A woman gave birth to a 2850 g infant boy 2 hours ago.The nurse determines that the woman's bladder is distended because her fundus is now 3 cm above the umbilicus and to the right of the midline.In the immediate postpartum period,what is the most serious consequence likely to occur from bladder distension?

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Excessive bleeding can occur immediately after birth if the bladder becomes distended,because it pushes the uterus up and to the side and prevents it from contracting firmly.A urinary tract infection may result from overdistension of the bladder,but it is not the most serious consequence.A ruptured bladder may result from a severely overdistended bladder.However,vaginal bleeding most likely would occur before the bladder reaches this level of overdistension.Bladder distension may result from bladder wall atony.The most serious concern associated with bladder distension is excessive uterine bleeding.

A Woman Gave Birth to a 2850 G Infant Boy