What should the nurse assess first when caring for a postpartum client with severe abdominal pain after a cesarean delivery?

When caring for a postpartum client who has undergone a cesarean delivery and is experiencing severe abdominal pain, it is critical to assess uterine tone first. The uterus must be properly contracted to prevent complications such as postpartum hemorrhage, which can be life-threatening.

After a cesarean delivery, the risk of uterine atony, where the uterus fails to contract effectively, is increased. If the uterus is boggy or lacks tone, this could lead to significant bleeding and worsen the client's condition. Therefore, ensuring that the uterus is firm and contracting is a priority assessment for any postpartum nurse caring for clients after delivery.

While assessing pain level, signs of infection, and the incision site are essential aspects of the postpartum assessment, the well-being of the uterine tone directly impacts the client's risk for bleeding and overall safety. Hence, checking uterine tone takes precedence in this scenario.