Six hours after delivery, a patient reports faintness and dizziness. What action is most appropriate?

• A. Obtain hemoglobin and hematocrit levels
• B. Elevate the mother's legs
• C. Inform the nursery to avoid bringing the newborn until the feelings subside
• D. Instruct the mother to request help when getting out of bed

Answer: (D)

When a woman six hours after delivery reports faintness and dizziness, the immediate priority is safety. Dizziness on standing after childbirth is often due to orthostatic changes from fluid shifts and possible blood loss. The best action is to arrange for assistance so she does not attempt to get out of bed alone; having someone help her when changing position or getting up greatly reduces the risk of a fall or injury during a dizzy episode. Elevating the legs can help venous return, but it doesn’t address the transfer safety as directly as having support during movement. Keeping the newborn safely cared for is important, and not delaying newborn contact is appropriate. Checking hemoglobin and hematocrit may be part of ongoing assessment if there are signs of significant bleeding or anemia, but it won’t prevent an immediate fall.