A postpartum client reports that her episiotomy incision is pulling and stinging. The nurse should perform which action?

• A. Apply ice packs continuously.
• B. Administer a strong analgesic without checking.
• C. Provide a sitz bath with warm water.
• D. Apply a warming compress to the abdomen.

Answer: (D)

Cold therapy to the perineal area is the most effective initial measure for episiotomy discomfort. Applying an ice pack or cold, damp cloth to the perineum helps reduce swelling and numb the area, which decreases the pulling and stinging sensations. Do this for about 15 to 20 minutes at a time, with a barrier between the skin and the cold pack, and repeat as needed in the first 24 hours. After swelling diminishes, warm measures like a Sitz bath or warm compress to the perineum can provide comfort and promote healing. Always assess pain and provide analgesics as prescribed rather than giving a strong dose without evaluation. A warming compress to the abdomen won’t address perineal incision pain and isn’t indicated for this issue.