The nurse is providing discharge teaching to a woman who delivered her first child 2 days ago. The nurse understands that additional information is needed if the patient makes which statement?
1. "I should expect a lighter flow next week."
2. "The flow will increase if I am too active."
3. "My bleeding will remain red for about a month."
4. "I will be able to use a pantiliner in a day or two."
3
Rationale 1: Lochia should gradually diminish in amount and change to a lighter brownish or pinkish color. A week after delivery, the flow is noticeably lighter compared with the lochia on the second postpartum day.
Rationale 2: Too much activity often leads to an increase in the amount of lochia.
Rationale 3: By the second postpartum day, the lochia should no longer be bright red.
Rationale 4: By day three, the amount of lochia shed is very small and requires only a pantiliner for protection.
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