How often should the nurse check the fundus and lochia during the immediate postpartum period?

In the immediate postpartum period, it is crucial for the nurse to monitor the fundus and lochia every hour. This frequent assessment is essential for identifying any complications early, such as uterine atony (failure of the uterus to contract effectively) or excessive bleeding. The condition and firmness of the fundus provide important information about the mother's recovery and the status of her involution. Lochia assessment is equally important, as changes in color, consistency, and quantity can indicate potential complications, including hemorrhage or retained placental fragments.

By checking these vital signs every hour, healthcare providers can ensure prompt intervention if abnormalities arise, thereby promoting maternal safety and recovery. The immediate postpartum period is a critical time when close monitoring can positively impact outcomes.