A mother should be assessed for the following within one hour of the delivery–

Correct option is D

Sol. The first hour after delivery, also called the golden hour, is critical in ensuring the mother's well-being. Monitoring for excessive vaginal bleeding (PPH), assessing uterine contraction, and recording temperature are essential checks. Timely interventions during this period can prevent complications such as hemorrhagic shock and sepsis. Proper documentation and skilled supervision are vital components of safe motherhood practices.
Explanation of each option:
· (a) Excessive bleeding – Postpartum hemorrhage is the leading cause of maternal death. It often occurs due to uterine atony and must be detected early. Monitoring bleeding every 15 minutes helps in quick management and prevention of hypovolemic shock.
· (b) Temperature – A rise in temperature may indicate infection (puerperal sepsis). Low temperature could be due to blood loss or shock. Early detection ensures timely antibiotic or supportive therapy.
· (c) Uterine contraction – Poor contraction can lead to blood pooling and hemorrhage. A firm uterus is a sign of normal postpartum recovery. Gentle uterine massage is done if it feels boggy or soft.
· (d) All of these – Correct Answer. According to WHO, all these parameters must be checked frequently (every 15–30 minutes) during the first hour. This improves maternal outcomes and reduces postnatal complications.