A postpartum patient with endometritis is being discharged home on antibiotic therapy. The new mother plans to breastfeed her baby. What should the nurse's discharge instruction include?
1. The patient can douche every other day.
2. Sexual intercourse can be resumed when the patient feels up to it.
3. Light housework will provide needed exercise.
4. The baby's mouth should be examined for thrush.
4
Rationale 1: Douching is contraindicated for this patient.
Rationale 2: Pelvic rest is necessary for this patient, and sexual activity should be resumed only when the physician says it is safe.
Rationale 3: This patient will need assistance at home. If the family cannot provide it, homecare services should be contacted.
Rationale 4: A breastfeeding mother on antibiotics should check her baby's mouth for signs of thrush, which should be reported to the physician.
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