A nurse is educating a new mother about warning signs to report after being discharged post-partum. Which symptom should the mother be advised to notify her healthcare provider about immediately?
Mild uterine cramping or contractions
Vaginal bleeding that soaks through a pad within an hour
Fever of 100.4°F (38°C)
Pain and swelling at the perineal site
The correct answer is vaginal bleeding that soaks through a pad within an hour because it can indicate post-partum hemorrhage, which is a serious and potentially life-threatening condition requiring urgent medical attention. While fever of 100.4°F (38°C) can indicate an infection, it is not as immediately life-threatening as hemorrhage. Pain and swelling at the perineal site are common during post-partum recovery due to normal healing processes, though excessive or worsening symptoms should still be monitored. Uterine cramping or contractions are expected as the uterus returns to its pre-pregnancy size and typically do not require immediate healthcare intervention unless unusually severe or unrelenting.
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