A nurse is reinforcing discharge instructions for a client.At 4 weeks postpartum, the client should contact the provider for which of the following client findings?
Sore nipple with cracks and fissures.
Scant nonodorous white vaginal discharge.
Uterine cramping during breastfeeding.
Decreased response with sexual activity.
The Correct Answer is A
Choice A rationale
Sore nipples with cracks and fissures can indicate an infection or improper breastfeeding technique, requiring medical attention.
Choice B rationale
Scant nonodorous white vaginal discharge is normal postpartum and does not require contacting the provider.
Choice C rationale
Uterine cramping during breastfeeding is a normal physiological response due to oxytocin release.
Choice D rationale
Decreased response with sexual activity can be normal postpartum and does not necessarily require immediate medical attention.
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Correct Answer is A
Explanation
Choice A rationale
Sore nipples with cracks and fissures can indicate an infection or improper breastfeeding technique, requiring medical attention.
Choice B rationale
Scant nonodorous white vaginal discharge is normal postpartum and does not require contacting the provider.
Choice C rationale
Uterine cramping during breastfeeding is a normal physiological response due to oxytocin release.
Choice D rationale
Decreased response with sexual activity can be normal postpartum and does not necessarily require immediate medical attention.
Correct Answer is C
Explanation
Choice C rationale
Postpartum blues are characterized by tearfulness, insomnia, lack of appetite, and a feeling of letdown. These symptoms are common and usually resolve within a few weeks without medical intervention.
Choice A rationale
The letting-go phase occurs when the woman has assumed responsibility for caring for herself and her infant. It is not associated with the symptoms described.
Choice B rationale
Postpartum fatigue can cause tiredness and lack of energy but does not typically include tearfulness and a feeling of letdown.
Choice D rationale
Postpartum psychosis is a severe mental health condition that includes symptoms such as hallucinations, delusions, and severe mood swings. It is not characterized by the milder symptoms described. .