The nurse provides home instructions to a postpartum client. Which of the following statements, if made by the client, indicates that further teaching is necessary?
  1. “It is normal to have strong, menstrual-like cramps during the first few days to weeks when nursing my baby.”
  2. “Breast tenderness and redness and easy fatigability should alert me to call my physician.”
  3. “I will call my physician if my vaginal discharge becomes brownish-pink in color.”
  4. “A rise of body temperature up to 102° is normal.”
Explanation
Answer: D - A slight increase of temperature may occur after childbirth, but a temperature of more than 100OF suggests puerperal fever, which is possibly caused by infection within the placenta site. If left untreated, it can result in sepsis a life-threatening condition. Brownish-pink vaginal discharge is lochia serosa, which occurs within a week after birth. Menstrual-like cramps during the first weeks, and breast tenderness and easy fatigability are expected findings during the postpartum period.
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