What is the sequence of nursing actions to assess 4th degree perineal laceration?

The nurse should first put on gloves and ask the client to turn on her side and flex her leg. Next, examine perineal laceration for redness, edema, discharge, ecchymosis and approximation. After, observe anus for edema because it can interfere with bowel elimination. Then, put on clean peri-pad or vaginal dressing. Lastly, dispose all of the soiled materials in sealable plastic bag.

In addition, advise client to apply perineal ice packs consistently for the first 24 to 48 hours.