Which finding should the practical nurse (PN) instruct the postpartum client to report to the charge nurse?
Explanation & Rationale
A. Increased diaphoresis during the day and night: Profuse sweating is common in the early postpartum period as the body eliminates excess fluid accumulated during pregnancy. It is a normal physiological response and does not usually require reporting unless accompanied by other abnormal symptoms. B. Sudden or persistent temperature above 100.5° F (38.0° C): A sustained elevated temperature may indicate infection such as endometritis, mastitis, or urinary tract infection. Prompt reporting is essential for timely evaluation and intervention to prevent systemic complications. C. Breast engorgement on the fourth postpartum day: Engorgement typically occurs when milk production increases, usually around the third or fourth day postpartum. It is a normal finding that can be managed with frequent breastfeeding, ice packs, or mild analgesics. D. Lochia color that changes to light pink or white: The transition from lochia rubra to serosa and eventually alba (light pink to white) signifies normal uterine healing. This gradual color change is expected and not a sign of pathology.