At 48 hours postpartum, which finding should be reported to the provider when the client experiences pelvic and uterine pain at rest?

• A. Pelvic and uterine pain at rest
• B. Pain with urination only
• C. No pain with activity
• D. Normal vaginal discharge without odor

Answer: (A)

Pelvic and uterine tenderness at rest signals a possible postpartum infection, such as endometritis. After delivery the uterus should involute and feel firm and non-tender; tenderness indicates inflammation that needs prompt evaluation. Reporting this finding allows the provider to assess for infection, monitor vital signs, and start treatment if needed to prevent complications. The other options describe findings that are less concerning or within normal postpartum expectations (pain confined to urination, no pain with activity, or normal discharge without odor).