h. Monitor the patient's vital signs and general condition.
(1) Take BP, P, and R every 15 minutes for an hour, then every 30 minutes
for an hour, and then every hour as long as the patient is stable. Take the patient's
temperature every hour.
Observe for uterine atony or hemorrhage.
Observe for any untoward effects from anesthesia.
Orient the patient to the surroundings (bathroom, call bell, lights, etc.).
Allow the patient time to rest.
Encourage the patient to drink fluids.
i. Observe patient's urinary bladder for distention. Be able to recognize the
difference between a full bladder and a fundus.
Characteristics of a full bladder.
(a) Bulging of the lower abdomen (see figure 2-12).
Figure 2-12. Bulging of the lower abdomen.
(b) Spongy feeling mass between the fundus and the pubis.
Displaced uterus from the midline, usually to the right.
(d) Increased lochia flow.
(2) Full bladders may actually cause postpartum hemorrhage because it
prevents the uterus from contracting appropriately.