A client who received a mediolateral episiotomy to facilitate vacuum extraction birth asks what kind of episiotomy was performed. How should the nurse explain the location of the episiotomy?
1. "It goes straight back toward your rectum."
2. "It is from your vagina toward the urethra."
3. "It is cut diagonally away from your vagina."
4. "It extends from your vagina into your rectum."
3
Explanation:
1. Midline episiotomy is straight back from the vagina toward the rectum.
2. Episiotomies are not cut anteriorly toward the urethra.
3. Mediolateral episiotomy is angled from the vaginal opening toward the buttock.
4. Extension into the rectum is a fourth-degree laceration.
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