A client develops postpartum hematoma because of prolonged pressure during labor. What are the initial nursing considerations for postpartum hematoma?
A) Avoid giving an analgesic to the client.
B) Apply warm compresses at the perineal area.
C) Perform incision and ligation of a blood vessel.
D) Assess perineal area for discoloration and swelling.
D
Feedback:
The nurse should assess the perineal area for discoloration and swelling when a client develops postpartum hematoma. The nurse may give analgesics to relieve discomfort. The nurse may give the client cold, not warm, compresses or a medicated pad. Sometimes, compresses soaked in a magnesium sulfate solution can be used. A birth attendant, not the nurse, performs an incision and ligation of a blood vessel, if necessary.
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