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Comprehensive Postpartum Nursing Assessment Guide

A detailed guide by D. Ann Currie, R.N., M.S.N. covering terminology, prenatal and intrapartum data review, physical and psychosocial assessment, and more. Learn about postpartum involution, fundus assessment, lactation, bonding, and discharge planning. Includes cultural considerations and learning needs assessment.

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Comprehensive Postpartum Nursing Assessment Guide

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  1. INTRODUCTION • http://www.youtube.com/watch?v=9CCnsQyWBEc&feature=relatedhttp://www.youtube.com/watch?v=C4FC00ueGt0&feature=related

  2. POSTPARTAL NURSING ASSESSMENT Developed by D. Ann Currie, R.N., M.S.N. 2012

  3. POSTPARTAL ASSESSMENT • TERMINOLOGY • REVIEW PRENATAL DATA • REVIEW INTRAPARTAL DATA • PHYSICAL ASSESSMENT • PSYCHOSOCIAL ASSESSMENT • LEARNING NEEDS ASSESSMENT • LABORATORY AND DX TESTS

  4. POSTPARTAL ASSESSMENT • DISCHARGE ASSESSMENT

  5. TERMINOLOGY • INVOLUTION • FUNDUS • LOCHIA • LACTATION • AFTERPAINS • BONDING • ETC.

  6. REVIEW PRENATAL DATA • REVIEW PRENATAL RECORDS • REVIEW ANTEPARTUM CARE • REVIEW MEDICAL HISTORY • REVIEW ANTEPARTAL LABS AND DX TESTS • REVIEW PSYCHOSOCIAL HISTORY • NOTE CULTURAL NEEDS • CLARIFY UNCLEAR AREAS

  7. REVIEW INTRAPARTUM DATA • REVIEW INTRAPARTAL RECORDS • FOR FACTORS THAT RETARD UTERINE INVOLUTION • ASSESS FOR POSTPARTAL HIGH-RISK FACTORS • TYPE OF DELIVERY, A&A, ROM, COMPLICATIONS

  8. PHYSICAL ASSESSMENT • HEAD TO TOE EXAMINATION • VITAL SIGNS • FUNDAL HEIGHT AND CHARACTERISTICS • LOCHIA • PERINEUM-EPISIOTOMY,INTACT,LACERATIONS

  9. Fundus Assessment

  10. Involution-Fundal Location

  11. Types of Episiotomies

  12. HEMATOMA

  13. PHYSICAL ASSESSMENT • CONT. SWELLING, HEMATOMAS,ETC. • ABDOMEN • BREASTS • BLADDER AND BOWEL FUNCTION • EXTREMITIES • PREECLAMPSIA SCREENING

  14. Check for DVTs

  15. PSYCHOLOGICAL ASSESSMENT • MATERNAL ROLE ATTAINMENT STAGE • PARENT-INFANT ATTACHMENT-BONDING ASSESSMENT • PSYCHOLOGICAL WELL-BEING • POSTPARTUM -BLUES,DEPRESSION,OR PSYCHOSIS

  16. Face to Face

  17. SOCIAL ASSESSMENT • AGE • LIVING CONDITIONS • EMPLOYMENT • MARITAL STATUS • SUPPORT SYSTEM • RESOURCES

  18. CULTURAL ASSESSMENT • RELIGION • ETHNIC GROUP • BELIEFS AND PRACTICES REGARDING: POSTPARTUM PERIOD, DIETARY,BREASTFEEDING, CHILDCARE,& CHILDREARING,AND ROLES

  19. LEARNING NEEDS ASSESSMENT • SELF CARE • INFANT CARE • SIGNS OF PROBLEMS FOR SELF AND INFANT AND WHAT TO DO • FOLLOW-UP CARE/VISITS • NUTRITION • OTHER

  20. LABORATORY AND DX TESTS • REVIEW PRENATAL LABS& DX TESTS • REVIEW INTRAPARTAL LABS & DX TESTS • CBC OR H&H. • OTHER

  21. DISHARGE ASSESSMENT • ASSESS RESOURCES • ASSESS KNOWLEDGE • ASSESS SUPPORT SYSTEMS • ASSESS BONDING • ASSESS NEEDS

  22. QUESTIONS

  23. THANK YOU • http://www.youtube.com/watch?v=k3wg9UQxU5k&feature=related

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