Which maternal event is abnormal in the early postpartum period?

Correct Answer: D

Rationale: For the first 3 days after childbirth, lochia is termed rubra. Lochia serosa follows, and then at about 11 days, the discharge becomes clear, colorless, or white. The body rids itself of increased plasma volume. Urine output of 3000 mL/day is common for the first few days after birth and is facilitated by hormonal changes in the mother. Bowel tone remains sluggish for days. Many women anticipate pain during defecation and are unwilling to exert pressure on the perineum. The new mother is hungry because of energy used in labor and thirsty because of fluid restrictions during labor.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: The correct answer is A because an increase in WBC count to 25,000/mm3 during the postpartum period is considered normal and not a sign of infection. Therefore, the nurse should simply document the finding. There is no need to inform the health care provider, initiate antibiotic therapy, or request a reanalysis of blood samples in this case.

Correct Answer: B

Rationale: The correct answer is B because inspecting the placenta after birth can help identify missing fragments and prevent late postpartum hemorrhage. Choices A, C, and D are incorrect as they do not address the prevention of late postpartum hemorrhage. Manual removal of the placenta, pulling on the umbilical cord, and administering antibiotics are not recommended preventive measures for late postpartum hemorrhage.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.