Which information should the nurse include about perineal self-care for a client who is 24-hours post delivery?

• A. Use cool water to decrease swelling of the perineum.
• B. Perineal care should be done at least twice per day.
• C. Reapply ice packs to perineum after each voiding.
• D. Spray warm water from front to back using a squeeze bottle.

Answer: (D)

After delivery, keeping the perineal area clean and free from infection is essential. Cleansing from front to back with warm water using a squeeze bottle provides gentle, controlled cleansing at the bedside, which helps protect healing tissues and reduces the risk of introducing bacteria from the anal area to the vagina or urinary opening. The warmth is soothing and comfortable, and the squeeze bottle allows targeted, nonirritating cleansing rather than harsh wiping. Perineal care is typically done after each void and after bowel movements, not on a strict twice-daily schedule, and ice packs are used initially to reduce swelling rather than as part of the cleansing method. Using warm water spray front to back supports healing and comfort during the first days after birth.