The nurse is assessing a new mother 2 days after a normal vaginal delivery. The mother has chosen not to breastfeed. An abnormal finding would be:
1. Weight loss of 3 pounds.
2. Small amount of breast milk expressed.
3. Pink striae on the abdomen.
4. Lochia serosa.
1
Rationale 1: Normal weight loss postpartum is in the range of 12–20-plus pounds.
Rationale 2: At 2 days after the birth, a non-breastfeeding mother might express a small amount of milk.
Rationale 3: Pink, obvious striae on the abdomen are normal.
Rationale 4: At 2 days postpartum, lochia rubra or lochia serosa in decreasing quantities is normal.
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