A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:
A . Afterbirth pains
B . Constipation
C . Cystitis
D . A hematoma of the vagina or vulva
Answer: D
Explanation:
(A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus.
(B) Constipation may cause rectal pressure but is not usually associated with “severe pain.”
(C) Cystitis may cause pain, but the location is different.
(D) Hematomas are frequently associated with severe pain and pressure. Further assessments are indicated for this client.