What is the first step a nurse should take if a mother complains of a headache post-delivery?

• A. Administer analgesics
• B. Monitor vital signs
• C. Assess for other symptoms
• D. Contact the physician immediately

Answer: (C)

When a mother complains of a headache post-delivery, the first step a nurse should take is to assess for other symptoms. This is crucial because headaches can stem from various causes, especially in the postpartum period. By conducting a thorough assessment, the nurse can determine the nature and severity of the headache and whether it is an isolated symptom or related to other potential issues, such as dehydration, preeclampsia, or a spinal headache from an epidural or spinal anesthesia.

Taking this step enables the nurse to gather pertinent information, which may include the character of the headache, any accompanying symptoms (such as nausea, vision changes, or neurological symptoms), the timing of the headache in relation to delivery, and the mother's overall condition. This comprehensive assessment is essential before deciding on any intervention, such as administering analgesics or notifying the physician, as it helps tailor care to the specific needs and conditions of the patient.