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We appreciate your visit to A client had a vaginal delivery of an 8 6 lb infant 12 hours ago The provider has written the following orders Sitz baths three. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!

A client had a vaginal delivery of an 8.6 lb infant 12 hours ago. The provider has written the following orders:

- Sitz baths three times daily
- Perineal ice packs as needed every 4 hours
- Docusate sodium 100 mg PO daily
- Acetaminophen 650 mg PO every 6 hours as needed for pain

What is the likely reason for these orders?

a. The woman received epidural anesthesia.
b. The woman had a vacuum-assisted birth.
c. The woman has an episiotomy.
d. The woman is a gravida 2, para 2.

Answer :

The most likely reason for these orders is: c. The woman has an episiotomy.

Sitz baths, perineal ice packs, stool softeners, and pain medication are all commonly used to manage discomfort and promote healing after an episiotomy.

  • Sitz baths: The warm water increases blood flow to the perineal area, reducing swelling and promoting healing of any stitches or tears.
  • Perineal ice packs: These provide localized pain relief and reduce inflammation.
  • Docusate sodium: This is a stool softener to prevent constipation, which can be especially painful after childbirth with stitches or tears.
  • Acetaminophen: This is a pain reliever to help manage discomfort in the perineal area.

Here's why the other options are less likely:

  • a. Epidural anesthesia: While common for pain management during delivery, it wouldn't necessarily lead to these specific post-partum orders.
  • b. Vacuum-assisted birth: Similar to epidural anesthesia, a vacuum birth might not always necessitate these orders.
  • d. Gravida 2, para 2: These terms describe a woman's pregnancy history (gravida - number of pregnancies, para - number of deliveries) and wouldn't directly influence the post-partum care plan.

Therefore, the correct answer is C.

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