lauren san millan
STUDENT NAME _____________________________________
lacerations and hematomas during labor
CONCEPT ______________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Related Content Underlying Principles Nursing Interventions
(E.G., DELEGATION, WHO? WHEN? WHY? HOW?
LEVELS OF PREVENTION,
ADVANCE DIRECTIVES)
Lacerations and Expected findings - Assess pain
Hematomas 1) Laceration - Visually or manually
1) Lacerations: occur - sensation of oozing or inspect the vulva,
during labor and birth trickling of blood. perineum, and rectum for
consist of the tearing of -excessive rubra lochia with lacerations and
soft tissues in the birth or without clots hematomas.
canal and adjacent - vaginal bleeding even - Evaluate lochia
structures (cervical, though the uterus is firm and - Continue to assess vital
vaginal, valvar, perineal, contracted. signs and hemodynamic
and/or rectal areas) - Continuous slow trickle of status
2)Episiotomy: can extend bright red blood from vagina, -Attempt to identify the
and become a third or laceration, episiotomy source of the bleeding
fourth degree laceration 2) hematoma - Assist the provider with
3) Hematoma: a collection - pain repair procedures
of clotted blood within - pressure sensation in - Use ice packs to treat
tissues that can appear as rectum (urge to defecate) or small hematomas
a bulging bluish mass. vagina. - Administer pain mediation
Occur in the pelvic region - difficulty voiding - Encourage sitz baths and
or higher in the vagina or - bulging, bluish mass or frequent perineal hygiene
broad ligament. area of red-purple
4) Pain is the discoloration on vulva,
distinguishable clinical perinueum, or rectum
finding of hematomas
rather than noticeable
beleeding.
5) The client is at risk for
hemorrhage or infection d/t
laceration or hematoma.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A1