Nursing Diagnosis for Postpartum By yani. Friday, February 3, Puerperium is defined as the time from the delivery of the placenta through the first few weeks after the delivery.
This period is usually considered to be 6 weeks in duration. By 6 weeks after delivery, most of the changes of pregnancy, labor, and delivery have resolved and the body has reverted to the nonpregnant state. A postpartum period or postnatal period is the period beginning immediately after the birth of a child and extending for about six weeks.
The puerperium or the postpartum period lasts for 6 weeks. It is divided into three phases: Immediate Postpartum: the hour period immediately following delivery. Early Postpartum or puerperium: upto 7 days. Remote postpartum or puerperium: upto 6 weeks. Self-care Deficit related to the weakness of the body.
Breastfeeding ineffective related to the level of knowledge, previous experience, the baby's gestational age, level of support, the structure of the physical characteristics of the breast. Risk for injury related to biochemistry, regulatory functions eg orthostatic hypotension, eclampsia ; the effects of anesthesia; thromboembolism; abnormal blood profile anemia, rubella sensitivity, Rh incompatibility.
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Next Older Post.Forgot your password? Or sign in with one of these services. Can someone tell me where I could find a website to help with postpartum care plans?
I have a careplan book but it doesn't have anything specifically for postpartum. My textbook also has very little information. Thanks in advance! I don't know of a specific website but I bought a nursing diagnosis book that has maternal stuff in it. I recently used it for my postpartum NP. Also, a lot of nursing diagnosis not specific to potpartum are still applicable.
Best of luck. I have a nursing diagnosis handbook too- it has diagnoses divided by conditions in the front- its by Ackley and Ludwig. You would be surprised by how many of the normal ones apply, esp for c-sections. My most important would be ones related to breastfeeding- my personal pet subject. Good luck. GingerSue has 20 years experience. It's funny how many nurses or student nurses need postpartum careplans.
Hello i am in desperate need of a postpartum careplan if u dont mind can i please see yours for a guide thanks. This forum doesn't provide careplans for use as a guide; we assume you have a textbook that will do that very nicely for you. I love care plans!! Ok not really but they do serve a purpose. I'm suppose to be writing one right now but Ive managed to get a little side tracked.After the very exhausting phase of giving birththe newborn is not the only one who needs to be taken care of.
It is also essential to make sure that the woman is in a stable condition because the immediate postpartum is a critical stage for both the woman and her baby. Before the woman is discharged, she must be educated properly regarding the care of the newborn and herself at home. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer.
No time limit for this exam. You can also copy this exam and make a print out. An hour after delivery. On the first home visit.
On the first 24 hours after birth. During discharge planning. What would be the most appropriate explanation? The hair that the woman grew during pregnancy is slowly falling off. The woman needs to consult a cancer specialist. The woman used commercial hair dyes during pregnancy.
The hair will start to grow again after 24 hours. Evaluation B. Saying goodbye to the health care providers C. Paying the hospital bills D. Going home instructions and newborn care. A week after discharge B. A month after discharge C. A day after discharge D. Whenever the healthcare provider is available.
On her first year B. After 24 hours C. After 1 week D. The woman is still focused on herself so asking questions about her experiences during labor and birth would encourage her to vent out her feelings. Education is important for the woman and family members so they can easily integrate the newborn into their life.
The care of the postpartal woman should always be integrated into the discharge planning. It is important to make sure that the woman is well taken cared of, for she would also be responsible for the welfare of her newborn.
A healthy mother will be able to raise a healthy newborn without any difficulty. Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers.
Sign in. Log into your account. Password recovery. Care Plans. Notes Maternal and Child Health Nursing. Practice Quiz: Postpartum Care. Please wait while the activity loads.Your newborn might be your priority — but postpartum care counts, too. From soreness to discharge, what to expect as you recover from a vaginal delivery. Pregnancy changes your body in more ways than you might expect, and it doesn't stop when the baby is born.
Here's what to expect physically and emotionally after a vaginal delivery. If you had a vaginal tear during delivery or your doctor made an incision, the wound might hurt for a few weeks. Extensive tears might take longer to heal. To ease discomfort while you're recovering:.
Tell your health care provider if you're experiencing severe, persistent or increasing pain, which could be a sign of infection. After delivery, you'll begin to shed the superficial mucous membrane that lined your uterus during pregnancy.
You'll have vaginal discharge made up of this membrane and blood for weeks. The discharge will be red and heavy for the first few days. Then it will taper, become increasingly watery and change from pinkish brown to yellowish white.
Contact your health care provider if you have heavy vaginal bleeding — soaking a pad in less than an hour — especially if it's accompanied by pelvic pain, a fever or tenderness. You might feel occasional contractions, sometimes called afterpains, during the first few days after delivery.
These contractions — which often resemble menstrual cramps — help prevent excessive bleeding by compressing the blood vessels in the uterus. Afterpains are common during breast-feeding, due to the release of the hormone oxytocin. Your health care provider might recommend an over-the-counter pain reliever. Pregnancy, labor and a vaginal delivery can stretch or injure your pelvic floor muscles, which support the uterus, bladder and rectum.
This might cause you to leak a few drops of urine while sneezing, laughing or coughing. These problems usually improve within weeks but might persist long term. In the meantime, wear sanitary pads and do pelvic floor muscle exercises Kegels to help tone your pelvic floor muscles and control your bladder. To do Kegels, imagine you are sitting on a marble and tighten your pelvic muscles as if you're lifting the marble. Try it for three seconds at a time, then relax for a count of three.
Work up to doing the exercise 10 to 15 times in a row, at least three times a day. If you notice pain during bowel movements and feel swelling near your anus, you might have swollen veins in the anus or lower rectum hemorrhoids. To ease discomfort while the hemorrhoids heal:. If you find yourself avoiding bowel movements out of fear of hurting your perineum or aggravating the pain of hemorrhoids or your episiotomy wound, take steps to keep your stools soft and regular.
Eat foods high in fiber — including fruits, vegetables and whole grains — and drink plenty of water. Ask your health care provider about a stool softener, if needed. A few days after birth, you might experience full, firm, tender breasts engorgement. Frequent breast-feeding on both breasts is recommended to avoid or minimize engorgement.
If your breasts — including the dark circles of skin around the nipples — are engorged, your baby might have difficulty latching. To help your baby latch, you might hand express or use a breast pump to express a small amount of breast milk before feeding your baby.NCBI Bookshelf. Geneva: World Health Organization; First do Rapid assessment and management B3-B7. Then use this chart to assess the woman's and fetal status and decide stage of labour.
View in own window. If less than beats per minute, or more thanturn woman on her left side and count again. Next: Perform vaginal examination and decide stage of labour. Feel for presenting part.
Is it hard, round and smooth the head? If not, identify the presenting part. Feel for cord — is it felt? Is it pulsating? If so, act immediately as on D Next: Respond to obstetrical problems on admission.
Use this chart if abnormal findings on assessing pregnancy and fetal status D2 - D3. Next: Give supportive care throughout labour. Use this chart to provide a supportive, encouraging atmosphere for birth, respectful of the woman's wishes. Give support using local practices which do not disturb labour or delivery. Encourage woman to move around freely as she wishes and to adopt the position of her choice.
Support perineum with other hand and cover anus with pad held in position by side of hand during delivery. Ask the mother to breathe steadily and not to push during delivery of the head. Manage as in Stuck shoulders D Cut cord quickly: transfer to a firm, warm surface; start Newborn resuscitation K Place side of one hand usually left above symphysis pubis with palm facing towards the mother's umbilicus.
This applies counter traction to the uterus during controlled cord traction. At the same time, apply steady, sustained controlled cord traction. If placenta does not descend during seconds of controlled cord traction, release both cord traction and counter traction on the abdomen and wait until the uterus is well contracted again.
Then repeat controlled cord traction with counter traction.
As the placenta is coming out, catch in both hands to prevent tearing of the membranes. If the membranes do not slip out spontaneously, gently twist them into a rope and move them up and down to assist separation without tearing them.
Empty bladder B Remove placenta manually B Refer the woman to hospital B Remove placental fragments manually B Massage uterus to expel clots if any, until it is hard BThis is the time when the most precious treasure she has carried for nine months would be saying hello to the world. Prior to delivery, all preparations must be set, everything must be in its place, and the woman must know her role in this performance by heart.
Assessment for delivery starts at the second stage of laborwhich is the full cervical dilatation until the birth of the baby. This would be a crucial time since the mother would need to deliver her baby at this stage without any troubles and with her strength intact so she could push for a normal vaginal delivery.
The difficulties that the mother may encounter during delivery are endless. Not all deliveries have gone smoothly, so every caregiver must be capable of whipping up a diagnosis and care plan immediately to assist the mother towards a safe and meaningful delivery. Now that the care plan is already established, time to take some action and implement those interventions listed on your cheat sheet.
A care plan would not be complete if no evaluation was done to test the effectiveness of your plan. Nothing could ever make our hearts glow than seeing and cradling our own bundle of flesh and blood for the first time. A woman will indeed feel the fullness and completeness of her life once she bore children and the realization that they have grown inside of her because she nourished them will last for the entirety of her lifetime and inspire her every day of her life.
Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers.
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Care Plans. Notes Maternal and Child Health Nursing. Assessment Diagnosis Planning Implementation Evaluation.
Here are eight 8 nursing care plans and nursing diagnosis for postpartum hemorrhage:. Deficient Fluid Volume : It is defined as decreased intravascular, interstitial, and intracellular fluid.
Assist with procedures as indicated such as manual separation and removal of placenta. Hemorrhage stops once placental fragments are removed and uterus contracts, closing venous sinuses. Uterine replacement or packing if inversion seems about to recur.
Replacement of the uterus allows it to contract, closing venous sinuses and controlling the bleeding. Risk For Infection : At increased risk of being invaded by pathogenic organisms. Risk For Pain : Defined as an increased risk of having an unpleasant sensory and emotional experience arising from potential tissue damage. Risk for Altered Parent-Infant Attachment: Defined as a disruption of the interactive process between a parent and infant that promote the development of a protective and sustaining reciprocal relationship.
Anxiety: Defined as the uneasy feeling of discomfort or dread accompanied by an autonomic response the source often nonspecific or unknown to the individual.
Deficient Knowledge : Absence of cognitive information related to the specific topic. Nursing care plans related to the care of the pregnant mother and her infant. See care plans for maternity and obstetric nursing:. Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals.
Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers.
Postpartum & Post-Delivery Care Plans for Mom
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