A practical nurse (PN) team member identifies that the fundus is boggy for a woman who is gravida 4 para 4 and is two hours after a spontaneous vaginal delivery. The fundus is displaced slightly above and to the right of the umbilicus. What should be the initial nursing action?
A. Assist the woman to empty her bladder
B. Monitor the pulse and blood pressure
C. Call the registered nurse (RN) immediately
D. Check lochia for color and amount