NUR 254 Exam 2
Objectives
Maternal and Pediatrics
(Galen College of Nursing)
, lOMoAR cPSD| 57629747
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
• Things not to do/not recommended for the breast feeding infant o Do
not offer pacifier until breastfeeding established
Bottle feeding – Feed every 3-4 hours
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