Transcript The Postpartum Period The Postpartum Family: Needs and Care

The Postpartum Period
The Postpartum Family:
Needs and Care
Chapter 22
Maternal-Newborn & Child Nursing
London, Ladewig, Ball & Bindler
Prepared by Mary Ann Gagen
Professor of Nursing
The Postpartum Family:
Needs and Care
• Clinical Pathway:
For the
Postpartum
Period,
pp 464 - 466
Nursing Management During the Early
Postpartum Period
• Nursing Diagnosis
– Constipation r/t fear of tearing stitches AEB …
– Family process alteration r/t inclusion of new member
– Infection, HR for, r/t altered primary defenses during
the postpartum period
– Urinary elimination pattern alteration r/t sensory
impairment during labor AEB…
– Knowledge deficit r/t PP self-care AEB…Skin integrity
impairment r/t surgical incision AEB…
– Pain r/t PP physiologic changes AEB…
PP Nursing Management, cont’d
• Promotion of Maternal Physical Well-being
– Uterine status Table 22-1, p 467
– Drug Guide, p 468
• Promotion of Comfort and Relief of Pain
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Perineal discomfort
Hemorrhoidal discomfort
Afterpains
Immobility
Postpartum diaphoresis
• Table 22-3: Common PP drugs, p 470
The Postpartum Family:
Needs and Care, cont’d
• Suppression of lactation
in the nonnursing
mother
• Promotion of rest and
activity
• Pharmacologic
interventions
The Postpartum Family:
Needs and Care, cont’d
• Promotion of maternal
psychologic
well-being
• Effective parent
education
• Parent – infant
attachment
• Promotion of family
wellness
Nursing Management
after Cesarean Birth
• Promotion of
maternal physical
well-being
• Promotion of
parent-infant
interaction after
Cesarean birth
Discharge Information
• Signs of possible
complications
• PP self care
• “Hot-line”, agencies,
support groups for special
needs
• Nutrition
• PP appointment
• Birth certificate
• Basic infant care
• S & Sx infant problems
• Home visit/follow-up call
Sexual Activity and Contraception
• Resumption of sexual
activity
• Teaching about…
– pg 700
• Contraception
– Chapter 3, pp 47 – 56
– Teaching about … pg 56
Questions?
Test question
• The laboratory results of a postpartum woman
are as follow: blood type, A; Rh status, positive
(+); rubella titer, 1:4; Hct, 30%; How would the
nurse best interpret this data?
• a. a blood transfusion should be given
• b. Rubella vaccine should be given
• c. A Kleinhauer-Betke test should be performed
• d. Rh immune globulin is necessary within 72
hours of birth
Keep going…
• Which of the following clients is most likely
to experience strong afterpains?
• a. She is a G4P4004
• b. She is bottle-feeding her baby
• c. She exhibited oligohydraminos
• d. She had a baby that weighed 5lb 3oz