The patient asks the nurse why she may need an episiotomy. Which rationale(s) would be appropriate responses? (Select all that apply.)
a. Shorten the second stage of labor
b. Relieve fetal head compression
c. Prevent perineal lacerations
d. Decrease the mother's blood pressure
e. Decrease the pain of the delivery
f. Permit easier passage of the fetus
ANS: A, B, C, F
An episiotomy may shorten the second stage of labor, relieve fetal head compression, facilitate breech and forceps delivery, permit easier passage of fetus, and prevent perineal or vaginal lacerations. An episiotomy will not affect the mother's blood pressure or the pain of the delivery.
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