A woman is four days after an uncomplicated vaginal birth. Which postnatal assessment finding is most reassuring?
Correct answer: B. The uterus is becoming firmer each day
- A. Lochia has a mild fleshy odour
- B. The uterus is becoming firmer each day
- C. The pulse remains above 100 beats per minute
- D. The perineal wound has increasing tenderness
Explanation
Progressive uterine firmness and descent indicate normal involution. A foul odour, persistent tachycardia, or increasing perineal pain may indicate infection or another complication. Normal lochia should not have a distinctly offensive smell.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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