Labor And Postpartum Client Monitoring Practice Test

A 31-year-old client who delivered vaginally 2 hours ago at 40 weeks is in a postpartum recovery room. Vital signs: blood pressure 104/66 mm Hg, heart rate 112/min, temperature 99.1°F (37.3°C); fundus is boggy and 2 cm above the umbilicus; lochia is heavy with clots and saturating a pad in 10 minutes. What is the nurse's PRIORITY intervention (under RN supervision)?

A 29-year-old client is 2 days postpartum after a vaginal birth at 40 weeks on a mother-baby unit. Vital signs: blood pressure 170/108 mm Hg, heart rate 86/min, temperature 98.4°F (36.9°C); fundus firm 1 cm below the umbilicus; lochia scant; the client reports seeing "spots" and has a severe headache. Which action should the nurse take FIRST (under RN supervision)?