Which finding would be considered a priority assessment during the fourth stage of labor?

During the fourth stage of labor, which spans the first one to two hours after delivery, monitoring for perineal bleeding is crucial. This stage involves the mother's recovery and stabilization following childbirth, where she is at increased risk for postpartum hemorrhage due to uterine atony or lacerations. Assessing for perineal bleeding helps detect any excessive blood loss early, allowing for immediate intervention if needed, which is vital for the mother’s safety.

Monitoring uterine contraction effectiveness, though important, is typically done in earlier stages of labor, as contractions should not be expected immediately after the placenta is delivered. Ensuring an elastic abdominal binder is applied can support the abdomen but is not the primary concern in this immediate recovery period. Checking for bowel sounds can provide insight into gastrointestinal function, yet this is not a priority assessment right after delivery, as the focus should be on managing potential complications from childbirth.