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Postpartum Nursing Powerpoint
Postpartum Nursing Powerpoint
Blood fragments, deciduas & mucous 6 weeks to completely slough off. RUBRA (RED) 1-3 DAYS SEROSA (PINK, BROWN) 4 10 DAYS ALBA (WHITE) After 10 DAYS
1 2
LOCHIA
Adaptations
Urinary Output 1500 3000 mL/day Blood volume Non-pregnancy level after 2
Adaptations
G. I. Hungary Hemorrhoids from pushing Striae fade in 5 6 months Chloasma & linea nigra fade at end of pregnancy Diastasis recti abdominis Exhaustion Weight loss: Average loss 19 lbs 6 weeks pre- pregnancy weight
3 4
weeks
Vaginal Blood loss 300 500 mL C/S blood loss 500 1000 mL Hgb decreases 1 gm for every 250 mL of blood
Adaptations
Oral Temperature Above 100.4 degrees after 24 hrs. febrile Pulse 50-90 bpm Returns to pre-pregnancy in 1 week
Assessment
Review prenatal & L&D documentation Vital signs: Q 15 min. for 1 hr. then q 30 min.
bra
Non-lactating BINDER for 72 hrs, support bra, NO BREAST
BP 140/90 or above
Pregnancy Induced Hypertension (PIH) Pitocin will increase BP At risk of orthostatic hypotension
5
STIMULATION
Check for redness or hardness
6
Assessment
Void within 1 hr after delivery Fundus rises or pushed to side if bladder full After voiding check fundus Check for residual Catheterization More than 150 mL leave in catheter At risk of UTI Frequent UTIs Do C&S
7
Assessment
Palpation uterus q 15 min. for the first hr. Fundus at UMBILICUS FIRM, BOGGY. SOFT POSITION & HEIGHT Boggy uterus Excessive bleeding Bladder distension Retained placental fragments
8
Assessment
Lochia Amount , color, presence of clots CONSTANT TRICKLE OR SOAKING 1 PAD AN HOUR IS EXCESSIVE BLEEDING Each pad holds about 50 mL Change pad frequently
INTERVENTIONS
delivery of placenta
EPISIOTOMY
ASSESS FOR ECCHYMOSIS, ERYTHEMA,
EDEMA RML TURN ON RIGHT SIDE TO EXAM Exam hemorrhoids Care of episiotomy Sitz bath Ice pack to perineum first 24 hrs. Sitz bath Encourage Kegal exercise
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EPISIOTOMY
Topical anesthetics Dermoplast Dibucaine Witch hazal Pain medication Percocet Motrin Acetominophen Sutures are absorbed Complete Healing 4 6 mos
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TAKING IN
PASSIVE
THREE PHASES
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DEPENDENCE DUE TO DISCOMFORT LOVES TO TALK ABOUT HER PREGNANCY & DELIVERY ENCOURAGE THERAPEUTIC COMMUNICATION NEEDS SLEEP
14
TAKING-HOLD
INITIATE ACTION STRONG INTEREST IN TAKING CARE OF NEWBORN INSECURE BE SUPPORTIVE
LETTING- GO
DEFINES NEW ROLE READJUSTMENT OF RELATIONSHIPS FAMILY RELATIONSHIPS BONDING
SIBLINGS
16
SADNESS
CRYING, ANOREXIA, MOOD SWINGS,
SLEEP DISTURBANCE
NORMAL FINDINGS Support person needs to understand 10-15%% experience postpartum
depression
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