introduction h_-yiweve
TRANSCRIPT
![Page 1: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/1.jpg)
INTRODUCTION
http://www.youtube.com/watch?v=qTH_-yIwevE
![Page 2: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/2.jpg)
POSTPARTAL NURSING
Developed by
D. Ann Currie, R.N. ,M.S.N.
2012
![Page 3: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/3.jpg)
POSTPARTAL PERIOD
PHYSICAL CHANGES
PSYCHOSOCIAL CHANGES
NURSING CARE OF THE POSTPARTAL CLIENT
HIGH-RISK POSTPARTAL CLIENTS
![Page 4: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/4.jpg)
PHYSICAL CHANGES DURING THE POSTPARTAL PERIOD
REPRODUCTIVE SYSTEM
INVOLUTION-IS THE PROCESS OF THE REDUCTION IN SIZE OF THE UTERUS AFTER DELIVERY TO PREPREGNANT SIZE CAUSED BY UTERINE CONTRACTIONS THAT CONSTRICT AND OCCLUDE BLOOD VESSELS AT THE PLACENTA SITE
![Page 5: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/5.jpg)
FACTORS THAT ENHANCE INVOLUTION
UNCOMPLICATED LABOR & DELIVERY
BREASTFEEDING
EARLY AMBULATION
COMPLETE EXPLUSION OF PLACENTA AND MEMBRANES
![Page 6: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/6.jpg)
FACTORS THAT IMPEDE INVOLUTION
PROLONGED LABOR & DIFFICULT DELIVERY
ANESTHESIA
GRAND MULTIPARITY
RETAINED PLACENTAL FRAGMENTS OR MEMBRANES
FULL URINARY BLADDER
INFECTION
![Page 7: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/7.jpg)
CONT.
OVERDISTENTION OF THE UTERUS
USE OF OXYTOCIN DURING LABOR
![Page 8: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/8.jpg)
FUNDUS
TOP PORTION OF THE UTERUS
A PALPABLE INDICATOR OF INVOLUTION
BOGGY UTERUS-SOFT,RELAXED..CAN CAUSE HEMORRHAGE
FUNDUS SHOULD BE FIRM
![Page 9: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/9.jpg)
Assessing Fundus
![Page 10: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/10.jpg)
FUNDUSLOCATION
RIGHT AFTER DELIVERY THE FUNDUS IS MIDWAY BETWEEN SYMPHYSIS PUBIS AND UMBILICUS
ONE HOUR AFTER DELIVERY THE FUNDUS RAISES TO THE UMBILICUS OR SLIGHTLY ABOVE-1CM AND REMAINS THERE FOR 24 HRS.
![Page 11: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/11.jpg)
![Page 12: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/12.jpg)
FUNDUSLOCATION- FUNDAL HEIGHT DECREASES 1CM A DAY AFTER THE FIRST 24 HR..
BY DAY 10 AFTER THE DELIVERY THE FUNDUS CAN NO LONGER BE FELT
FUNDUS SHOULD BE MIDABDOMEN
DEVIATIONS ARE ABNORMAL AND SHOULD BE CHECKED
![Page 13: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/13.jpg)
Deviation of Fundus Location
![Page 14: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/14.jpg)
LOCHIA
IS THE DISCHARGE OF BLOOD AND DEBRIS FOLLOWING DELIVERY
TYPES-RUBRA, SEROSA, AND ALBA
SHOULD NOT CONTAIN LARGE CLOTS
TOTAL VOLUME-240-270 ML.
DAILY VOLUME GRADUALLY DECREASES
![Page 15: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/15.jpg)
LOCHIA
AMOUNT MAY BE INCREASED BY EXCERTION OR BREASTFEEDING
POOLING WHEN CLIENT IS RECLINING CAN OCCUR
C/SECTION CLIENT MAY HAVE LESS BUT SHOULD HAVE LOCHIA
UNEXPLAINED INCREASE IN AMOUNT IS ABNORMAL
![Page 16: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/16.jpg)
LOCHIA AMOUNTS
![Page 17: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/17.jpg)
LOCHIA RUBRA
1-3 DAYS AFTER DELIVERY
DARK RED,BLOODY FLESHY,MUSTY ODOR
CLOTS SMALLER THAN NICKEL
BLOOD,MUCUS, SHREDS OF DECIDUA, EPITHELIAL CELLS
![Page 18: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/18.jpg)
LOCHIA SEROSA
4-10 DAYS AFTER DELIVERY
PINK OR BROWNISH-WATERY-ODORLESS
SERUM,ERYTHROCYTES,SHREDS OF DEGENERATING DECIDUA,LEUKOCYTES, CERVICAL MUCOUS,BACTERIA
![Page 19: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/19.jpg)
LOCHIA ALBA
11-21 DAYS AFTER DELIVERY
MAY PERIST TO 6 WEEKS
YELLOW TO WHITE- MAY HAVE STALE ODOR
LEUKOCYTES,DECIDUA CELLS,EPITHELIAL CELLS,FAT, CERVICAL MUCUS, CHOLESTEROL, BACTERIA
![Page 20: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/20.jpg)
LOCHIA
UNEXPLAINED INCREASE IN AMOUNT OR REAPPEARANCE OF LOCHIA RUBRA IS ABNORMAL..
![Page 21: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/21.jpg)
AFTERPAINS
CAUSED BY INERTMITTENT UTERINE CONTRACTIONS FOLLOWING DELIVERY
OCCUR IN ALL WOMEN
MORE PAINFUL IN MULTIPARIOUS AND BREASTFEEDING WOMAN
ALSO IN WOMEN WHOSE UTERUS WAS OVERDISTENDED
![Page 22: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/22.jpg)
CERVIXSOFT,IRREGULAR,AND EDEMATOUS, MAYBE BRUISED AND/OR SMALL LACERATIONS
CLOSES TO 2-3 CM AFTER SEVERAL DAYS..FINGERTIP AFTER 1 WEEK
MUST BE SLIGHTLY DILATED TO ALLOW LOCHIA TO DRAIN
AFTER FIRST DELIVERY SHAPE IS CHANGED
![Page 23: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/23.jpg)
VAGINA
SMOOTH WALLS,EDEMATOUS WITH MULTIPLE SMALL LACERATIONS
PERINEAL DISCOMFORT/PAIN SHOULD BE GONE BY 2 WEEKS AFTER DELIVERY
LOW ESTROGEN LEVELS WILL TO DECREASED LUBRICATION FOR 6-10 WEEKS
![Page 24: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/24.jpg)
ABDOMINAL WALL
SOFT & FLABBY WITH DECREASED MUSCLE TONE
STRIAE(STRETCH MARKS) WILL FADE BUT STAY
DIASTISIS RECTI-SEPERATION OF THE RECTUS MUSCLES OF THE ABDOMEN-MAY IMPROVE IN THE POSTPARTUM PERIOD
![Page 25: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/25.jpg)
CARDIOVASCULAR SYSTEM
RETURNS TO PREPREGNANT STATE WITHIN 2 WEEKS
THE ELIMINATION OF THE INCREASED BLOOD VOLUME DURING PREGNANCY IS DONE BY DIURESIS
BLOOD PRESSURE SHOULD REMAIN STABLE
![Page 26: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/26.jpg)
CV SYSTEM -CONT.
BRADYCARDIA BEGINS SECOND DAY-HR OF 50-70-CONT. FOR 6-10 DAYS
TACHYCARDIA-BLOOD LOSS, TEMP.,OR OTHER PROBLEMS
WBC’S ELEVATED IN POSTPARTUM PERIOD..LOOK FOR INCREASE OF OVER 30% IN 6 HRS.
![Page 27: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/27.jpg)
CV SYSTEM CONT.
DECREASED HGB IS RELATED TO AMOUNT OF BLOOD LOSS
1ST 48 HRS POSTPARTUM ARE THE GREATEST RISK OF COMPLICATIONS FOR CLIENTS WITH HEART DISEASE
![Page 28: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/28.jpg)
RENAL SYSTEMINCREASED BLADDER CAPACITY AND DECREASED BLADDER TONE LEAD TO DECREASED SENSATION AND INCREASED RISK OF URINARY RETENTION AND INFECTION
POSTPATAL DIURESIS-2000-3000 ML.-ACCOUNTS FOR 5 LB WEIGHT LOSS
A FULL BLADDER WILL DISPLACE THE UTERUS
![Page 29: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/29.jpg)
RENAL SYSTEM
FULL BLADDER CAN LEAD TO UTERINE ATONY AND PP HEMORRHAGE
FLUIDS ARE ALSO LOST THROUGH DIAPHORESIS..COMMONLY SEEN AT NIGHT
![Page 30: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/30.jpg)
GASTROINTESTINAL SYSTEM
HUNGER AND THRIST ARE COMMON FOLLOWING BIRTH OR IN THE 1ST PP DAY.
CONSTIPATION-DECREASED PERISTALSIS, USE OF NARCOTIC ANALGESICS,DEHYDRATION, DECREASED MOBILITY DURING LABOR , AND FEAR OF PAIN
![Page 31: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/31.jpg)
GI SYSTEM CONT.
HEMORRHOIDS-BECAUSE OF PRESSURE OF PUSHING DURING 2ND STAGE OF LABOR.
![Page 32: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/32.jpg)
Assessment for Hemorrhoids
![Page 33: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/33.jpg)
ENDOCRINE SYSTEM
ESTROGEN AND PROGESTERONE LEVELS DROP RAPIDLY AFTER DELIVERY OF THE PLACENTA
MENSTRUATION USUALLY RESUMES 7-9 WEEKS FOR NONLACTATING WOMEN- 90% BY 12 WEEKS-1ST CYCLE IS USUALLY ANOVULATORY
![Page 34: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/34.jpg)
ENDOCRINE CONT.
OVULATION AND MENSTRUATION RETURN TIME IS PROLONGED WITH LACTATING WOMEN-DEPENDS WHETHER SHE IS SUPPLEMENTING WITH FORMULA-VARY 2 TO 18 MONTHS
PLACENTAL HORMONES WHICH CAUSES INSULIN RESISTANCE WILL DECREASE BY 3-4 DAYS AFTER DELIVERY
![Page 35: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/35.jpg)
ENDOCRINE CONT.
LACTATION
COLOSTRUM/MILK
PROLACTIN
OXYTOCIN
![Page 36: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/36.jpg)
PSYCHOLOGICAL CHANGES IN THE POSTPARTAL PERIOD
PHASES OF MATERNAL ADJUSTMENT
PHASES OF PATERNAL ADJUSTMENT
BONDING
POSTPARTUM BLUES
![Page 37: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/37.jpg)
PHASES OF MATERNAL ADJUSTMENT
TAKING-IN/DEPENDENT PHASE-
TAKING-HOLD/DEPENDENT-INDEPENDENT PHASE-
LETTING-GO/INTERDEPENDENT PHASE-
DEVELOPMENTAL TASK- MATERNAL ROLE ATTAINMENT
1ST DICUSSED BY R.RUBIN
![Page 38: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/38.jpg)
TAKING-INDEPENDENT PHASE
1ST 1-3 DAYS..CAN BE SHORTEN
PREOCCUPIED WITH OWN NEEDS
PASSIVE AND DEPENDENT
TOUCHES AND EXPLORES INFANT
NEEDS TO DISCUSS LABOR & DELIVERY EXPERIENCE
TAKING IN FOOD ,H2O,REST, AND CARE
![Page 39: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/39.jpg)
TAKING-HOLDDEPENEDENT-INDEPENDENT PHASE
3-10DAYS POSTPARTUM
OBESSED WITH BODY FUNCTIONS
RAPID MOOD SWINGS
ANTICIPATE GUIDANCE MOST EFFECTIVE NOW…GOOD TIME TO TEACH
INTERESTED IN LEARNING CARE OF BABY
![Page 40: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/40.jpg)
LETTING-GOINTERDEPENDENT PHASE
10 DAYS TO 6 WEEKS POSTPARTUM
MOTHERING FUNCTIONS ESTABLISHED
SEES INFANT AS A UNIQUE PERSON
REESTABLISHES RELATIONSHIP WITH HUSBAND
![Page 41: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/41.jpg)
PATERNAL ROLE
EXPECTATIONS
REALITY
TRANSITION TO MASTERY
![Page 42: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/42.jpg)
EXPECTATIONS
1ST STAGE
THE FATHER HAS PRECONCEPTIONS ABOUT WHAT LIFE WILL BE LIKE AFTER THE BABY COMES HOME
MAY NOT BE REALISTIC
![Page 43: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/43.jpg)
REALITY
2ND STAGE
FATHER REALIZES THAT EXPECTATIONS ARE NOT ALWAYS BASED ON FACT
COMMON FEELINGS-SADNESS,AMBIVALENCE
JEALOUSLY
FRUSTATION
![Page 44: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/44.jpg)
REALITY
OVERWHLMING DESIRE TO BE MORE INVOLVED
SOME ARE PLEASANTLY SURPRISED AT EASE AND FUN OF PARENTING
![Page 45: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/45.jpg)
TRANSITION TO MASTERY
3RD STAGE
FATHER MAKES CONSCIOUS DECISION TO TAKE CONTROL AND BECOME MORE ACTIVELY INVOLVED WITH INFANT
![Page 46: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/46.jpg)
BONDING
FINGERTIPS,PALMS AND THEN ENFOLING OF INFANT
EN FACE POSITION
MOTHER USES A SOFT HIGH-PITCHED TONE OF VOICE
NURSE SHOULD ASSIST BOTH MOM AND DAD WITH BONDING-TIME/ISSUES
![Page 47: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/47.jpg)
Face to Face with Eye Contact
![Page 48: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/48.jpg)
POSTPARTUM BLUES
A MATERNAL ADJUSTMENT REACTION
TRANSIENT DEPRESSION USUALLY OCCURS BETWEEN 2ND-3RD PP DAY AND/OR WITHIN THE 1ST 2 WEEKS PP
RELATED TO HORMONAL CHANGES,FATIGUE, AND STRESS
ALL WOMEN EXPERIENCE IT
![Page 49: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/49.jpg)
PP BLUES CONT.
CHARACTERIZED BY MOOD SWINGS,ANGER, TEARFULNESS, FEELINGS OF LET-DOWN,ANOREXIA, AND SLEEING PROBLEMS
USUALLY RESOLVES SPONTANEOUSLY
IF CONT. OR WOMAN HAS DEEPENING DEPRESSION MAY HAVE PP DEPRESSION
![Page 50: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/50.jpg)
POSTPARTAL NURSING
EVALUATE PRENATAL AND INTRANATAL HISTORY FOR RISK FACTORS
POSTPARTUM ASSESSMENT-BUBBLE-HEB-AND PREECLAMPSIA SCREENING
VITAL SIGNS
![Page 51: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/51.jpg)
PP NURSING-CONT.
PREVENTING PP HEMORRHAGE
ASSESS FOR RISK FACTORS
ASSESS FUNDUS & LOCHIA
MASSAGE FUNDUS AS NEEDED
KEEP BLADDER EMPTY
ADMINSTER MEDICATIONS IF NEEDED-PITOCIN,METHERGINE ERGOTRATE
![Page 52: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/52.jpg)
CONT.
PUT BABY TO BREAST EARLY AND FREQUENTLY
`MONITOR VS
![Page 53: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/53.jpg)
COMFORT
ICE TO PERINEUM 20 MINUTES ON/1O-2O MINUTES OFF-1ST 24 HRS
SITZ BATHS-COOL OR WARM TID AFTER 12-24 HRS…MGSO4 CRYSTRALS
PERICARE- AFTER USING BATHROOM OR PRN
APPLY TOPICAL ANALGESICS-
![Page 54: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/54.jpg)
COMFORT
TEACH CLIENT TO TIGHTEN BUTTOCKS THE SITTING…LAY ON SIDE
ADMINSTER ANALGESICS
KEGAL’S
H2O,FIBER,& STOOL SOFTNERS,AMBULATE
![Page 55: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/55.jpg)
Kegal’s Exercise
![Page 56: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/56.jpg)
ELIMINATION
BOWEL
URINARY
![Page 57: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/57.jpg)
INFANT CARE
SUCCESSFUL FEEDING
BATHING
SAFETY
ADL’S
POSITIONS
FOLLOW UP VISITS
![Page 58: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/58.jpg)
SELF CARENUTRITION
REST
COMFORT
DISCOMFORTS
ACTIVITIES
F/U
WARNING SIGNS
CONTRACEPTION
![Page 59: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/59.jpg)
RHOGAM
ASSESS RH NEG WOMAN
NEG INDIRECT COOMBS
RH POS BABY WITH NEG DIRECT COOMBS
NO ALLERGIES TO GLOBULIN PREPARATIONS
ADMINSTER 300UG IM WITHIN 72 HRS
![Page 60: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/60.jpg)
![Page 61: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/61.jpg)
RUBELLA VACCINE
RUBELLA TITER LESS THAN 1:8-NONIMMUNE
NO ALLERGY TO NEOMYCIN
ADMINISTER O.5 ML SC PRIOR TO DISCHARGE
CLIENT SHOULD NOT GET PREGNANT FOR 3-4 MONTHS
NOT WITH RHOGAM
![Page 62: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/62.jpg)
![Page 63: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/63.jpg)
PP WARNING SGNS
BRIGHT RED BLEEDING MORE THAN 1 PAD/HOUR OR PASSING LARGE CLOTs
TEMPERATURE GREATER THAN 100.4 F AFTER 1ST 24 HRS.
CHILLS
EXCESSIVE PAIN ANYWHERE
REDDENED AREAS ON BREAST
![Page 64: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/64.jpg)
PP WARNING SIGNS
REDDENED OR GAPING EPISIOTOMY
FOUL SMELLING LOCHIA
INABLE TO VOID..BURNING..ETC
CALF PAIN, TENDERNESS,REDNESS, SWELLING
FLU-LIKE S/S.
![Page 65: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/65.jpg)
Mastisis
![Page 66: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/66.jpg)
QUESTIONS
![Page 67: INTRODUCTION H_-yIwevE](https://reader031.vdocuments.mx/reader031/viewer/2022013011/56649cd75503460f9499e897/html5/thumbnails/67.jpg)
THANK YOU
http://www.youtube.com/watch?v=EEqj2BdVerg