What is the primary concern for a woman who is G2P2 with a history of primary cesarean at 34 weeks due to severe preeclampsia?

The primary concern for a woman who is G2P2 with a history of a primary cesarean at 34 weeks due to severe preeclampsia centers on fundal location and bleeding amount. This concern directly relates to the woman's obstetric history and the potential complications associated with their current condition.

Women with severe preeclampsia are at increased risk for complications such as uterine atony, which can lead to excessive postpartum bleeding. Monitoring the fundal height allows healthcare providers to assess uterine tone and position, which can indicate proper involution or the risk of hemorrhage. Additionally, the amount of bleeding is crucial information that relates directly to the woman’s current health status and immediate postpartum care needs.

In this clinical situation, ensuring that the uterus is firm and that bleeding is within safe limits is essential for the woman's stability and recovery. Thus, emphasizing fundal assessment and monitoring bleeding plays a critical role in managing the care of this patient effectively.