Final answer:
Normal findings in a client 1 day postpartum include lochia rubra and a firm fundus at the umbilicus level, with the expectation that uterine size will decrease due to involution. Elevated blood pressure would not be typical and could suggest a complication.
Step-by-step explanation:
The nurse is collecting data on a client who is 1 day postpartum and expects to find certain normal findings. One expected outcome is lochia rubra, which is a thick, dark vaginal discharge consisting of uterine lining cells, erythrocytes, leukocytes, and debris. This type of discharge typically continues for 2-3 days after giving birth. Additionally, a normal finding would include a fundus that is firm at the level of the umbilicus, as the uterus begins the process of involution to return to its pre-pregnancy size. Moreover, it is expected for the uterine size to decrease, not increase, during the postpartum period. An elevated blood pressure would not be a typical finding and could indicate a complication.
Breastfeeding can facilitate the process of uterine involution. It's also important for healthcare professionals to ensure that the placenta and fetal membranes are expelled intact to prevent postpartum hemorrhage. Continuous uterine contractions aid in the process of involution, effectively decreasing the uterine size back to its pre-pregnancy state.