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A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy.
Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
sing a sitz bath three times per day and after each bowel movement can help reduce pain, swelling and infection of the perineum.
wiping from back to front after voiding or having a bowel movement can increase the risk of infection by introducing bacteria from the anal area to the vaginal area. The correct way to wipe is from front to back.
applying ice packs to the perineum for the first 24 hours can help reduce inflammation and bleeding.
performing Kegel exercises several times per day can help strengthen the pelvic floor muscles and improve urinary continence.
because reporting any increase in redness, swelling or discharge from the episiotomy site can help detect signs of infection or wound breakdown.
The correct answer is choice A, C, D and E. These are the instructions that the nurse should include in the teaching for a client who had a vaginal delivery with a midline episiotomy.
• Choice A is correct because using a sitz bath three times per day and after each bowel movement can help reduce pain, swelling and infection of the perineum.
• Choice C is correct because applying ice packs to the perineum for the first 24 hours can help reduce inflammation and bleeding.
• Choice D is correct because performing Kegel exercises several times per day can help strengthen the pelvic floor muscles and improve urinary continence.
• Choice E is correct because reporting any increase in redness, swelling or discharge from the episiotomy site can help detect signs of infection or wound breakdown.
• Choice B is wrong because wiping from back to front after voiding or having a bowel movement can increase the risk of infection by introducing bacteria from the anal area to the vaginal area. The correct way to wipe is from front to back.