Certified Midwife Exam Prep

Category - Midwifery

A nurse is caring for a client who had a vaginal birth with episiotomy 8 hours earlier. When caring for the episiotomy site, which of the following actions by the midwife is the most appropriate?

  1. Provide ice packs to the episiotomy site
  2. Provide perineal care using aseptic technique
  3. Dry the perineal area from back to front
  4. Instruct the client to bathe in a tub
Explanation

Answer: A - During the first 24 hours after vaginal birth, ice packs are intermittently applied to the episiotomy site to reduce the pain and swelling. Perineal care is done using a clean technique. The perineal area should be dried from front to back; the nurse would instruct the client to take showers and avoid tub baths to prevent bacteria from accessing the urogenital tract.

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