When caring for a mother/baby couplet after a birth complicated by shoulder dystocia, which sign should the nurse monitor the mother for?

When caring for a mother/baby couplet after a birth complicated by shoulder dystocia, it is crucial to monitor the mother for postpartum hemorrhage. Shoulder dystocia can lead to a series of complications during delivery, including potential trauma to the mother. The manipulation required to resolve shoulder dystocia may result in vaginal tearing or trauma to the perineum, both of which can increase the risk of postpartum hemorrhage.

Monitoring the mother for heavy bleeding, changes in vital signs, or signs of shock is essential to ensuring her safety and addressing any potential complications early. This vigilance is part of standard care after a complicated delivery, particularly with a known risk factor like shoulder dystocia.

Although brachial plexus injury is a concern for the baby and uterine rupture is a serious condition that can occur but is less common, the immediate postpartum monitoring should prioritize the detection and management of hemorrhage due to its potential for rapid deterioration. There is no significant direct link between shoulder dystocia and conditions like a prolapsed uterus or uterine rupture in this context, making postpartum hemorrhage the most relevant sign to monitor in this scenario.