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The video provides an understanding of the various postpartum nursing assessments that need to be carried out in case of vaginal and cesarean deliveries in order to ensure that the mother is recovering well from the delivery and is not at risk of any postpartum hemorrhage…
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Download file to see previous pages... terus, increased amniotic fluid, prolonged or rapid labor, medical instruments which cause trauma during delivery and placental problems such as placenta previa can lead to postpartum hemorrhage. In order to ensure the safety of the mother a thorough assessment is done by the nursing staff after labor. During the postpartum assessment nurses need to include any history of postpartum hemorrhage along with the present condition of the mother. The video clearly explains the various assessments and interventions that are required to be done. The video gives a clear explanation of the procedures for carrying out various preliminary investigations postpartum such as palpitation of the uterine fundus and determining the firmness of the uterus. Massage is given in case the uterus does not appear to be firm. In case of a full bladder the mother should be encouraged to void. The video also explains how to determine the amount and color of lochia and that increased bleeding could be indicative of risk of hemorrhage. Medication is administered in case of a prolonged uncontracted uterus by injecting into the IV fluid followed by constant monitoring. The labia and perineum are examined for pain. In addition the episiotomy and presence of hemorrhoids are also examined. The mother is taught about the various methods by which pain can be reduced using ice and analgesics or narcotics. Sprays are used to decrease topical discomfort and tucks can help decrease pain due to hemorrhoids. Immediate assessments also include recording of vital signs such as temperature and blood pressure, skin temperature and color and mucus membrane are also assessed. In case of a C-section, the mother is additionally examined for the level of consciousness in case of general anesthesia and for epidural anesthesia the feeling and movement of extremities are assessed. The respirations, oxygen saturation are also monitored in case narcotics have been used. In addition, the intactness of the surgical ...Download file to see next pagesRead More
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