What should a nurse do if a client has not had a bowel movement for 4 days postpartum?

In assessing a postpartum client who has not had a bowel movement for four days, it is important to consider that postpartum women often experience changes in bowel habits due to factors such as hormonal changes, decreased physical activity, pain from perineal trauma, or the effects of medications such as those used for pain management.

Administering a laxative such as Bisacodyl is appropriate in this situation as it can provide the necessary relief from constipation that the client may be experiencing. Laxatives are specifically designed to stimulate bowel movements and can be beneficial in a postpartum setting where constipation could lead to discomfort or complications, especially if the client is hesitant to initiate a bowel movement due to pain or fear of exacerbating any perineal injury.

Encouraging increased fluid intake can certainly support bowel health, but it may not provide immediate relief if the constipation is severe. Scheduling a follow-up appointment could be an alternative course of action, but it does not address the immediate issue of constipation. Additionally, limiting food intake to aid digestion is counterproductive as adequate nutrition is essential during the postpartum period for healing and overall well-being.

Thus, the decision to administer a laxative directly addresses the client's need for relief from constipation and aids in promoting a healthy recovery postpartum