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- Maternal-Newborn & Child
Nursing
- London, Ladewig, Ball & Bindler
- Prepared by Mary Ann Gagen
- Professor of Nursing
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- Clinical Pathway: For the Postpartum Period,
- pp 464 - 466
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- 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…
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- Promotion of Maternal Physical Well-being
- Uterine status Table 22-1, p 467
- Drug Guide, p 468
- Promotion of Comfort and Relief of Pain
- Perineal discomfort
- Hemorrhoidal discomfort
- Afterpains
- Immobility
- Postpartum diaphoresis
- Table 22-3: Common PP drugs, p 470
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- Suppression of lactation in the nonnursing
- mother
- Promotion of rest and activity
- Pharmacologic interventions
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- Promotion of maternal psychologic
- well-being
- Effective parent education
- Parent – infant attachment
- Promotion of family wellness
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- Promotion of maternal physical well-being
- Promotion of parent-infant interaction after Cesarean birth
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- 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
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- Resumption of sexual activity
- Teaching about…
- Contraception
- Chapter 3, pp 47 – 56
- Teaching about … pg 56
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- 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
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- 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
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