A nurse has been given a report on a postpartum client that includes the information that the client suffered a fourth-degree perineal laceration during her vaginal birth. In response to this information, which intervention should the nurse add to the client’s plan of care?
ExplanationTo help maintain bowel continence and decrease perineal trauma from constipation, the client with a third- or fourth-degree laceration should be instructed to increase dietary fiber and take stool softeners. Activity and fluids should also be increased, not decreased, to reduce the potential for constipation. A perineal laceration will not affect the condition of the uterus; therefore, there is no need to increase uterine monitoring over the unit standard of care.