Home » NCLEX » NCLEX-RN » The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:
The nurse explains perineal hygiene self-care postpartum to the client. She should be instructed to:
A. Wear gloves for the procedure
B. Place and adjust the pad from back to front
C. Cleanse and wipe the perineum from front to back
D. Protect the outer surface of the pad from contamination
Correct Answer: C
Explanation/Reference:
Explanation:
(A) Perineal hygiene is a clean procedure and does not require the client to wear gloves. A care provider should wear gloves to adhere to universal precautions. (B) The pad should be applied from front to back to prevent contamination of the birth canal or urinary tract from rectal bacteria. (C) Wiping from front to back and discarding the wipe prevents contamination of the urinary tract and birth canal from rectal bacteria. (D) The inner surface of the pad should not be touched to maintain asepsis.
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