A patient who has undergone a D&C for early pregnancy loss is likely to be discharged the same day
The nurse must ensure that vital signs are stable, that bleeding has been controlled, and that the woman has adequately recovered from the administration of anesthesia. In order to promote an optimal recovery, discharge teaching should include (select all that apply) a. Iron supplementation
b. Resumption of intercourse at 6 weeks post-procedure
c. Referral to a support group if necessary
d. Expectation of heavy bleeding for at least 2 weeks
e. Emphasizing the need for rest
A, C, E
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Correct The woman should be advised to consume a diet high in iron and protein.
For many women, iron supplementation also is necessary. Acknowledge
that the patient has experienced a loss, albeit early. She can be taught to
expect mood swings and possibly depression. Referral to a support group,
clergy, or professional counseling may be necessary. Discharge teaching
should emphasize the need for rest.
Incorrect Nothing should be placed in the vagina for 2 weeks postprocedure. This
includes tampons and vaginal intercourse. The purpose of this
recommendation is to prevent infection. Should infection occur, antibiotics
may be prescribed. The patient should expect a scant, dark discharge for 1
to 2 weeks. Should heavy, profuse, or bright bleeding occur she should be
instructed to contact her provider.
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