A nurse notes a perineal laceration that extends into the rectal mucosa after a woman gives birth to a full-term baby. How does the nurse document this information?
A.
First-degree laceration
B.
Second-degree laceration
C.
Third-degree laceration
D.
Fourth-degree laceration
ANS: D
A fourth-degree laceration extends into the rectal mucosa and exposes the lumen of the rectum. A first-degree laceration involves only the perineal skin and vaginal mucosa. A second-degree laceration involves the skin, mucous membrane, and fascia of the perineal body. A third-degree laceration involves the skin, mucous membrane, and muscle of the perineal body and extends into the rectal sphincter.
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