Nursing Care of Women at Risk During Pregnancy & Post-partum
During the first hour after a cesarean birth, a nurse observes that the client’s lochia has saturated one perineal pad. Based on the knowledge of expected lochial flow, what should the nurse conclude that this indicates?
ExplanationD. It is expected that up to two perineal pads can be saturated in the first hour.
A. A scant flow probably would not saturate even one pad.
B. Hemorrhage would saturate more than two pads in 1 hour.
C. This would be accompanied by heavy bleeding and require more than two pads during the first hour.