Question

The nurse is conducting discharge teaching with a postpartum woman. what would be an important instruction for this client?

Answer 1

Important instruction for this client is to call her caregiver and see if lochia moves from serosa to rubra.

Most cases of late postpartum hemorrhage occur after the woman leaves the health care or birthing facility. Therefore, client education before discharge about expected changes and danger signs and symptoms is crucial. Instruct the woman to call her primary care provider if she experiences any signs of infection, such as fever greater than 100.4° F (38° C), chills, or foul-smelling lochia. She should also report lochia that increases (versus decreasing) in amount, or reversal of the pattern of lochia (i.e., moves from serosa back to rubra).

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