OB Concept Map Rev. 3-19. Erickson’s / West Coast University - NURS316 OB Concept Map Rev. 3-19.2022 update

Patient Education (In Pt.) & Discharge Planning (home need) 1 Patient is being discharged 10/14/2018. Did not experienced trouble getting the baby to latch but was given lactation consult. The dietician was consulted to give proper teaching about losing weight that was gained during the pregnancy and diet to follow to help restore body image and healing was due to the vaginal delivery. Patient was given consult by the physician about medication and importance of mobility. Following are discharge instructions about signs to notify the physician. Fever greater than 100.4 F for 2 or more days. Check for vaginal discharge with large clots, increased amount of bleeding, change to previous lochia color, any bright red bleeding even after 10 days and any foul odor. Report any incision pain or episiotomy pain that does not resolve with analgesics, foul-smelling discharge, normal lochia flow patterns, any unusual edema. No heavy lifting for next 3 weeks. Do not lift anything other than the infant. Do not sit with legs crossed for a prolong time to prevent thrombophlebitis. Limit stair climbing for next few weeks. Perineal area should be cleaned front to the back after each voiding and bowel movement. Blot dry after each wash. Rest when the infant is sleeping (Durham & Chapman, 2019) C