Question

Prior to discharge at 2 days postpartum, the nurse evaluates a woman's level of knowledge regarding

the care of her second-degree perineal laceration. Which of the following statements if made by the
woman would indicate the need for further instruction before she goes home? (Circle all that apply.)
a. "I will wash my stitches at least once a day with mild soap and warm water."
b. "I will change my pad every time I go to the bathroom—at least 4 times each day."
c. "I will use my squeeze bottle filled with warm water to cleanse my stitches after I urinate."
d. "I will take a sitz bath once a day before bed for about 10 minutes."
e. "I will apply the anesthetic cream to my stitches at least 6 times per day."

Answer 1

The statement indicating the need for further instruction is regarding the application of anesthetic cream 6 times per day, as it may be excessive without specific medical guidance.

Step-by-step explanation:

The woman's statement that indicates the need for further instruction is "I will apply the anesthetic cream to my stitches at least 6 times per day." Applying anesthetic cream that frequently may not be recommended as it could potentially lead to excessive absorption or local skin reactions. Instead, it is important to follow the prescribed instructions for any medication, including anesthetic creams.

In contrast, washing with mild soap and warm water, changing pads frequently, using a warm water squeeze bottle for cleansing, and taking sitz baths are general postpartum care recommendations that can help promote healing and prevent infection of the perineal area after a second-degree laceration.

Following childbirth, especially after a perineal tear, it is critical to ensure proper wound care to avoid infections and complications. Lochia discharge is a normal part of postpartum recovery, transitioning from lochia rubra to lochia serosa and finally to lochia alba over the weeks following delivery.