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The Postpartal Family: Needs and Care
Chapter Summary

  1. Nursing care during the early postpartum period
    1. Physiologic nursing diagnoses
      1. Elimination
      2. Pain
      3. Sleep
    2. Educational nursing diagnoses
      1. Newborn care
      2. Self-care
      3. Infant feeding and growth and development
    3. Psychosocial
      1. Family coping
      2. Role alteration
  2. Plan and implementation
    1. Promotion of maternal comfort and well-being
      1. Monitoring uterine status
        1. Frequency
        2. Uterine contraction
        3. Pharmacologic agents
        4. Lochia
        5. Teaching
      2. Relief of perineal and hemorrhoidal discomfort
        1. Standard precautions
        2. Bladder elimination
        3. Hygiene
        4. Pharmacologic agents
        5. Ice
        6. Sitz bath
        7. Teaching
      3. Relief of afterpains
        1. Etiology
        2. Maintaining contraction
        3. Pharmacologic agents
        4. Teaching
      4. Relief of discomfort from immobility and muscle strain
        1. Ambulation and dizziness
        2. Hygiene
        3. Teaching
    2. Suppression of lactation in non-nursing mothers
      1. Pharmacologic agents
      2. Nonpharmacoligic agents
      3. Teaching
    3. Rubella Vaccine
      1. Indications
      2. Teacing
    4. RhIgG
      1. Indications
      2. Teaching
    5. Relief of emotional distress
      1. Coping with feelings about the labor and delivery experience
      2. Taking-in
      3. Taking-hold
      4. "Baby blues"
      5. Teaching
    6. Promotion of rest and activity
      1. Fatigue
      2. Cultural considerations
      3. Resumption of activity
      4. Postpartal exercise
      5. Resumption of sexual activity and contraception
      6. Teaching
    7. Promotion of family function
      1. Involvement of father
      2. Involvement of siblings
      3. Involvement of grandparents and other extended family
      4. Parent-infant attachment
      5. Cultural considerations
      6. Teaching
  3. Promotion of maternal physical well-being after caesarean birth
    1. Pain management
    2. Mobility
    3. Parent-infant interaction
    4. Teaching
  4. Nursing management of postpartal adolescents
    1. Developmental considerations
    2. Educational considerations
  5. Nursing care of the woman who relinquishes her infant
    1. Ambivalence regarding the decision to relinquish
    2. Grief over loss of the infant
    3. Teaching
  6. Preparation for discharge
    1. Discharge teaching content - maternal and newborn
    2. Timing and teaching methods
    3. Evaluation of knowledge level
    4. Follow-up and referral
    5. Legal responsibilities
      1. Identification
      2. Birth Certificate
  7. Home care
    1. Available services
    2. Referral system
    3. Education
      1. Educational methods
      2. Timing of education
      3. Content
      4. Evaluation
    4. Cultural considerations



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