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Ch. 9 - The Family After Birth - Chapter 9 The Family After...

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Click to edit Master subtitle  style Chapter 9 The Family After Birth
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Puerperium Known as postpartum period 6 weeks following childbirth, sometimes referred  to as the 4th trimester of pregnancy 2
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Adapting Care to Specific  Groups and Cultures 3
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Nursing Considerations for Specific  Groups of Patients Adolescents Single women Families at or below the poverty level Families who have twins (or more) 4
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Cultural Influences The nurse must adapt care to fit Health beliefs Values Practices  Use an interpreter where appropriate Should not be a family member or in  cultures/religious conflict with the patient/family Dietary practices 5
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Postpartum Changes  in the Mother 6
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Reproductive System Uterus Involution Lochia Rubra Serosa Alba  Cervix 7
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Reproductive System (continued) Vagina When to resume vaginal intercourse postpartum Stress importance of discussing this issue with her  health care provider Perineum Episiotomy REEDA assessment Nursing care and patient teaching 8
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Reproductive System (continued) Return of ovulation and menstruation Menstrual cycle typically resumes in 6 to 8 weeks,  if not breastfeeding Return of ovulation is delayed if breastfeeding;  however, it can occur at any time after birth, and  pregnancy is possible Breasts Engorgement Nursing care 9
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Cardiovascular System Cardiac output and blood volume Coagulation Blood values Chills Orthostatic hypotension Nursing care 10
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Urinary System A full bladder can displace the uterus and lead to  postpartum hemorrhage In the woman who voids frequently, small  amounts of urine may have increased residual  urine because her bladder does not empty  completely Residual urine in the bladder may promote the  growth of microorganisms  11
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Gastrointestinal System Constipation To help alleviate this problem, encourage woman  to  Increase fluid and fiber intake Increase activity, such as walking 12
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Integumentary System Hyperpigmentation of the skin changes as  hormone levels decrease Linea nigra disappears Striae fade to silver 13
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