While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother's perineum. Which one…

The correct answer is C. Encourage the client to take warm sitz baths. (A) The area is bruised and painful. This action would do nothing to help with the healing process of the perineum or to provide comfort. (B) Ice is effective immediately after birth to reduce edema and discomfort, but not on the 2nd (C) Sitz baths are useful if the perineum…

Physiological Integrity: Basic Care and Comfort

Question

While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother's perineum. Which one of the following interventions should the RN initiate at this time?

Options

AHave the client expose the area to air.
BApply ice to the perineum.
CEncourage the client to take warm sitz baths.
DInform the physician.

How the community answered

(20 responses)

A
5% (1)
B
5% (1)
C
80% (16)
D
10% (2)

Explanation

(A) The area is bruised and painful. This action would do nothing to help with the healing process of the perineum or to provide comfort. (B) Ice is effective immediately after birth to reduce edema and discomfort, but not on the 2nd (C) Sitz baths are useful if the perineum has been traumatized, because the moist heat increases circulation to the area to promote healing, relaxes tissue, and decreases edema. (D) The physician is not notified of bruising, but if a hematoma is present, then the physician is

Topics

#postpartum perineal care#ecchymosis#sitz bath#vaginal delivery

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