The nurse caring for the postpartum client who has developed thrombophlebitis is providing instructions in the management of this condition. Which client statement indicates the need for further instruction?

Choice A rationale

Maternal mortality in the United States is among the highest in industrialized nations, with rates significantly exceeding those of comparable countries due to systemic healthcare disparities and limited access to care.

Choice B rationale

The United States has a maternal mortality rate of approximately 18.6 deaths per 100,000 live births, which is higher than other industrialized nations, where rates are often below 10 deaths per 100,000 live births.

Choice A rationale

Postpartum hemorrhage may occur weeks after delivery due to subinvolution of the uterus or retained placental fragments. Educating about late risks ensures patients monitor symptoms and seek timely care.

Choice B rationale

Breastfeeding is encouraged even after postpartum hemorrhage as it helps stimulate uterine contractions, reducing bleeding risk. Recommending avoidance could delay recovery and is scientifically unsupported unless contraindicated.

Choice C rationale

Oxytocin may be prescribed for ongoing uterine atony or to prevent late postpartum hemorrhage. It is essential to educate patients about its purpose and correct administration for safety and effectiveness.

Choice D rationale

Saturating a peri-pad within 1 hour may indicate active bleeding. Reporting this promptly ensures swift intervention to prevent further complications, aligning with standard postpartum care protocols.

Choice E rationale

Postpartum hemorrhage is not limited to 24–48 hours after birth; late-onset hemorrhage, occurring up to weeks later, is a known complication. Misleading patients with this incorrect timeframe can delay critical interventions.