Final answer:
Among the care steps for a fourth-degree perineal laceration after delivery, encouraging ambulation is contraindicated because it could disrupt healing. Administering pain medication, applying ice packs, and using stool softeners are all appropriate postpartum care measures to facilitate recovery.
Step-by-step explanation:
After a precipitous delivery resulting in a fourth-degree laceration of the vagina, it is essential to provide proper care to ensure healing and prevent complications. Among the provided options, the contraindicated step would be c) Encouraging ambulation. Early walking or strenuous activity could disrupt the repair and healing process of the severe laceration that extends to the muscles and the rectum.
Administering pain medication is essential for managing discomfort and pain following the laceration repair. Applying ice packs to the perineum can help reduce swelling and provide relief. Administering stool softeners is also advised to prevent straining during bowel movements, which could harm the sutured area. Overall, it is crucial to follow medical advice for postpartum care to facilitate recovery after a fourth-degree laceration.