Maintain a bed rest with an elevation of the legs by 20-30° and trunk horizontal. Infection and postpartum hemorrhage must be ruled out when the signs of infection or hemorrhage present. Obtain complete health history for bleeding, some individuals know whereas others do not. A respiratory difficulty may indicate an effort to combat metabolic acidosis. Use caution when performing vaginal and rectal examinations. Note for the presence of vulvar hematoma and apply an ice pack if indicated. Explain long term implications of postpartum hemorrhage such as uterine atony, infertility if hysterectomy is done, or risk of having a postpartum hemorrhage in the future pregnancies.
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. During the active phase of the first stage of labor, the contractions become more frequent and severe, the cervix dilates up to seven centimeters and the fetus begins to descend in the birth canal. It can be calculated with a non-invasive blood pressure, but is more accurate when measured by an Arterial Line. Stitches should dissolve within four to six weeks and do not have to be removed. Providing Prenatal Care and Education Prenatal care consists of a complete and thorough assessment of the mother, including a complete past medical history and physical assessment, client education, and ongoing care.
Before intercourse is resumed, you and your partner should consider your contraceptive options. A secondary hemorrhage occurs after the first 24 hours of birth. Additional risk factors that place pregnant women at risk for gestational diabetes are an age at pregnancy of more than 25 years of age and a history of a stillborn or an infant who was large for gestational age. Use caution when performing vaginal and rectal examinations. Cesarean Birth A and the recovery period is longer than it is after a vaginal birth.
University of Road Island College of Nursing. Levofloxacin, ampicillin and ciprofloxacin are typically the drugs of choice to treat these urinary tract infections when their effectiveness is confirmed with a urine culture and sensitivity. Human milk is considered the best form of nutrition for infants up to at least 6 months of age. Aiding as a primary health analysis, nursing diagnosis actually becomes the springboard for further treatment and observation. Patient will observe fundus that is firm, midline, and decreasing in height by the end of clinical shift. Fetal station is measured in terms of the number of centimeters above or below the mother's ischial spines. Just before the doctors arrival we got a patient.
Avoid intravenous, intramuscular, subcutaneous injections and rectal procedures. Incompetent Cervix Simply defined, an incompetent cervix, or cervical insufficiency, is a cervix that effaces and dilates too early during the pregnancy. Asubarachnoid hemorrhageis a hemorrhage into the cerebrospinal fluid-filled space between the arachnoid and pia membranes on the surface of the brain. To help in maintaining emotional control in response to the changing physiological status. In providing a family with nursing diagnoses, utilization of appropriate family assessment tool would be of benefit Christianson.
Acknowledge awareness of feelings of anxiety. Condoms, foam or vaginal suppositories may be used without a prescription and are compatible with breastfeeding. According to Cockerham 2007 , they also are responsible for following the instructions of physicians in order to ensure the best plan of action is implemented to better serve the. Nursing Interventions Rationale Monitor rate of uterine involution and nature and the amount of lochial discharge. In fact she is in pain. Check to see if the mother took any medications to induce labor. Uterine replacement or packing if inversion seems about to recur.
Blood leaks out of the ruptured structure and the body responds by expelling excess blood through vaginal bleeding and begin the healing process. Administer sodium bicarbonate as indicated. Rationale: Assessment findings may indicate need for protective measures. Decide on and eliminate the content as well as save your Sample Nursing Care Plan For Postpartum Hemorrhage file. . To create this article, volunteer authors worked to edit and improve it over time.
Check for the height and weight; Assess the nutritional status of the client. Social support systems are highly beneficial in terms of normal and abnormal coping with a pregnancy. It is defined as a set of concepts, definitions, and propositions that projects a view of phenomena by designating specific interrelationships among concepts for purposes of describing, explaining and predicting phenomena. At times, such as with prolonged labor, intravenous fluids may be used to prevent and treat dehydration. Along the years, there have been several controversies regarding nursing as a profession. Its four components are person, environment, health and nursing each works to help the other for a better understanding and application of proper care Fawcett, 1994.
The position increases venous return, making sure a greater availability of blood to the and other vital organs. Anemia often accompanies infection, delays the wound healing, and weaken the immune system. Nursing is a profession filled with limitless personal and professional rewards. Evaluate the attachment process, bonding behaviors, and parenting capability once client assumes care of her infant. The cephalic head presentation, the most common and normal presentation, is the fetus' head as the presenting part.