What should a nurse instruct a client who is 12 hours postpartum with an episiotomy?

Instructing a client who is 12 hours postpartum with an episiotomy to change the perineal pad with each void is critically important for promoting hygiene and preventing infection. After childbirth, particularly when an episiotomy is involved, the perineal area can be sensitive and prone to bleeding or drainage. Changing the pad frequently helps to manage any potential wound drainage effectively and keeps the area clean, which is essential for healing and comfort.

Additionally, timely pad changes help the nurse monitor any excessive bleeding, which is an important part of postpartum care. Maintaining cleanliness and monitoring are vital in the early hours following delivery, especially with surgical interventions like an episiotomy. This practice not only fosters a healing environment but also reassures the client about their recovery process.

Other options do not support the best practices for postpartum care and could impede recovery; limiting fluid intake can actually worsen swelling and hinder healing, while avoiding pads for a week is not practical or hygienic in the context of postpartum care. Applying ice is recommended but typically not for every hour continuously; rather, it's advised for intervals to help reduce swelling.