The nurse is preparing for a postpartum home visit. The patient has been home for a week, is breastfeeding, and experienced a third-degree perineal tear after vaginal delivery. The nurse should assess the patient for:
1. Dietary intake of fiber and fluids.
2. Dietary intake of folic acid and prenatal vitamins.
3. Return of hemoglobin and hematocrit levels to baseline.
4. Return of protein and albumin to predelivery levels.
1
Rationale 1: This mother needs to avoid the risk of constipation. She might be hesitant to have a bowel movement due to anticipated pain from the perineal tear, and constipation will decrease the healing of the laceration.
Rationale 2: Dietary intake of prenatal vitamins is important while breastfeeding, but folic acid is more important prior to conception and in the first weeks of pregnancy to prevent neural tube defects.
Rationale 3: It will take several months for the laboratory levels to return to normal.
Rationale 4: It will take several months for the laboratory levels to return to normal.
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