system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 32-year-old woman, gravida 2, para 1, at 38 weeks' gestation is admitted to the hospital 30 minutes after spontaneous rupture of membranes. Her pregnancy has been complicated by gestational diabetes treated with insulin. Her first child was delivered vaginally. Her immunizations are up-to-date. She delivers the child via cesarean section without complications after failure to progress for 16 hours. Fourteen hours after birth, she reports having body aches and feeling warm. She has to change her perineal pad every 2–3 hours. She has abdominal cramping, especially when breastfeeding. She has voided her bladder four times since the birth. She appears uncomfortable. Her temperature is 37.9°C (100.2°F), pulse is 85/min, respirations are 18/min, and blood pressure is 115/60 mm Hg. The abdomen is soft, distended, and nontender. There is a healing transverse suprapubic incision without erythema or discharge. A firm, nontender uterine fundus is palpated at the level of the umbilicus. There is bright red blood on the perineal pad. The breasts are engorged and tender, without redness or palpable masses. Which of the following is the most appropriate next step in management?
assistant
Observation
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