Questions: Which specific intervention would the nurse implement for a client with a small vulvar hematoma during the first 12 hours after delivery? Assess vital signs every 2 hours. Apply an ice pack to the vulvar area. Measure fundal height every 4 hours. Inform the health care provider of assessment findings.

The answer is the second one: Apply an ice pack to the vulvar area.

Explanation for each option:

• Assess vital signs every 2 hours: While monitoring vital signs is important for overall postpartum care, it is not a specific intervention for managing a vulvar hematoma. This option is more general and does not directly address the hematoma.

• Apply an ice pack to the vulvar area: This is the correct intervention. Applying an ice pack can help reduce swelling and pain associated with a hematoma. Cold therapy is a common initial treatment for hematomas to minimize bleeding and inflammation.

• Measure fundal height every 4 hours: Measuring fundal height is important for assessing uterine involution after delivery, but it is not directly related to the management of a vulvar hematoma.

• Inform the health care provider of assessment findings: While it is important to keep the healthcare provider informed, this option is more about communication rather than a direct intervention for the hematoma itself. It is a necessary step but not the specific intervention being asked for in the question.

In summary, the most appropriate specific intervention for a client with a small vulvar hematoma during the first 12 hours after delivery is to apply an ice pack to the vulvar area to help reduce swelling and discomfort.