The patient requires vacuum extraction assistance. To provide easier access to the fetal head, the physician cuts a mediolateral episiotomy. After delivery, the patient asks what kind of episiotomy was performed
What is the best response for the nurse to make? "The episiotomy":
1. "Goes straight back toward your rectum."
2. "Is from your vagina toward the urethra."
3. "Is cut diagonally away from your vagina."
4. "Extends from your vagina into your rectum."
Correct Answer: 3
Rationale 1: Midline episiotomy is straight back from the vagina toward the rectum.
Rationale 2: Episiotomies are not cut anteriorly toward the urethra unless the patient has had a female circumcision.
Rationale 3: Mediolateral episiotomy is angled from the vaginal opening toward the buttock.
Rationale 4: Extension into the rectum is a fourth-degree laceration.
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