A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
Explanation & Rationale
A. Vaginal intercourse can be resumed after 2 weeks: Clients are typically advised to avoid vaginal intercourse, tampons, and douching for about 2 weeks post–D&C to reduce the risk of infection. Resuming sexual activity too early can introduce bacteria to the healing uterus and increase complications. B. Products of conception will be present in vaginal bleeding: After a D&C, the uterus has been surgically cleared, so there should not be passage of products of conception. Post-procedure bleeding should be similar to a light menstrual flow and not contain tissue fragments. C. Increased intake of zinc-rich foods is recommended: There is no specific recommendation for increased zinc intake post–D&C. Nutritional support after a miscarriage generally focuses on iron-rich foods to compensate for blood loss and support healing. D. Aspirin may be taken for cramps: Aspirin is not recommended after a D&C due to its antiplatelet effects, which can increase the risk of bleeding. Acetaminophen or ibuprofen is typically safer for managing post-procedural cramping.