Two hours after the normal spontaneous vaginal delivery of a woman
who is gravida 4 para 4, the nurse notes that the fundus is boggy and
displaced slightly above and to the left of the umbilicus. The appropriate initial nursing action is to do which of the following?
A. Assess lochia for color and amount.
B. Monitor pulse and blood pressure.
C. Call the physician immediately.
D. Ask the woman to empty her bladder.
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