Nursing Interventions for Lochia

Nursing Interventions for Lochia ( 12 Questions)

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy.

The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort.



Correct Answer: D

 

The correct answer is choice D. “You should avoid straining during bowel movements.” This is because straining can cause pain and bleeding in the perineal area, especially if the client has an episiotomy or hemorrhoids. Straining can also worsen the damage to the pelvic floor muscles or the anal sphincter muscles that might have occurred during delivery.

Choice A is wrong because taking a laxative can cause diarrhea, dehydration, and electrolyte imbalance. Laxatives should only be used if prescribed by a health care provider.

Choice B is wrong because increasing fluid intake alone is not enough to prevent or treat constipation. Fluid intake should be combined with adequate fiber intake and physical activity.

Choice C is wrong because increasing fiber intake alone is not enough to prevent or treat constipation. Fiber intake should be combined with adequate fluid intake and physical activity.

Normal ranges for fluid intake are about 2 to 3 liters per day for a lactating woman and about 1.5 to 2 liters per day for a non-lactating woman. Normal ranges for fiber intake are about 25 to 35 grams per day for adults. Normal ranges for physical activity are about 150 minutes of moderate-intensity exercise per week for healthy adults.




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