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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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pempekpedas pempekpedas
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6 years ago
After a forceps-assisted birth, the client is observed to have continuous bright red lochia but a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?
 
  a. Lack of an episiotomy
  b. Mild, intermittent perineal pain
  c. Lack of pain in the perineal area
  d. Edema and discoloration of the labia and perineum
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#1
6 years ago
ANS: D
The nurse should monitor for edema and discoloration. Using a cold application to the labia and perineum reduces pain by numbing the area and limiting bruising and edema for the first 12 hours. An episiotomy is performed as the fetal head distends the perineum. The pain with vaginal hematoma is severe and constant. The pain associated with vaginal hematoma is severe.
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