Final answer:
The statement that requires further discharge instructions is that the client plans to resume normal sexual activity immediately, as postpartum recovery requires abstaining from such activity until given medical clearance.
Step-by-step explanation:
After a postpartum surgical procedure such as the evacuation and repair of a paravaginal hematoma, discharge instructions are crucial for a patient's recovery and health. The statement that indicates the client requires further discharge instructions is: "I will resume normal sexual activity immediately." This is not recommended because the body needs time to heal after childbirth and any associated surgeries. It's essential to avoid activities that could place additional stress on the healing tissues, such as heavy lifting and sexual intercourse until the healthcare provider approves.
Postpartum care involves monitoring lochia, which is the vaginal discharge consisting of blood, uterine lining cells, leukocytes, and debris, that occurs after giving birth. The patient should expect lochia rubra for the first 2-3 days, followed by lochia serosa, and eventually lochia alba over the course of approximately 6 weeks.
It is also recommended that new mothers monitor for any signs of infection and follow specific instructions related to birth control, especially methods containing estrogen and progestin. This is due to the increased risk of blood clots postpartum. Additionally, sitz baths are commonly recommended to aid in perineal healing.