The patient recovered well with
intravenous hydration. No other adverse reactions occurred during delivery. The patient spent approximately two hours in the recovery room for observation and then transferred to a room.
Once settled in the room, the nursing staff regularly monitored her vital signs, uterus, and lochia amounts. The postpartum assessment I conducted was about 24 hours after delivery. Her blood pressure was 127/70, pulse 77, respirations 18 and unlabored, temperature 36.5 C, Sp02 97% on room air, and weight of 101.0 kg. The fundus was firm, in the midline and located 2 fingerbreadths below the navel. Moderate lochia rubra with minimal small clots were on the pad during assessment. The perineum was edematous and the stitches were intact. However, she did complain of perineal pain. The patient stated “my breasts are sore, I believe it is due to my baby cluster feeding during the past several hours”. The patient rated her pain 6/10 for which she was given oxycodone and Tylenol. An ice pack was placed on her perineum to decrease her pain and swelling. She reported her pain to be 4/10 thirty minutes after she received pain medication and assisted getting into the tub for a sitz bath. …show more content…
These measurements were appropriate for gestational age (AGA) of 40 weeks. During the first period of reactivity and alertness, the newborn was placed on the mother’s chest where she breastfed for several minutes. Approximately 24 hours post-delivery, I assessed the newborn and her heart rate, respirations and temperature were within normal limits. A temperature of 36.8 C, apical pulse of 126, unlabored respiratory rate of 40 breaths per minute, and clear lungs were noted during my
intravenous hydration. No other adverse reactions occurred during delivery. The patient spent approximately two hours in the recovery room for observation and then transferred to a room.
Once settled in the room, the nursing staff regularly monitored her vital signs, uterus, and lochia amounts. The postpartum assessment I conducted was about 24 hours after delivery. Her blood pressure was 127/70, pulse 77, respirations 18 and unlabored, temperature 36.5 C, Sp02 97% on room air, and weight of 101.0 kg. The fundus was firm, in the midline and located 2 fingerbreadths below the navel. Moderate lochia rubra with minimal small clots were on the pad during assessment. The perineum was edematous and the stitches were intact. However, she did complain of perineal pain. The patient stated “my breasts are sore, I believe it is due to my baby cluster feeding during the past several hours”. The patient rated her pain 6/10 for which she was given oxycodone and Tylenol. An ice pack was placed on her perineum to decrease her pain and swelling. She reported her pain to be 4/10 thirty minutes after she received pain medication and assisted getting into the tub for a sitz bath. …show more content…
These measurements were appropriate for gestational age (AGA) of 40 weeks. During the first period of reactivity and alertness, the newborn was placed on the mother’s chest where she breastfed for several minutes. Approximately 24 hours post-delivery, I assessed the newborn and her heart rate, respirations and temperature were within normal limits. A temperature of 36.8 C, apical pulse of 126, unlabored respiratory rate of 40 breaths per minute, and clear lungs were noted during my