Question

A nurse is providing discharge instructions for a client. At 4 weeks postpartum, the client should contact her PCP for which client findings?

a) Decreased lochia flow
b) Vaginal bleeding after intercourse
c) Engorged breasts
d) Persistent perineal discomfort

Answer 1

A client should contact her Primary Care Provider (PCP) at 4 weeks postpartum if she experiences vaginal bleeding after intercourse or persistent perineal discomfort. These issues may indicate an underlying complication needing medical intervention.

Step-by-step explanation:

At 4 weeks postpartum, a client should contact her Primary Care Provider (PCP) if they experience certain concerning symptoms that could indicate complications. Of the options provided, the client should be instructed to report vaginal bleeding after intercourse and persistent perineal discomfort, as these may indicate an infection or other healing issues that require medical attention.

It's normal for lochia flow to decrease over time and for engorgement in the breasts to resolve, especially if breastfeeding. However, if the client experiences a sudden cessation of breastfeeding, they may still encounter breast engorgement and leakage. In the postpartum period, issues like retained placental fragments can lead to excessive bleeding, and breastfeeding facilitates uterine contractions that help in involution, the process where the uterus returns to its pre-pregnancy size.

Overall, while some discomfort and changes are expected during the postpartum recovery, persistent issues or new symptoms like bleeding after intercourse warrant a consultation with the client's healthcare provider.