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Postpartum Care NCLEX Review and Nursing Care Plans As the postpartum period progresses, the woman will realize the most significant difference in herself: she is now a mother. Other changes will begin to occur as a result of this adjustment, and the mother must be prepared to deal with these life changes. 1. Psychological ChangesWithin the first 24 hours after giving birth, the changes in the mother’s body, particularly in the psychological aspect, are critical. If not provided the proper attention and care, these changes may have a long-term effect on the mother. In the postpartum period, the mother gradually accepts her maternal role following these three phases: A. Taking In Phase
B. Taking Hold Phase
C. Letting Go Phase
2. Physiological ChangesAfter the delivery of the baby, several body systems are changed, and these changes may or may not be observed by the mother early in the postpartum period. There will be several major changes in the reproductive system, hormones, urinary system, and circulatory system. 3. Postpartum CareThe newborn is not the only one who requires attention after the difficult process of childbirth. It is also crucial to ensure that the mother is in good health, as the early postpartum period is critical for both the mother and the baby. A. Care within the First 24 Hours The following nursing care is provided after childbirth during the first 24 hours:
B. Care in Preparation for Discharge Before being discharged, the mother must be properly educated on how to care for her newborn and herself at home.
C. Care after Discharge Discharge from the hospital normally happens 2 to 3 days after the baby is born.
Postpartum Nursing DiagnosisPostpartum Care Nursing Care Plan 1Impaired Parenting Nursing Diagnosis: Impaired Parenting associated with difficulty in performing activities of daily living and stress secondary to postpartum depression as evidenced by a continuing feeling of sadness, fatigue, and extreme anxiety. Desired Outcome: The patient will be able to verbalize her feelings and insecurities, adhere to medication regimen and lifestyle modification, and the patient will be able to keep the social circle to gain support. Thus, the patient will be able to perform activities of daily living and will be able to properly take care of the newborn.
Postpartum Care Nursing Care Plan 2Risk for Infection Nursing Diagnosis: Risk for infection related to stasis of body fluids, an invasive procedure causing traumatized tissues, and decreased hemoglobin secondary to postpartum hemorrhage. As a risk nursing diagnosis, Risk for Infection is not associated with any signs and symptoms since it still has not manifested in the patient and preventive measures will be done instead. Desired Outcome: The patient will verbalize understanding of individual causative/risk factors for infection, the patient’s white blood cell count and vital signs will be within normal range and the patient’s odor will be clear of lochia.
Postpartum Care Nursing Care Plan 3Risk for Pain Nursing Diagnosis: Risk for pain related to tissue damage secondary to postpartum hemorrhage. As a risk nursing diagnosis, Risk for Pain is not associated with any signs and symptoms since it still has not manifested in the patient and preventive measures will be done instead. Desired Outcome: The patient will determine alternative pain relief options and verbalize understanding of the best methods for pain relief, will show the application of relaxation strategies as well as diversional activities as indicated, And the patient will express total relief from pain and discomfort.
Postpartum Care Nursing Care Plan 4Anxiety Nursing Diagnosis: Anxiety related to the maturational or situational crisis, interpersonal transmission, the threat of health status alteration, drug therapy, and unaddressed social needs secondary to postpartum hemorrhage as evidenced by increased anxiety, uncertainty, and a sense of helplessness, concerns expressed as a result of changes in life events, restlessness, and inability to pay attention. Desired Outcome:The patient will be able to express feelings and concerns by speaking about them, will be able to learn different methods on how to deal with and express anxiety in a healthy way, will appear more relaxed, and will be able to sleep properly and the patient will report a decreased experience of anxiety attacks.
Postpartum Care Nursing Care Plan 5Ineffective Tissue Perfusion Nursing Diagnosis: Ineffective Tissue Perfusion related to venous blood flow interruption secondary to postpartum thrombophlebitis as evidenced by pallor or cyanosis, prolonged capillary refill time, non-palpable peripheral pulses, edema of the affected extremity, erythema, and pain. Please enable JavaScript Nursing Stat FactsDesired Outcome: The patient will demonstrate the desirable circulation of affected extremity as evidenced by equally palpable peripheral pulses, normal capillary refill time, reduced swelling, and erythema, and the patient will verbalize absence of pain.
Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2017). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines, policies, and procedures. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. |