Question

A postpartum client is ready for discharge. During discharge preparation, the nurse should instruct her to report which of the following to her primary health care provider?

a) Vaginal bleeding.
b) Breast engorgement.
c) Fatigue.
d) Emotional changes.

Answer 1

A postpartum client should report vaginal bleeding, breast engorgement, fatigue, and emotional changes to her primary health care provider.

Step-by-step explanation:

When preparing a postpartum client for discharge, the nurse should instruct her to report any of the following to her primary health care provider:

1. Vaginal bleeding: Although postpartum vaginal discharge called lochia is normal after giving birth, excessive bleeding may indicate a complication and should be reported.
2. Breast engorgement: This occurs when the breasts become swollen and painful due to the accumulation of milk. Sudden breast engorgement after stopping breastfeeding may indicate an issue that needs medical attention.
3. Fatigue: While it is common to feel tired after giving birth, extreme fatigue that affects daily activities may be a sign of a medical concern.
4. Emotional changes: Postpartum mood swings and changes in emotions are normal, but if they become severe or persist, it's important to inform the primary health care provider.