PostPartum PPT - NU201 Nursing Care of Post Partum Mother...

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NU201 Nursing Care of Post Partum Mother
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Physical Changes cardiac & respiratory Cardiac Heart position output Fluid volume VS Respiratory Pulmonary function BMR
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Physiological Changes GU & Reproductive System Urinary Genitalia Involution of uterus Decent After pains Lochia Cervix, Vagina, Perineum Return of menses
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Measurement of descent of fundus for the woman with  vaginal birth
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Involution of the uterus.  A,  Immediately after delivery of  the placenta, the fundus is midline and halfway between the  symphysis pubis and the umbilicus.  B,  About 6 to 12 hours  after birth, the fundus is at the level of the umbilicus. It then  descends one finger breadth (approximately 1 cm) each day. 
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Suggested guideline for assessing lochia volume .  
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BUBBLEHE Assessment B reasts – Soft, filling, firm, Nipples U terus – consistency, position, height, C/S B ladder – voiding pattern B owels – bowel sounds, hemorrhoids, BM L ochia – type, amt, clots, odor E pisiotomy – laceration, bruising, swelling H oman sign – present or not E motional status – bonding, blues
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REEDA Scale for Incisions R edness E dema E cchymosis D ischarge A pproximation
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Physical Changes PP Gastrointestinal Appetite Gastric motility BM resumes Constipation r/t hemorrhoids, trauma, dehydration, pain, fear, immobility, meds Musculoskeletal Joint stabilization Abdominal wall
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Physical Changes PP Integumentary Endocrine Neurological Hematological
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Psychosocial Needs Promoting bonding Rubin’s Phases Taking in – wants to be taken care of Taking hold – takes charge Letting go – more realistic
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Post Partum Blues Is normal, mild, transient condition affects 50-70% of women Begins 3-4 days after childbirth, peaks on the 4-5 day and resolves within 2 wks Symptoms: insomnia, fatigue, tearfulness, mood instability, anxiety Nursing care: encouraged to rest, take care of self, discuss feelings, it is self-limiting
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Cesarean Care TCDB NPO, ice chips usually 12 hrs Ambulate 12 hours
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  • Spring '13
  • Fakoyya
  • Mastitis, Nursing Care, Coombs test, Thrombophlebitis

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