Client Education and Discharge Teaching

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Questions and Answers

What action should be taken to provide effective perineal care after each voiding and bowel movement?

Cleanse the area from front to back with warm water. (correct)

Wipe the area with dry tissue only.

Cleanse the area from back to front with warm water.

Use an alcohol-based sanitizer for cleaning.

What caloric intake is recommended for non-lactating clients post-birth?

1,500 to 1,800 kcal/day

2,200 to 2,500 kcal/day

2,500 to 3,000 kcal/day

1,800 to 2,200 kcal/day (correct)

Which symptom is NOT typically associated with postpartum hemorrhage?

Severe abdominal pain

Excessive bleeding after childbirth

Signs of anemia

Foul-smelling discharge (correct)

When can clients generally resume sexual intercourse after childbirth?

By the second to fourth week after birth Signup and view all the answers

Which of the following should be reported as a sign of potential complications during postpartum recovery?

Chills or fever greater than 38° C Signup and view all the answers

What is the normal pattern of lochial flow on the first to third day postpartum?

Rubra Signup and view all the answers

What is the recommended caloric intake for lactating clients?

450-500 additional calories/day Signup and view all the answers

When is it safe for a postpartum client to resume sexual intercourse?

2-4 weeks postpartum after bleeding has stopped Signup and view all the answers

What signs may indicate postpartum complications?

Chills, fever, and localized pain in calves Signup and view all the answers

What is an important post-discharge recommendation for follow-up visits?

Within 3 weeks for both vaginal and cesarean births Signup and view all the answers

What is the maximum normal temperature a postpartum client should not exceed after the first 24 hours?

38° C (100.4° F) Signup and view all the answers

During postpartum recovery, which of the following is a key emphasis for lactating clients regarding hand hygiene?

Hand hygiene should be emphasized before breastfeeding. Signup and view all the answers

What is the typical duration for the lochia alba phase of postpartum bleeding?

10 days to 6 weeks Signup and view all the answers

Which of the following is a potential consequence of inadequate self-care education before discharge?

Increased risk of postpartum complications Signup and view all the answers

Lactating clients are advised to increase their daily caloric intake by how many calories?

450-500 calories/day Signup and view all the answers

What is the primary focus of perineal care after voiding and bowel movements?

Cleanse the perineal area from front to back with warm water. Signup and view all the answers

Which complication manifests with signs including fever and foul-smelling discharge?

Infection Signup and view all the answers

What dietary recommendation should be made for lactating clients?

Encourage a balanced diet with an additional 450-500 kcal/day. Signup and view all the answers

Which of the following indicates a client can typically resume sexual activity after childbirth?

After the perineum has healed and bleeding has stopped. Signup and view all the answers

What is a key sign to monitor for complications in postpartum clients?

Chills or fever greater than 38° C Signup and view all the answers

Study Notes

Key Nursing Interventions

Perineal Care: Cleanse perineal area from front to back with warm water after voiding and bowel movements. Blot dry.
Breast Care (Lactating): Emphasize hand hygiene, allow frequent breastfeeding on demand, and use warm compresses to relieve engorgement before feedings.
Breast Care (Non-lactating): Wear a supportive bra, avoid breast stimulation, and apply cold compresses for engorgement.

Key Complications to Monitor

Postpartum Hemorrhage: Excessive bleeding after childbirth requiring immediate medical attention.
Infection: Signs include fever, foul-smelling discharge, and localized pain in breasts or perineal area.
Postpartum Depression: Emotional changes like apathy towards the newborn and feelings of self-harm.

Key Client Education Points

Nutrition: Encourage a balanced diet (1,800-2,200 kcal/day for non-lactating; 450-500 kcal/day more for lactating).
Sexual Activity: Resume sexual intercourse after 2nd to 4th week, after bleeding stops and perineum heals.
Indications of Complications: Report chills/fever above 38°C (100.4°F), changes in vaginal discharge, and persistent pain.

Key Dates

Follow-up Appointment: Recommended within 3 weeks after birth to assess recovery and address complications.

Facts to Memorize

Normal Lochial Flow: Rubra (1-3 days), Serosa (3-10 days), Alba (10 days-8 weeks).
Lactating Caloric Intake: Additional 450-500 calories/day.
Postpartum Temperature: Should not exceed 38°C (100.4°F) after 24 hours.
Safe Resumption of Sex: 2 to 4 weeks postpartum when bleeding stops.

Concept Comparisons (Lactating vs. Non-lactating)

Lactating Clients: Emphasize hand hygiene, allow breastfeeding on demand, use warm compresses for engorgement, and increase caloric intake (450-500 calories).
Non-lactating Clients: Wear supportive bra continuously for 72 hours, avoid stimulation, use cold compresses, and consume 1,800 -2,200 calories.

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Description

This quiz focuses on essential nursing interventions related to postpartum care, including perineal and breast care, as well as monitoring for complications such as postpartum hemorrhage and emotional changes. It also highlights the importance of client education on nutrition and resuming sexual activities after childbirth.