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A woman had a normal vaginal delivery 12 hours ago and is to be discharged from the birthing center. The nurse evaluates that the woman understands the teaching related to episiotomy and perineal area when she states,
a. “I know the stitches will be removed at my postpartum clinic visit.”
b. “The ice pack should be removed for 10 minutes before replacing it.”
c. “The anesthetic spray, ten the heat lamp, will help lot.”
d. “The water for the Sitz bath should be warm, about 102-1050 F.”
Correct Answer B: . To attain the maximum effect of reducing edema and providing numbness of the tissues, the ice pack should remain in place approximately 20 minutes and then be removed for about 10 minutes before replacing it.
a. “I know the stitches will be removed at my postpartum clinic visit.”
b. “The ice pack should be removed for 10 minutes before replacing it.”
c. “The anesthetic spray, ten the heat lamp, will help lot.”
d. “The water for the Sitz bath should be warm, about 102-1050 F.”
Correct Answer B: . To attain the maximum effect of reducing edema and providing numbness of the tissues, the ice pack should remain in place approximately 20 minutes and then be removed for about 10 minutes before replacing it.
Stitches used for an episiotomy are absorbable and do not require removal.
Because of the danger of tissue burns, a woman must be cautioned not to apply anethetic spray before using a heat lamp.
Recently, cool sitz baths have gained popularity because they are effective in reducing perineal edema; therefore; it may be best to offer the woman a choice.
Posted in: MCN NCLEX
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