Beruflich Dokumente
Kultur Dokumente
• 1.Diuresis
• 2.Stress incontinence
• 3.Urge incontinence
• 4.Retention
Nursing Care of the Postpartum
Woman
• Prevention of Bladder
Distention
• Techniques to help the
woman void
• Assist woman to the
bathroom
• Have woman listen to
running water
• Pouring water from a
squeeze bottle over her
perineum
• Assisting woman into the
shower or sitz bath
Nursing Care of the Postpartum
Woman
• Afterbirth pains
• Menstrual-like cramps felt by
many women as the uterus
contracts after childbirth
• Warmth
• Distraction
• Deep breathing
• Imagery
• Therapeutic touch and
relaxation
• Interaction with the infant may
decrease the discomfort
associated with these uterine
contractions
Nursing Care of the Postpartum Woman
Plan of Care
Ambulation
Early ambulation is
successful in reducing
the incidence of
thromboembolism and
in promoting the
woman’s more rapid
recovery of strength
Orthostatic hypotension
Women with
varicosities are
encouraged to wear
support hose
Nursing Care of the Postpartum
Woman
Plan of Care
Ambulation
Thrombus is suspected
Warmth, redness, or tenderness in the
suspected leg
Notify MD immediately
Confine woman to bed with affected limb
elevated on pillows
Nursing Care of the Postpartum
Woman
• Fatigue
• Common in the postpartum
period
• Interventions must be planned
to meet the woman’s individual
need for sleep and rest
• Support and encouragement in
mother’s behaviors help
reduce anxiety
• Hospital and nursing routines
also may be adjusted to meet
individual needs
Nursing Care of the Postpartum
Woman
Plan of Care
Bladder
After giving birth the
woman should void
spontaneously within 6 to
8 hours
Several of the first
voidings should be
measured to document
adequate emptying of the
bladder
A volume of 150 ml is
expected for each voiding
Nursing Care of the Postpartum
Woman
• Plan of Care
• Educating the woman about
measures to avoid constipation
• Adequate roughage
• Plenty of fluids
• Exercise
• Decreased narcotic usage
• Stool softeners and laxative
use
A postpartum nurse is providing home care instructions to a woman
following delivery of a healthy newborn. The nurse tells the mother that
she should expect normal bowel elimination to return:
• 1. 1 day postpartum
• 2. 3 days postpartum
• 3. 7 days postpartum
• 4. Within 2 weeks postpartum
Nursing Care of the Postpartum
Woman
Plan of Care
Breast Care
Breastfeeding
First 2 hours after birth
Infant is an alert state
Aids in the contraction of the
uterus
Hygiene
Avoid soap, alcohol, and
other drying agents
Cleans nipple with clear
water
Apply lanolin for sore or
cracked nipples
Lactation
• Benefits of breast feeding
• Mother
– Promotes bonding
– Helps weight loss
– Stimulates uterine contractions
– Decreases risk of thromboembolism
– Protects against breast cancer
– Some contraceptive protection
– Readily available
• Infant
Breast feeding benefits Con’t
• Infant
– Milk contains natural components to facilitate immune
system and anti-inflammatory agents
– Nutrients are easily tolerated and digested
– No artificial colorings, flavors, preservatives
– Active & passive protection against viral and bacterial
pathogens
– Promotes better tooth and jaw development
– Protects against food allergies
– Not likely to over feed
Lactation
• Nutritional needs
– Calories
• Increase calorie intake by 500 cal/day -6 mo
• 2300-2700 cal/day while breast feeding
– Protein
• Needs additional 20 gm
• Extra 2 c. of milk = 16g protein
– Fluid
• 2-3 quarts per day
• Water, milk, fruit juice
• Encourage 1 glass of fluid with each nursing of infant
Vitamins and minerals
– Balanced supplement for less than 1800 cal/da
A nurse is providing nutritional counseling to a new mother who is
planning to breast-feed her newborn. The nurse instructs the mother
that her calorie needs need to increase by: