Question

After a forceps-assisted birth, the mother is observed to have continuous bright red lochia but a firm fundus. What other data indicates 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

Answer 1

Potential indicators of a vaginal wall hematoma after a forceps-assisted birth include edema and discoloration of the labia and perineum, as well as mild, intermittent perineal pain.

Step-by-step explanation:

The presence of a potential vaginal wall hematoma after a forceps-assisted birth can be indicated by several factors. One of these is edema and discoloration of the labia and perineum. This swelling and change in color can be a sign of blood pooling under the skin, which may be caused by a hematoma. Another indication can be mild, intermittent perineal pain. This can be associated with the hematoma pressing on surrounding tissues. Other factors, such as lack of an episiotomy and lack of pain in the perineal area, do not specifically indicate the presence of a vaginal wall hematoma.