ob test 2 chapter 21 Flashcards
How long are women typically hospitalized after normal vaginal birth
?
• In the United States most women remain hospitalized no more that 1-2 after vaginal birth
how long are women typically hospitalized for a c-section?
o 3-4 days for c-section
• The woman may be transferred
to a postpartum room in the same or another nursing unit.
• In facilities with labor, delivery, recovery, postpartum (LDRP) room
the woman is not moved and the nurse who provides care during the recovery period usually continues caring for the woman.
• When preparing the transfer report,
the recovery nurse uses information from the records of admission, birth, and recovery.
• The trend of shorter hospital stays is based largely on
efforts to reduce health care costs coupled with consumer demands to have less medical intervention and more family-focused experiences.
• The passage of the Newborns’ and Mothers’ Health Protection Act of
provided minimum federal standards for health plan coverage for mothers and their newborns.
• Minimum of 48 hours after a normal vaginal birth and 96 hours after a c section unless the attending provider, in consultation with the mother, decided on early discharge.
o Criteria for early discharge Box 21-1 page 488
• Hemoglobin and hematocrit values are often evaluated
on the firth postpartum day to assess blood loss during childbirth.
• Prevention of infection
o Clean environment
o Perineal lacerations and episiotomies can increase the risk of infection as a result of interruption of skin integrity.
• Prescribed Medications
o Women with extensive episiotomies or perineal lacerations are usually prescribed stool softeners to take at home
episiotomy
incision made in the perimium to help the baby come out easier.
aftercare- ice packs, sitz bath TID, stool softners
If pts rubella titer shown not immune
rubella vaccine should be given.
If bottle feeding
apply ice packt to breasts for comfort
