Which nursing action should be included in the care plan for a patient who had an episiotomy during her delivery?

Applying ice to the perineal area after an episiotomy is beneficial because it helps to reduce swelling and numb the area, providing pain relief in the initial postpartum period. Ice packs can help constrict blood vessels, which minimizes inflammation and discomfort. This action is particularly important in the first 24 to 48 hours following delivery, as it is generally when swelling and pain are most pronounced.

In contrast, applying heat to the perineal area might be more appropriate later on, once the initial swelling has subsided. Encouraging ambulation is often beneficial for overall recovery and to prevent complications like thromboembolism, but it does not specifically address the immediate discomfort from the episiotomy. Having the patient lie supine does not provide any therapeutic benefits and may even be uncomfortable for someone who has had an episiotomy. Therefore, applying ice is the most effective action to include in the care plan at this stage.