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    Ati maternal newborn proctored exam
    Select All That Apply

    A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

    Explanation & Rationale

    A. Clean the perineal area from front to back: Wiping from front to back reduces the risk of introducing rectal bacteria into the vaginal or urethral areas, helping prevent urinary tract and perineal infections. B. Blot the perineal area dry after cleansing: Blotting rather than rubbing prevents tissue irritation and helps maintain skin integrity, reducing the risk of infection in healing perineal tissues. C. Perform hand hygiene before and after voiding: Hand hygiene is essential to prevent the transfer of pathogens to the perineal area and to minimize the risk of introducing infection through contact with wounds or body fluids. D. Apply ice packs to the perineal area several times daily: Ice packs help reduce swelling and pain but do not directly contribute to infection prevention. They are a comfort measure rather than a hygienic one. E. Wash the perineal area using a squeeze bottle of warm water after each voiding:Using warm water helps cleanse the perineal area gently and thoroughly, especially important when lochia is present. This practice reduces the buildup of bacteria and lowers infection risk.

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