The perinatal nurse notifies the physician of the findings related to Juanita's assessment. The first step in care will most likely be to:
a. Prepare Juanita for surgery
b. Administer intravenous fluids
c. Apply ice to the perineum
d. Insert a urinary catheter
ANS: c
If the hematoma is less than 3 to 5 centimeters in diameter, the physician usually orders palliative treatments such as ice to the area for the first 12 hours along with pain medication. After 12 hours, sitz baths are prescribed to replace the application of ice. However, a hematoma larger than 5 centimeters may require incision and drainage with the possible placement of a drain.
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