NUR 209 Reproductive Final Exam
MD 8 Excelsior College Latest 2024
With Verified Solutions
be certain it is removed after 24 to 48 hours or before hospital
discharge to prevent infection.
What is the therapeutic management from perineal lacerations? -
ANSWER-Are sututred and treated as an episiotomy repair. Make
certain the degree of the laceration is documented because women
with 4th degree lacerations need extra precautions to avoid having
sutures loosened or infected.
What should women who have a third or fourth degree perineal
laceration should not have? - ANSWER-Should not have an enema
or rectal suppository prescribed or have her temperature taken
rectally because the hard tip of equipment could ope sutures.
What can fourthe degree perineal lacerartion lead to, but usual
heal without further complication? - ANSWER-Long-term
dysparunia, rectal incontinence, or sexual dissatisfaction.
Entire perineum, extending to reach the external sphincter of the
rectum. - ANSWER-Third Degree Perineal lacerations
Vaginal mucous membrane and skin of the perineum to the
fourchette - ANSWER-First degree perineal lacerations
2
Entire perineum, rectal sphincter, and some of the mucous
membrane of the rectum. - ANSWER-Fourth degree perineal
lacerations
Vagina, perineal skin, fascia, levator ani muscle, and perineal body.
- ANSWER-Second degree perineal laceration.
What is the therapeutic management of cervical lacerations? -
ANSWER-Usually sutures and can be difficult because the bleeding
is intense, this obstructs visualization of the area. If it is extensive
or difficult to repair, it may be necessary for the woman to be
given a regional anesthetic to relax the uterine muscle and to
prevent pain.
What should the nurse do for the patient during a cervcial
laceration repair? - ANSWER-Try to maintain an air of calm, if
possible stand beside the woman at the head, assure her that her
baby's condition and inform her about the need to stay in the
birthing room a little longer than expected while the PCP place
sutures and packing. Explain the need for an anesthetic and the
procedures being carried out. Be certain that the PCP has
adequate space to work, adequate sponges, and suture supplies,
and a good light.
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