What action should the nurse plan for a postpartum client diagnosed with a vulvar hematoma?

In cases of a vulvar hematoma, surgery is often indicated to alleviate issues that may arise from significant bleeding or swelling. The presence of a vulvar hematoma suggests that there has been excessive bleeding in that area, which not only causes pain but may also lead to further complications such as pressure on surrounding structures. Surgical intervention may be necessary to evacuate the hematoma and control any active bleeding, ensuring proper healing and recovery.

While pain management and comfort measures, such as the application of ice packs, can help alleviate discomfort, they do not address the underlying issue of the hematoma itself. Encouraging a client to rest at home may not be appropriate if there is a risk of complications needing surgical attention. Therefore, planning for surgical intervention is pivotal in managing a postpartum client with a vulvar hematoma effectively.