A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take?

Instruct the client to relax her gluteal muscles when entering the bath.

Check on the client every 30 min during the bath.

Set the water temperature to 40° C (104° F).

Fill the bath 3% full of water.

Answer and Explanation

The Correct Answer is C

a. Instructing the client to relax her gluteal muscles is not necessary for the sitz bath.

b. Checking on the client every 30 minutes is too infrequent; the nurse should monitor the client more closely. Continuous supervision ensures the patient’s safety and immediate assistance if needed. Maintaining consistent water temperature maximizes the therapeutic benefits and prevents discomfort.

c. Sitz baths are used to cleanse and soothe the perineal area, especially after childbirth. Warm water promotes blood flow, reduces inflammation, and helps with healing. A temperature of 40° C (104° F) is considered safe and effective for this purpose.

d. Fill clean bath with about one-third full with warm water. Using a clean tub and the correct water level helps to provide a hygienic and comfortable environment for the patient. The sitz bath should be filled to a level that covers the perineal area.

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Correct Answer is B

Explanation

a."Flush the perineal area twice a day for 20 minutes" is incorrect because the Peri bottle should be used after each urination or bowel movement, not just twice a day.

b."Use the whole Peri bottle of water to cleanse the perineum." The purpose of the Peri bottle is to thoroughly rinse the perineal area to keep it clean and reduce the risk of infection, especially after an episiotomy. Using the entire bottle ensures adequate cleansing.

c."First clean perineal area front to back with toilet paper" is not correct as this should be done carefully to avoid contamination. It is generally recommended to use the Peri bottle directly to rinse and then gently pat dry with toilet paper or a clean cloth.

d."Fill the Peri bottle with sterile water warmed to approximately 98 degrees F" is unnecessary; warm tap water is usually sufficient for this purpose.

A. Rooting reflex B. Tonic neck reflex C. Moro reflex D. Suck reflex

Correct Answer is C

No explanation

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A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is explaining to a mother who had an episiotomy how to use a Peri bottle to clean herself after urination or bowel movement. Which information is correct?

Correct Answer is B

Explanation

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Correct Answer is C

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