Nokea
The nurse is caring for a postpartum woman and her 2-hour-old baby. The new mother has been preoccupied with breastfeeding and visitors, but suddenly she complains of dizziness and is light-headed. Which response by the nurse is appropriate?
Correct Answer: D
Rationale: The correct response is D because the new mother's complaint of dizziness and light-headedness could indicate postpartum hemorrhage, a common complication. Obtaining vital signs will help assess for signs of shock. Assessing fundal tone can determine if the uterus is contracting properly to prevent excessive bleeding. Observing for excessive lochia is important to monitor for increased bleeding. Choice A is incorrect because the symptoms are not solely due to dehydration or lack of calories. Choice B is incorrect as the nurse should assess the mother first before delegating care to family members. Choice C is incorrect as dizziness is not a common side effect of pain medication in the postpartum period.