During a dressing change after a cesarean section, which action indicates a need for further learning?

• A. Cleaning the periwound and wound without applying pressure
• B. Using sterile normal saline and a sterile gauze to clean the surgical wound
• C. Applying a dressing that controls exudates from the wound
• D. Choosing a dressing that keeps the periwound moist

Answer: (D)

Protecting the skin around a healing cesarean incision is essential while promoting proper wound moisture. Gentle cleaning of both the periwound and the wound with sterile saline, avoiding trauma or pressure, aligns with best practice to prevent tissue damage and infection. Using sterile normal saline and sterile gauze to cleanse the wound ensures a clean, contamination-free surface. A dressing that actively controls exudate helps prevent leakage and maceration, supporting healing. Keeping the periwound moist, however, can macerate the surrounding skin and compromise integrity; the periwound should be kept clean and dry, while moisture management focuses on the wound bed itself. This approach shows appropriate understanding of protecting surrounding skin while maintaining an optimal wound environment.