B. persistent headache with blurred vision indicates the need for immediate intervention in a client who is admitted to the postpartum floor after a vaginal birth. This could indicate the development of preeclampsia, a potentially life-threatening condition that can occur after childbirth. Other symptoms of preeclampsia include high blood pressure, protein in the urine, abdominal pain, and sudden weight gain. Prompt intervention, such as medication to lower blood pressure or delivery of the placenta, may be necessary to prevent serious complications for both the mother and baby.
While A, C, and D may also require intervention and management, they are not as urgent as B and can be addressed and monitored over time. Lochia that soaks a perineal pad every 2 hours is heavy bleeding and requires immediate attention, but is not as serious as a persistent headache with blurred vision. A red, painful nipple on one breast may be a sign of mastitis or a plugged milk duct, which can be treated with antibiotics and supportive measures. Strong-smelling vaginal discharge may be a sign of infection, which can also be treated with antibiotics. However, neither of these symptoms may require immediate intervention.