am 3 45 &6- Requires Study Guide Answer Key Chapter 10 For the following case ap
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am 3 45 &6- Requires Study Guide Answer Key Chapter 10 For the following case applications, you are an LPN working on an OB unit of a hospital. You are the nurse caring for Jane, a 26 y.o. primiparous woman who is 2 days postpartum. Her newborn was of term gestation, but was very underweight. The newborn has needed respiratory support and blood glucose management, and has been in the nursery since birth. You don't currently have access to the patient's prenatal records, but the other nurses are concerned that the patient was probably using drugs during the pregnancy and this has contributed to the baby's complications. Your patient is ready to be discharged. You are reviewing the discharge education materials you will reinforce with her and notice that she has expressed a desire to breastfeed but has not been successful in getting her infant to latch. She has a breastpump in her room, but no one has documented that they educated her on how to pump Which postpartum complication(s) is Jane at risk for? Why? What interventions will you implement to reduce Jane's risk for the complication(s) you identified?Explanation / Answer
Pregnancy is a unique experience to each and everyone and the tensions associated with it ends the day of delivery when they become parents. Then the stage of anticipatory fear starts. This stage starting from the day of delivery to 8 weeks are called postpartum period,though the definition period is variable. There are enormous risks associated with this stage among which some are normal and some are lethal.
* pain and brises
Pain an bruises arare usually common surronding vagna ad exteding to perineum is comonad whih wil be much more severe if an episiotomy is there. If she experience intolerable pain they cn cosult a doctor .otherwise she have to maintain perineal hygiene ; cleaning with Luke warm water, keeping perineum dry, and changing the pads frequently prevent favourable factors for bacteria and fungus growth. I feel she is facing any problems to sit ,she can use ducknow bag which provides greater level of comfort.
* MASTITIS
masitis is a common complication in women whose newborn are not feeding freequently,tha is wy jane have greaer rskof developing mastitis as her child is underweight. Mastitis is defined as the infection of the breast cells. The rsk facors to develop infection is keeping dirty clothes or entry of bacteria through any break in the skin or even through the nipples. Once developed it should be treated with prophylactic antibiotics.
* UTERINE INFECTION
Uterine infection is developed when the remanents of placenta are inside the uterus ,which gives very severe pain with flu like symptoms like mild fever and pain on urination.once it is diagnosed , gynaecologist inspect the inner uterus with scope and washes the waste ,then treated with prophylactic antibiotics.
* Postpartum heamorrhage
It is the most severe complication, though seldom faces this problem. Vaginal bleeding is common during the postpartum period .Blood loss of 300ml is considered as normal which has to be stabilized with hydration. However, blood loss of more than 500ml is lethal. Many factors trigger this including the coagulation profile,cardiovascular health, blood pressure level.
Post partum confusion
This is common psychological disorder especially common in parents having child first time. They become confused when they are aware that they have to undertake so many responsibilities. Psychologists describe it as an escapism of mind. At this stage, new parents should be given enough support and guidance with training. Healthcare workers have to train them with assurance and positiveness.
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