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cristiik cristiik
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6 years ago
After a forceps-assisted birth, the mother is observed to have continuous bright red lochia but a firm fundus. What other data would indicate the presence of a potential vaginal wall hematoma?
 
  a. Mild, intermittent perineal pain
  b. Edema and discoloration of the labia and perineum
  c. Lack of an episiotomy
  d. Lack of pain in the perineal area
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6 years ago
B
The pain with vaginal hematoma is severe and constant. Cold application to the labia and perineum reduces pain by numbing the area, limiting bruising and edema for first 12 hours. An episiotomy is performed as the fetal head distends the perineum. The pain associated with vaginal hematoma is severe.
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