The client has delivered a 4,200g fetus. The physician performed ...

[eruditmonkey@yahoo.com]

The client has delivered a 4,200g fetus. The physician performed a midline episiotomy, which extended into a third-degree laceration. The client asks the nurse where she tore. Which response is best? The episiotomy extended and tore:
 
  1. Through your rectal mucosa.
  2. Up near your urethra.
  3. Into the muscle layer.
  4. Through your rectal sphincter.

Question 2

The client delivered 30 minutes ago. Her blood pressure and pulse are stable. Scant vaginal bleeding is taking place. The nurse should prepare for which procedure?
 
  1. Abdominal hysterectomy
  2. Manual removal of the placenta
  3. Repair of perineal lacerations
  4. Foley catheterization

[Athena23]

Answer to Question 1

4
Rationale:
1. A fourth-degree laceration is through the rectal mucosa.
2. A periurethral laceration is near the urethra.
3. A first-degree laceration involves only the skin. A second-degree laceration involves skin and muscle.
4. A third-degree laceration includes the rectal sphincter.

Answer to Question 2

2
Rationale:
1. Abdominal hysterectomy is not required.
2. Retained placenta is the lack of placental delivery within 30 minutes of birth. Manual removal of the placenta is then performed.
3. Repair of perineal lacerations would not ensue until after the placenta was delivered.
4. There is no indication of urinary retention that requires a Foley catheter.