In receiving a report for postpartum clients, which client requires immediate attention?

The scenario in which the client who gave birth 8 hours ago and is saturating a perineal pad every hour requires immediate attention, as this could indicate a serious concern such as postpartum hemorrhage. In the postpartum period, it is normal for some bleeding to occur, but a saturated pad within an hour suggests that the bleeding is not within acceptable limits and could pose a risk to the client's stability.

Postpartum hemorrhage can lead to rapid deterioration in a woman's condition, affecting vital signs such as blood pressure and heart rate. Immediate intervention is critical in this situation to assess the cause of the bleeding, monitor vital signs, and provide appropriate interventions such as medication for uterine contraction or potential surgical procedures if necessary.

The other clients, while they may need monitoring or care, do not present the same immediate risk. The client needing Rh(D) immune globulin requires follow-up that is important but not urgent. The client reporting breath fullness three days postpartum could indicate fluid overload or respiratory issues, which should be monitored but are not as acute as the risk of hemorrhage. The client with increased urinary output may be experiencing normal diuresis after childbirth, but this is also not immediately life-threatening. Therefore, the case of the client saturating a