NUR1025C Lab Quiz #2 – Perineal Care
1. How should the nurse intervene to relieve perineal bruising and edema following delivery?
a. Place an ice pack on the area for 12 hours.
b. Change the perineal pad frequently.
c. Place a warm pack on the perineal area for 24 hours.
d. Administer aspirin to relieve inflammation.
An ice pack can be placed on the mother's perineum to reduce bruising and edema for 12 hours followed by a
warm pack after the first 12 to 24 hours after delivery.
2. Which of the following is the most accurate way to assess amount and character of lochia after a vaginal
birth?
a. Monitor the patient’s blood pressure
b. Observe the perineal pads only to determine lochial flow
c. Weigh blood clots
d. Document time to saturate a pad as well as the amount of lochial flow and clots
3. What is the correct method of applying an ice pack to the perineal area?
a. Have the woman apply the uncovered pack over the perineal pad.
b. Apply a covered ice pack to perineum from back to front
c. Have the woman apply an uncovered pack to promote pain relief
d. Apply a covered ice pack to perineum from front to back
4. What is the correct technique for using a squeeze bottle after a birth delivery?
a. Have the woman position the nozzle between her legs so water squirts on the perineum without
touching the tip to the skin.
b. Have the woman place the tip of the nozzle near her rectum and have the water squirts upward
toward the vagina.
c. Remind the woman to let the area drip dry before applying the same pad just removed.
d. Have the woman fill the bottle with cool tap water before use.
5. The nurse is providing perineal care to an uncircumcised male patient. When providing such care, the nurse
should
a. Leave the foreskin alone because there is little chance of infection.
b. Retract the foreskin for cleansing and allow it to return on its own.
c. Retract the foreskin and return it to its natural position when done.
d. Retract the foreskin and keep retracted.
Return the foreskin to its natural position. Keeping the foreskin retracted leads to tightening of the foreskin
around the shaft of the penis, causing local edema and discomfort. The foreskin may not return to its natural
position on its own. Patients at greatest risk for infection are uncircumcised males.
6. In providing perineal care to a female patient, the nurse should wash
a. From back to front.
b. In a circular motion.
c. From pubic area to rectum.
d. Upward from rectum to pubic area.
Cleansing from pubic area to rectum (front to back) reduces the transfer of microorganisms to the urinary
meatus and decreases the risk of urinary tract infection. Cleansing from rectum to pubic area or back to front
increases the risk of urinary tract infection. Circular motions are used in male perineal care.
1. How should the nurse intervene to relieve perineal bruising and edema following delivery?
a. Place an ice pack on the area for 12 hours.
b. Change the perineal pad frequently.
c. Place a warm pack on the perineal area for 24 hours.
d. Administer aspirin to relieve inflammation.
An ice pack can be placed on the mother's perineum to reduce bruising and edema for 12 hours followed by a
warm pack after the first 12 to 24 hours after delivery.
2. Which of the following is the most accurate way to assess amount and character of lochia after a vaginal
birth?
a. Monitor the patient’s blood pressure
b. Observe the perineal pads only to determine lochial flow
c. Weigh blood clots
d. Document time to saturate a pad as well as the amount of lochial flow and clots
3. What is the correct method of applying an ice pack to the perineal area?
a. Have the woman apply the uncovered pack over the perineal pad.
b. Apply a covered ice pack to perineum from back to front
c. Have the woman apply an uncovered pack to promote pain relief
d. Apply a covered ice pack to perineum from front to back
4. What is the correct technique for using a squeeze bottle after a birth delivery?
a. Have the woman position the nozzle between her legs so water squirts on the perineum without
touching the tip to the skin.
b. Have the woman place the tip of the nozzle near her rectum and have the water squirts upward
toward the vagina.
c. Remind the woman to let the area drip dry before applying the same pad just removed.
d. Have the woman fill the bottle with cool tap water before use.
5. The nurse is providing perineal care to an uncircumcised male patient. When providing such care, the nurse
should
a. Leave the foreskin alone because there is little chance of infection.
b. Retract the foreskin for cleansing and allow it to return on its own.
c. Retract the foreskin and return it to its natural position when done.
d. Retract the foreskin and keep retracted.
Return the foreskin to its natural position. Keeping the foreskin retracted leads to tightening of the foreskin
around the shaft of the penis, causing local edema and discomfort. The foreskin may not return to its natural
position on its own. Patients at greatest risk for infection are uncircumcised males.
6. In providing perineal care to a female patient, the nurse should wash
a. From back to front.
b. In a circular motion.
c. From pubic area to rectum.
d. Upward from rectum to pubic area.
Cleansing from pubic area to rectum (front to back) reduces the transfer of microorganisms to the urinary
meatus and decreases the risk of urinary tract infection. Cleansing from rectum to pubic area or back to front
increases the risk of urinary tract infection. Circular motions are used in male perineal care.
