The nurse is completing discharge teaching for a patient who delivered two days ago. Which statement indicates that further information is required?
1. "Because I have a midline episiotomy, I should keep my perineum clean."
2. "Soaking in the tub will help my mediolateral episiotomy to heal."
3. "I can take ibuprofen (Motrin) when my perineum starts to hurt."
4. "The tear I have through my rectum is unrelated to my episiotomy."
Correct Answer: 4
Rationale 1: Perineal hygiene is important when a patient has an episiotomy to prevent infection and facilitate healing.
Rationale 2: Warm tub baths are helpful to facilitate both comfort and healing of an episiotomy.
Rationale 3: Healing episiotomies can be very painful, and pain medication should be provided for patients experiencing pain.
Rationale 4: This statement is incorrect. Midline episiotomies tend to tear posteriorly toward the rectum.
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