The client requires vacuum extraction assistance. To provide easier access to the fetal head, the physician cuts a mediolateral episiotomy. After delivery, the client asks the nurse to describe the episiotomy. What does the nurse respond?
1. "The episiotomy goes straight back toward your rectum."
2. "The episiotomy is from your vagina toward the urethra."
3. "The episiotomy is cut diagonally away from your vagina."
4. "The episiotomy extends from your vagina into your rectum."
3
Explanation: 3. A mediolateral episiotomy is angled from the vaginal opening toward the buttock. It begins in the midline of the posterior fourchette and extends at a 45-degree angle downward to the right or left.
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