Sample interview questions: Can you explain the process of assessing and managing maternal perineal trauma during labor and delivery?
Sample answer:
1. Assessment of Maternal Perineal Trauma:
- Visual Inspection:
- Perform a thorough visual examination of the perineum, labia, and surrounding tissues for any lacerations, hematomas, or signs of trauma.
- Check for any abrasions, bruising, edema, or discoloration.
-
Note the location, size, and depth of any lacerations.
-
Palpation:
- Gently palpate the perineal area to assess for tenderness, pain, or hematoma formation.
- Evaluate the integrity of the perineal muscles and sphincter tone.
-
Check for any foreign bodies or retained placental fragments.
-
Patient History:
- Inquire about the patient’s history of previous perineal trauma, episiotomy, or surgical procedures.
- Ask about any discomfort, pain, or symptoms related to the perineal area.
2. Management of Maternal Perineal Trauma:
a. Immediate Care:
- Hemostasis:
- Apply direct pressure to the perineal wound to control bleeding.
- Use sterile gauze or sponges to absorb blood and promote clot formation.
-
If bleeding is significant, consider suturing or ligation of bleeding vessels.
-
Pain Management:
- Administer appropriate pain medication, such as local anesthetics or systemic analgesics, to relieve discomfort.
-
Consider providing perineal ice packs or warm compresses for pain relief.
-
Wound Care:
- Cleanse the wound gently with sterile saline or wound cleanser.
- Apply a sterile dressing or pad to protect the wound and promote healing.
-
Keep the area clean… Read full answer
Source: https://hireabo.com/job/2_0_16/Labor%20and%20Delivery%20Nurse