NUR 254 Exam 2 Objectives
Maternal and Pediatrics (Galen College of Nursing)
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Unit 4—Postpartum/client health issues
o Characteristics and measurements of normal involution patterns
Should be at umbilicus within 24 hours.
Involution should occur at 1-2cm/day and should not be
palpable by 2 weeks postpartum
o Lochia
Timeline and Description for Each
Rubra – 1-3 days: Bright red
Serosa – 4-10 days: Pinkish/Brown
Alba – 10-14 days: Whitish-yellow
o Anatomic and physiologic patterns during the postpartum
recovery
o Normal vs abnormal vitals signs and lab values in postpartum
patient
o Components of the parenting process
Safety
Tasks and responsibilities
Attachment and bonding
Dimensions that influence attachment and bonding
Signs of successful bonding
Education
o Nursing care and interventions for the postpartum patient
o Psychosocial needs of the mother after birth
o Postpartum complications
Signs and symptoms of complications
Interventions for complications
o Discharge teaching and follow up care
o Feeding methods
Breast
Breast health
Breast assessment
Interventions for abnormal findings/difficulty feeding
o If engorged, hand express before latching
o Use warm compress and massage for clogged duct
Lactation support
How to breastfeed
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