The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding.
Which statement by the client indicates a need for MORE teaching?

Choice A rationale

Respiratory assessment is vital, especially following childbirth, to ensure the mother is not experiencing respiratory issues.

Choice B rationale

Monitoring hemoglobin levels can help identify significant blood loss during delivery, which can lead to anemia and other complications.

Choice C rationale

A heart rate that is elevated postpartum may indicate underlying issues such as infection or hemorrhage, which need to be reported.

Choice D rationale

Continuous blood trickling from the vagina is a warning sign of potential postpartum hemorrhage, which is a medical emergency.

Choice A rationale: Heavy menstrual bleeding after an IUD insertion can be a sign of complications such as displacement of the IUD, infection, or other issues that require medical attention. It's important for the client to come to the clinic as soon as possible to be evaluated by a healthcare provider and ensure everything is functioning properly.

Choice B rationale: Taking her temperature every 4 hours is not directly relevant to the concern of heavy menstrual bleeding unless there is a suspicion of infection, which should still be evaluated in the clinic.

Choice C rationale: While some spotting or light bleeding can be normal after IUD insertion, heavy menstrual bleeding is not typical and should be assessed by a healthcare provider to rule out complications.

Choice D rationale: Advising the client to change her method of birth control without a proper evaluation is not appropriate. A healthcare provider should determine if the IUD is the right method for her or if there are any issues that need to be addressed.