A nurse is assessing a patient for a perineal hematoma. Which action by the nurse is most appropriate?
A.
Assist the woman to a knee-chest position with head down.
B.
Have the patient lie supine and place her legs in frog-leg position.
C.
Place the patient in a side-lying position and lift the upper buttock.
D.
Turn the woman side to side and lift the upper leg each time.
ANS: C
To correctly assess for a perineal hematoma, assist the woman to a side-lying position and gently lift the upper buttock. Ask the patient to bear down and assess for full or bulging tissue, blue discoloration of tissue, and tenderness.
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