Final answer:
A postpartal woman with a significant 4th degree perineal laceration should receive pain management and gentle treatments such as a cold pack or a sitz bath . Encouraging immediate ambulation should be questioned as it can interfere with the healing process (option c).
Step-by-step explanation:
A postpartal woman with a 4th degree perineal laceration is dealing with a significant injury that extends through the perineum and into the muscles around the birth canal and rectum. In addressing the orders associated with her care, certain interventions are recommended. Administering pain medication and applying a cold pack to the perineum can help with pain management and reduce inflammation.
A sitz bath, usually recommended later in the recovery process, can aid in hygiene and comfort as the laceration heals. However, encouraging ambulation immediately after such a severe laceration may be questioned, as it can put additional strain on the affected area and potentially disrupt the healing process.
Hence, the answer is option c.