Answer :
The most likely reason for these orders is: c. The woman has an episiotomy.
Sitz baths, perineal ice packs, stool softeners, and pain medication are all commonly used to manage discomfort and promote healing after an episiotomy.
- Sitz baths: The warm water increases blood flow to the perineal area, reducing swelling and promoting healing of any stitches or tears.
- Perineal ice packs: These provide localized pain relief and reduce inflammation.
- Docusate sodium: This is a stool softener to prevent constipation, which can be especially painful after childbirth with stitches or tears.
- Acetaminophen: This is a pain reliever to help manage discomfort in the perineal area.
Here's why the other options are less likely:
- a. Epidural anesthesia: While common for pain management during delivery, it wouldn't necessarily lead to these specific post-partum orders.
- b. Vacuum-assisted birth: Similar to epidural anesthesia, a vacuum birth might not always necessitate these orders.
- d. Gravida 2, para 2: These terms describe a woman's pregnancy history (gravida - number of pregnancies, para - number of deliveries) and wouldn't directly influence the post-partum care plan.
Therefore, the correct answer is C.
