Approximately eight hours ago, Juanita, a 32-year-old G1, TPAL 1001, gave birth after two and one-half hours of pushing. She required an episiotomy and an assisted birth (forceps) due to the weight and size of her baby (9lb.–9oz.)
The perinatal nurse is performing an assessment of Juanita's perineal area. A slight bulge is palpated and the presence of ecchymoses to the right of the episiotomy is noted. The area feels "full" and is approximately 4 cm. in diameter. Juanita describes this area as "tender". The most likely cause of these signs and symptoms is:
A) Hematoma formation
B) Sepsis in the episiotomy site
C) Inadequate repair of the episiotomy
D) Postpartum hemorrhage
A
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