The nurse is teaching a client with a midline episiotomy about perineal care after a vaginal birth. Which statements by the client indicate she understands the teaching? (Select all that apply.)
a. "I will gently pat the perineum dry rather than wipe."
b. "I will only use the perineal bottle after bowel movements."
c. "I will use cold water in the perineal bottle as I cleanse."
d. "I will use the perineal bottle without touching the perineum."
ANS: A, D
The bottle should not touch the perineum. The perineum is gently patted rather than wiped dry. Perineal care consists of squirting warm water over the perineum after each voiding or bowel movement. Therefore, cold water should not be used; perineal care should be performed after voiding and after bowel movements.
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