A clinical pathway is guiding care for an Rh-negative postpartum client who vaginally delivered a 9-lb, 1-oz (4,121-g) baby 5 hours ago. During the delivery, a second- degree median episiotomy was necessary. Which client outcome should be achieved during the first 12 hours postpartum?

the client will show and explain how to take care of herself. (Self-perineal)

Explanation:

The client should be able to explain and show appropriate self-perineal care.

Perineal care cleanses, comforts, and prevents infection. The nurse must ensure that the client understands perineal care for the immediate postpartum recovery period. Vaginal lochia is initially bloody 1 to 3 days postpartum. Rho(D) immune globulin should also be given 72 hours after delivery if laboratory results shows that the infant is Rh-negative and the mother hasn't been sensitized to Rh antigens.

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