To reduce anxiety and reinforce positive information previously given by the health team. For this reason, all pregnant women are screened for the presence of diabetes. Menstrual periods often resume between 5 and 12 weeks after giving birth. Level of consciousness should be assessed because it may decrease as the patient loses oxygenation of their brain. Nursing Interventions Rationale Assess psychological causes of pain and discomfort. One can find two methods to create a Sample Nursing Care Plan For Postpartum Hemorrhage. In this essay, I aim to attempt to answer these questions, along with the help of a myriad of nursing researchers whose studies have helped to broaden my perspective on what exactly it is that I now do for a living.
Observe for skin necrosis, changes in blue or purple mottling of feet that blanches with pressure or fades when legs are elevated. Providing Care to the Client in Labor Labor is the natural process or induced process that consists of involuntary, rhythmic uterine contractions that increase in terms of frequency and intensity. You might find whatever you need and even save yourself major time. Word of mouth opens a brand new document depending on the specified Sample Nursing Care Plan For Postpartum Hemorrhage. It is the critical thinking process for the nurse to utilize to give the best care possible. Cord Care The umbilical cord stump should be gently handled and kept clean in order to prevent an infection.
When these contractions do not continue, or are not strong enough, hemorrhage occurs. The nursing process can stop at any stage as deemed. I have worked as a hospice nurse now for 3 weeks, and have a nursing perspective of 3 weeks. Nursing Interventions Rationale Assess and record the type, amount, and site of the bleeding; Count and weigh perineal pads and if possible save blood clots to be evaluated by the physician. According to Stanhope and Lancaster 2012 , a family nursing assessment identifies family problem areas and family strengths that help build for interventions to maintain health. You can build a style from the very beginning or you can replicate it from your existing post. A normal contraction stress test occurs when there are no late or variable decelerations during at least three uterine contractions.
Social support systems are highly beneficial in terms of normal and abnormal coping with a pregnancy. Specific groups such as hysterectomy support group may provide supplemental information regarding the situation they faced before and how they were able to manage it. In cesarean births the average blood loss rises to 800- 1000 mL. Accident Prevention The greatest safety risks among neonates and infants include suffocation, falls and strangulation. Monitor for signs of hypertension and tachycardia; Observe for signs of dyspnea; Auscultate for signs of stridor, rhonchi or moist crackles.
Toxoplasmosis can be contracted by handling of contaminated feline feces and from consuming meat that is not cooked enough; rubella is transmitted with contacts with someone with the disease when the host is not immunized against it; cytomegalovirus is spread via contact with bodily fluids, such as vaginal secretions, semen, blood, placental tissue, breast milk, and other bodily fluids; and, lastly, maternal herpes simplex infections occur as the result of direct contact with infectious genital or oral lesions, and the neonate is exposed to this infection during a vaginal delivery when the pregnant woman has infectious and active herpes simplex lesions on the genitalia at the time of delivery. Possible support people during the labor and delivery processes can include family members, spouses, a professional doula, friends, siblings and nursing students. In line with this thought, I shall reflect on an experience and discuss the communication skills I used or should have used during the patient encounter. Provide physical and emotional support. Verify the blood product with another nurse prior to administering and monitor per facility protocol for transfusion reactions.
. Cesarean births are indicated with placenta abruptio, placental previa, cephalopelvic disproportion, a nonreassuring fetal heart pattern, and a cord prolapse. If you are not nursing, wear a good support bra at all times while your breasts are engorged. Choriomnionitis can occur as the result of a premature rupture of the membranes. I came for morning duty and the nursing in-charge shown me maternal and surgical ward as my first work place. All of these settings have their advantages and disadvantages.
Exercise You may start mild exercise after two weeks rest and recovery after giving birth, but more strenuous exercise should be delayed for four to six weeks. The spouse or significant other should also be encouraged to care for their partner during this and all the other stages of labor. Increased white blood cell count indicates an infection. Endometritis, an inflammation or infection of the uterine endometrium, most often occurs after a miscarriage, spontaneous abortion, after a planned abortion and as the result of another infection in the postpartum period of time. All the vital signs should return to their normal levels in about 24 hours after delivery.
This will prevent of gastric contents in case that the mental status is impaired and also if a surgical management is required. Academic degree, Bachelor of Science in Nursing, Licensed practical nurse 1624 Words 4 Pages The field of nursing is very broad. When immediate and intense intravenous antibiotic therapy is not successful, an emergency cesarean section may be necessary. Incompetent Cervix Simply defined, an incompetent cervix, or cervical insufficiency, is a cervix that effaces and dilates too early during the pregnancy. Some of these complications can include maternal hypertension, a low birth weight, preterm labor and possible renal damage. Additionally, hospitalization for treatments and closer monitoring of the pregnant woman may be indicated to prevent the high morbidity and mortality rates associated with toxic shock syndrome during pregnancy.
Recognizing Cultural Differences in Childbearing Practices Culture, cultural practices and cultural beliefs can impact on the childbearing practices of many clients. Cesarean Birth A and the recovery period is longer than it is after a vaginal birth. However, in hypovolemic shock, even blood products are given via rapid infusion. Apply counterpressure on labial or perineal lacerations. Obtain a sterile specimen of Urine 4. Nursing is a profession filled with limitless personal and professional rewards.
Do not rush into dieting in an effort to lose your , but if you are concerned about reducing, cut down on high fat and high sugar foods and alcohol, but do not over-restrict breads and cereals or fruits and vegetables. Elevations of α-fetoprotein is suggestive of disorders such as anencephaly and spina bifida; and lower than normal maternal alpha-fetoprotein levels can indicate the possibility that the fetus is affected with Down's syndrome, hydatidiform mole and other abnormalities. Note: Careful examination may be required to monitor status of the hematoma. These conditions are experienced by women during pregnancy. Explain predisposing factors and treatment related to the cause of hemorrhage. The first paradigm refers not only to a person, but also to the families or social groups who are involved in the nursing treatment.