Ch 9 - OB Introduction to Maternity and Pediatric Nursing

Adaptation of nursing care following a cesarean birth? - correct answears-Same as with normal vaginal delivery except: Monitoring of abdominal dressing, Lochia generally less, Urinary catheter, respiratory care, Prevention of thrombophlebitis, Pain management. Being aware of Emotional Care. - correct answears-The birth of an infant brings about physical changes in the mother but also causes many emotional and relationship changes in all family members. Changes in Musculoskeletal System? - correct answears-Diastasis recti -Hypermobility of the joints -Exercises (Abdominal muscle tightening,Head light, Pelvic lift, Kegal exercises). Changes in the Immune system? - correct answears-Prevent blood incompatibilities and infection -RhoGAM if woman is RH negative and baby is Rh positive. (Looking for antibodies If yes sensitized- No RhoGAM, if non-sensitized yes give RhoGAM. -Give mother immunization for rubella if she is not immune (Tiger 1:8 requires immunization) ( 1st RhoGAM shot at 28 weeks gestation, and 72 hours after delivery). Changes with Cardiovascular System? - correct answears-Cardiac output and blood volume -Coagulation -Blood values -Chills -Orthostatic hypotension -Nursing Care (Interventions- SCD Pumps to prevent blood clots, High BP normal but High pulse in normal) Changes with Gastrointestinal System? - correct answears-Constipation -To help alleviate this problems, encourage woman to Increase fluid and fiber intake and increase activity, such as walking. (Senna-S until the first BM, C-sec pt has gas build up.)