A practical nurse is reinforcing hygiene instructions for a client who is 24 hours postpartum following a vaginal delivery with a second-degree perineal laceration. The nurse is reviewing the procedure for using a perineal squeeze bottle. Arrange the following steps in the correct chronological order.
- 1Perform hand hygiene before gathering supplies.
- 2Fill the provided squeeze bottle with warm tap water.
- 3Spray the warm water over the perineal area from front to back.
- 4Blot the perineal area gently with toilet paper from front to back.
- 5Apply a fresh perineal pad without touching the inner surface.
Cevap
The correct sequence for perineal care is to first perform hand hygiene, then fill the squeeze bottle with warm water. Next, the client should spray the water from front to back, followed by gently blotting the area dry from front to back. Finally, the client should apply a clean perineal pad.
The sequence follows the principles of medical asepsis and safe wound care. The nurse must instruct the client to wash hands first to ensure asepsis. Preparing the equipment (filling the bottle) comes next. The actual cleansing must proceed from the least contaminated area (front/urinary meatus) to the most contaminated area (back/anus) to prevent urinary tract and perineal infections. Drying must follow the same directional principle using a gentle blotting motion to avoid disrupting the healing second-degree laceration. Finally, applying a clean pad protects the area and absorbs lochia.
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Anahtar Kavram
Postpartum Perineal Care and Infection Prevention