A nurse is caring for a postpartum client who had a vaginal delivery with an episiotomy.
Which action would help prevent infection of the perineal area?
Applying ice packs to the perineum for the first 24 hours.
Changing the perineal pad from back to front every 2 hours.
Spraying warm water over the perineum after each voiding or bowel movement.
Using an inflatable ring or pillow to sit on for comfort.
The Correct Answer is C
The correct answer is C. Spraying warm water over the perineum after each voiding or bowel movement. This action would help prevent infection of the perineal area by keeping it clean and reducing the risk of bacterial contamination.
A is wrong because ice packs can only help reduce swelling and pain, but not prevent infection.
B is wrong because changing the pad from back to front can introduce bacteria from the rectum to the vagina and perineum, increasing the risk of infection. The correct way is to change the pad from front to back.
D is wrong because an inflatable ring or pillow can increase blood flow to the perineal area and delay healing, which can increase the risk of infection.
A firm surface is better for sitting after delivery.
Some other preventive measures for postpartum infections include washing hands before touching the perineal area, using only maxi pads and not tampons for postpartum bleeding, taking preventive antibiotics if prescribed, and contacting a doctor if symptoms of infection appear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Decreased hematocrit and hemoglobin levels.This is because postpartum hemorrhage can lead to hypovolemia which can cause a decrease in hematocrit and hemoglobin levels.Increased white blood cell and platelet counts (option B) are not expected findings in postpartum hemorrhage.Decreased prothrombin time and partial thromboplastin time (option C) are not expected findings in postpartum hemorrhage.Increased fibrinogen and fibrin degradation products (option D) are not expected findings in postpartum hemorrhage.
Correct Answer is D
Explanation
The correct answer is choice D. “I will need to avoid contact with anyone who has rubella.” This statement indicates a need for further teaching because RhoGAM has nothing to do with rubella, which is a viral infection that can cause birth defects if contracted during pregnancy.
RhoGAM is given to prevent Rh incompatibility, which is a condition where the mother’s immune system attacks the baby’s blood cells if they have different Rh factors.
Choice A is wrong because the client will need another dose of RhoGAM only if she gets pregnant again with an Rh-positive baby.
Choice B is wrong because the client does not need to use contraception for at least three months after receiving RhoGAM.
Choice C is wrong because the client’s blood type does not change after receiving RhoGAM and does not need to be checked again.
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