The postpartum nurse has completed discharge teaching for a client being discharged after an uncomplicated vaginal birth. Which statement by the client indicates that further teaching is needed?
a. "I may not have a bowel movement until the 2nd postpartum day."
b. "If I breastfeed and supplement with formula, I won't need any birth control."
c. "I know my normal pattern of bowel elimination won't return until about 8 to 10 days."
d. "If I am not breastfeeding, I should use birth control when I resume sexual relations with my husband."
ANS: B
For some women, ovulation resumes as early as 3 weeks postpartum. Therefore, contraceptive measures are important considerations when sexual relations are resumed for lactating and nonlactating women. Further teaching would be needed if the client does not feel any need for birth control with breastfeeding and supplementing with formula. The first stool usually occurs within 2 to 3 days postpartum. Normal patterns of bowel elimination generally resume by 8 to 14 days after birth.
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