A nurse is educating a postpartum client about resuming sexual intercourse after delivery.

What information should the nurse provide to the client?

Sexual intercourse can be resumed after 4 weeks postpartum

Sexual intercourse may be uncomfortable due to vaginal dryness

Sexual intercourse should be avoided until lochia alba stops

Sexual intercourse may cause uterine bleeding or infection

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Sexual intercourse may be uncomfortable due to vaginal dryness. According to Mayo Clinic, hormonal changes after pregnancy might leave the vagina dry and tender, especially if the client is breast-feeding.

This can cause pain and discomfort during sex.

The client can use lubricant or try alternative forms of intimacy to ease the discomfort.

Choice A is wrong because sexual intercourse can be resumed after 4 weeks postpartum only if the client feels comfortable and has no complications. The general recommendation is to wait until 6 weeks postpartum or until the provider clears the client for sex.

Choice C is wrong because sexual intercourse should not be avoided until lochia alba stops.

Lochia alba is the last stage of postpartum bleeding that lasts from 10 to 14 days after delivery. The client can resume sex before lochia alba stops if they feel ready and use contraception to prevent pregnancy.

Choice D is wrong because sexual intercourse may not cause uterine bleeding or infection if the client follows proper hygiene and uses protection. The risk of complications is highest during the first two weeks after delivery, but it decreases after that.

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Correct Answer is D

Explanation

The correct answer is choice D. Large clots on day 3 postpartum.This is because large clots indicate excessive bleeding and may be a sign of postpartum hemorrhage, which is a rare but potentially fatal condition that requires immediate medical attention.

Choice A is wrong because lochia rubra, which is dark or bright red blood, is normal for the first three to four days after birth.

Choice B is wrong because lochia serosa, which is pinkish brown discharge that’s less bloody looking, is normal for four to 12 days after birth.

Choice C is wrong because lochia alba, which is yellowish white discharge with little to no blood, is normal from about 12 days to six weeks after birth.

Normal ranges for lochia are:

• Lochia rubra: lasts for three to four days, flows like a heavy period, small clots are normal.

• Lochia serosa: lasts for four to 12 days, flow is moderate, less clotting or no clots.

• Lochia alba: lasts from about 12 days to six weeks, light flow or spotting, no clots.

A. “Apply heat to your perineum.” B. “Use an ice pack on your perineum.” C. “Take a warm sitz bath.” D. “Use a heating pad on your abdomen.”

Correct Answer is C

Explanation

The correct answer is choice C.“Take a warm sitz bath.” A sitz bath is a shallow bath that covers the perineum and can help relieve pain and swelling after a vaginal birth with an episiotomy.A sitz bath can also promote healing and prevent infection by keeping the area clean.

Choice A is wrong because applying heat to the perineum can increase inflammation and delay healing.Choice B is wrong because using an ice pack on the perineum is only recommended for the first 24 hours after delivery to reduce swelling.After that, ice can cause tissue damage and slow down blood flow to the area.Choice D is wrong because using a heating pad on the abdomen has no effect on the perineal pain and can also cause burns or overheating.

Normal ranges for postpartum perineal pain vary depending on the type and degree of injury, but generally it should improve within a few weeks.If the pain persists or worsens, or if there are signs of infection such as fever, foul-smelling discharge, or redness, it is important to seek medical attention.

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A nurse is educating a postpartum client about resuming sexual intercourse after delivery. What information should the nurse provide to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client. Which of the following findings should the nurse report as abnormal?

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 week postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort.

A nurse is caring for a postpartum client who has a boggy uterus. Which of the following actions should the nurse take?

A nurse is assessing a client who is 2 days postpartum. Which of the following findings should the nurse expect?

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is caring for a postpartum client who reports heavy bleeding and large clots in her lochia. Which of the following actions should the nurse take?

A nurse is educating a postpartum client about resuming sexual intercourse after delivery. What information should the nurse provide to the client?

A nurse is teaching a postpartum client about lochia and when to report abnormal findings. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is 4 days postpartum and has a vaginal birth with an episiotomy. The client reports that her perineal area is sore and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is educating a postpartum client about resuming sexual intercourse after delivery.

What information should the nurse provide to the client?