The nurse is performing discharge teaching for a newly delivered first-time mom and her infant on the second postpartum day. Which statement indicates that teaching has been successful?
1. "Taking baths will help my perineum feel less sore each day."
2. "If I develop heavy bleeding, I should take my temperature."
3. "My bowel movements should resume in a week."
4. "I will go back to the doctor in four days for my RhoGAM shot."
1
Rationale:
1. Tub soaks or sitz baths will facilitate perineal healing.
2. If heavy bleeding begins, the client should call the doctor immediately, not take her temperature. Postpartum hemorrhage can be life-threatening.
3. Bowel movements should resume in 2–3 days after birth. A week is too long a time frame, and indicates constipation.
4. When RhoGAM is needed, it is given within 72 hours of birth, while still at the hospital.
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