Nurse Moose
    Nursing of the childbearing family - Maternity University of Texas

    A 28 year old G1 delivered 16 hours ago via forceps assisted vaginal delivery of a 9lb 2 oz male infant with a 4th degree repair. Estimated blood loss (EBL) was 378 mL. She was in the second stage of labor for 3.5 hours and is very sore and swollen. Vital signs are within normal limits and she reports her pain at 6/10. She is ambulating and last voided 300 cc of clear yellow urine 4 hours ago. Bowel sounds are active and she is passing gas but has had no bowel movement since delivery. The nurse understands that a 4th degree laceration tore through the rectal wall and anal sphincter and that the patient will need to: