Author Question: What nursing action best helps to prevent perineal lacerations during birth? A. Providing ... (Read 40 times)

mrsjacobs44 · **on:** Jun 28, 2018

What nursing action best helps to prevent perineal lacerations during birth?

A.
Providing adequate coaching on pushing and breathing
B.
Applying warm compresses to the perineum
C.
Helping the woman to squat during labor
D.
Performing an episiotomy early in labor

Question 2

A nurse notes a perineal laceration that extends into the rectal mucosa after a woman gives birth to a full-term baby. How does the nurse document this information?

A.
First-degree laceration
B.
Second-degree laceration
C.
Third-degree laceration
D.
Fourth-degree laceration

chjcharjto14 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Adequate coaching on pushing and breathing helps the woman deliver the fetal head in a controlled manner, which reduces the likelihood and/or severity of perineal lacerations. Applying warm compresses to the perineum is one of many complementary therapies used to reduce birth trauma. However, results have been inconsistent.

Answer to Question 2

ANS: D
A fourth-degree laceration extends into the rectal mucosa and exposes the lumen of the rectum. A first-degree laceration involves only the perineal skin and vaginal mucosa. A second-degree laceration involves the skin, mucous membrane, and fascia of the perineal body. A third-degree laceration involves the skin, mucous membrane, and muscle of the perineal body and extends into the rectal sphincter.