A nurse is preparing a new mother for discharge two days after a vaginal delivery. The patient asks how to know if something might be wrong during her recovery. How should the nurse respond?
Changes in the color of your lochia should be reported to your healthcare provider.
Feelings of fatigue and uterine cramping indicate complications and should be discussed with your healthcare provider.
Spotting after the first three days postpartum requires follow-up with your healthcare provider.
Watch for a fever above 100.4°F, foul-smelling discharge, or heavy bleeding with clots, and contact your healthcare provider if these occur.
The correct answer lists specific warning signs such as fever above 100.4°F, foul-smelling discharge, and heavy bleeding with clots, all of which may indicate serious post-partum complications like infection or hemorrhage. It provides clear and actionable advice for when to seek medical attention. The second option is incorrect because mild fatigue and uterine cramping are common parts of postpartum recovery unless they become severe or worsen over time. The third option is incorrect as spotting alone, especially in small amounts, may be normal and does not always require follow-up unless it is accompanied by other concerning symptoms. The fourth option is also incorrect because changes in lochia color are expected as a normal part of the healing process unless accompanied by other significant symptoms such as fever or odor.
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