Which of the following best describes the initial assessment priorities after a cesarean delivery?

• A. Review dietary preferences
• B. Assess fundus, lochia with incision, and respiratory status
• C. Schedule physical therapy
• D. Check vision

Answer: (B)

The most important thing right after cesarean delivery is ensuring safety and stabilization by focusing on uterine involution, bleeding control, wound integrity, and breathing. Check the fundus to confirm the uterus is firm and in the midline; a firm, well-contracted uterus helps prevent heavy bleeding, while a boggy uterus signals potential postpartum hemorrhage and requires prompt massage and monitoring. Assess lochia carefully—amount, color, and any clots—to detect ongoing or heavy bleeding early. Inspect the incision and surrounding skin for drainage, redness, or separation, which would raise concern for wound infection or dehiscence and guide wound care and antibiotic decisions. Finally, evaluate respiratory status: observe breathing, rate, oxygen saturation, airway patency, and lung sounds, and promote deep breathing or incentive spirometry as needed to prevent atelectasis and other pulmonary issues after anesthesia. While other tasks like dietary preferences, physical therapy scheduling, or vision checks are part of overall care, they are not the immediate priorities when first assessing a patient recovering from a cesarean delivery.