Which patient should the nurse see first after receiving report?

The priority in a nursing context often relates to the immediate health and safety of patients, particularly concerning conditions that may require urgent interventions. In this situation, the client who had multiple saturated perineal pads changed during the night is prioritized because this indicates a significant issue that could suggest excessive bleeding or a complication related to childbirth.

Postpartum hemorrhage is a critical condition that requires immediate attention to ensure the patient's safety. Continuous saturation of perineal pads points to a concerning loss of blood, which could lead to shock or other serious complications if not addressed promptly.

While the other clients present their own concerns that are important, they do not indicate an immediate physical risk to the patient’s health. For instance, perineal pain, breastfeeding difficulties, and preferences regarding rooming-in are significant but do not pose the same level of immediate threat as excessive bleeding. Therefore, assessing and addressing the client with the potential for serious complications is the most critical action for the nurse.