the bladder for distension is crucial because a distended bladder can displace the uterus and impede its ability to contract properly, leading to uterine atony and increased bleeding. C. Checking the hemoglobin to determine uterine hemorrhage is important but might not be the initial step needed based on the client's condition. D. Massaging the uterus to decrease atony is a potential intervention, but assessing for bladder distension takes priority in this scenario to prevent uterine displacement.