Two hours after a vaginal birth, a woman reports severe increasing perineal pain and pressure. Her pad is only lightly stained, but her pulse is rising. Which action should the nurse take first?
Correct answer: A. Assess for a concealed perineal haematoma and report urgently
- A. Assess for a concealed perineal haematoma and report urgently
- B. Encourage walking to improve pelvic circulation
- C. Apply a warm compress and reassess after one hour
- D. Reassure her that severe pain is normal after birth
Explanation
Severe perineal pain, pressure, tachycardia and little visible bleeding suggest a concealed genital tract haematoma. This can cause hidden blood loss, so urgent assessment and reporting take priority over comfort measures or ambulation.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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