A nurse is caring for a client who is 18 hours postpartum.
Which finding should alert the nurse to the possibility of a postpartum complication?

Choice A rationale

Washing hands before and after perineal care or voiding is essential to prevent infection. Proper hand hygiene reduces the risk of introducing bacteria to the perineal area, which is particularly vulnerable to infection postpartum.

Choice B rationale

Leaving the current pad on until it is fully saturated is not recommended. Changing pads frequently helps to maintain cleanliness and reduce the risk of infection. A saturated pad can harbor bacteria and increase the risk of infection.

Choice C rationale

Wiping the perineum thoroughly with a back-and-forth motion is not recommended. Instead, the perineum should be wiped from front to back to prevent the spread of bacteria from the rectal area to the perineal area, reducing the risk of infection.

Choice D rationale

Using a perineal squeeze bottle to cleanse the perineum is recommended. It helps to gently clean the area without causing irritation or discomfort. The warm water can also provide soothing relief to the perineal area.

Choice E rationale

Applying ice or cold packs to the perineum can help to reduce swelling and provide pain relief. The cold temperature constricts blood vessels, reducing inflammation and numbing the area to alleviate discomfort. .

Choice A rationale

Increasing fluid intake to 2-3 L/day is recommended to prevent dehydration and promote overall health. Adequate hydration can also help soften stools and prevent constipation.

Choice B rationale

Stool softeners are often recommended for postpartum clients, especially those with perineal trauma, to ease bowel movements and prevent straining. They help soften the stool, making it easier to pass without causing additional pain or injury.

Choice C rationale

Increasing fiber intake is beneficial for preventing constipation. High-fiber foods, such as fruits, vegetables, and whole grains, add bulk to the stool and promote regular bowel movements.

Choice D rationale

Rectal suppositories are contraindicated for clients with a fourth-degree laceration. Inserting a suppository can cause trauma to the perineal area and increase the risk of infection or further injury. Alternative methods to manage constipation should be considered.