Copyright © 2008 Delmar Learning. All rights reserved. Unit 49 Obstetrical Patients and Neonates.
-
Upload
erick-carson -
Category
Documents
-
view
213 -
download
0
Transcript of Copyright © 2008 Delmar Learning. All rights reserved. Unit 49 Obstetrical Patients and Neonates.
Copyright © 2008 Delmar Learning. All rights reserved.
Unit 49
Obstetrical Patients and Neonates
Copyright © 2008 Delmar Learning. All rights reserved.
Objectives
• Spell and define terms.• Assist in the prenatal care of the normal
pregnant woman.• List reportable observations of patients
in the prenatal period.
Copyright © 2008 Delmar Learning. All rights reserved.
Objectives
• Define “doula” and identify the role and responsibilities of the doula as a member of the childbirth team.
• Assist in care of the normal postpartum patient.
• Properly change a perineal pad.
Copyright © 2008 Delmar Learning. All rights reserved.
Objectives
• Recognize reportable observations of patients in the postpartum period.
• Recognize reportable signs and symptoms of urine retention in the postpartum patient.
Copyright © 2008 Delmar Learning. All rights reserved.
Objectives
• Assist in care of the normal newborn.• Demonstrate three methods of safely
holding a baby.• List measures to prevent inadvertent
switching, misidentification, and abduction of infants.
Copyright © 2008 Delmar Learning. All rights reserved.
Objectives
• Assist in carrying out the discharge procedures for mother and infant.
Copyright © 2008 Delmar Learning. All rights reserved.
Introduction
• When a baby is ready to be born– It is normally upside down in the mother’s
uterus with its head toward the birth canal.
• After the baby is born and separated from the umbilical cord– Placenta, amniotic sac, and remaining cord
are expelled as the afterbirth.
Copyright © 2008 Delmar Learning. All rights reserved.
Introduction
• There are three phases of pregnancy.• The nursing assistant, who is specially
trained, helps provide care and support throughout each phase.
Copyright © 2008 Delmar Learning. All rights reserved.
Prenatal Care
• The care of the mother begins in the prenatal period– When she first learns she is pregnant.
• You may meet her as you work in a doctor’s office or in an obstetrical clinic.
Copyright © 2008 Delmar Learning. All rights reserved.
Preparation for Birth
• Both parents are encouraged to participate fully in the birth of their baby
• Special training for the birth begins in the prenatal period
Copyright © 2008 Delmar Learning. All rights reserved.
Preparation for Birth
• It prepares the parents to participate in the birthing process
• Many patients choose to participate in natural childbirth
Copyright © 2008 Delmar Learning. All rights reserved.
The Doula
• Doula – Derived from Greek– “Woman’s servant”
Copyright © 2008 Delmar Learning. All rights reserved.
The Doula
• Birth doula– Trained and experienced to provide
support and nurtures the mother before, during and just after childbirth
– Helps with communication between the parents and the medical professionals
Copyright © 2008 Delmar Learning. All rights reserved.
The Doula
• A postpartum doula – Helps care for the infant – Teaches the mother about nutrition,
breastfeeding, and infant care
Copyright © 2008 Delmar Learning. All rights reserved.
Cesarean Birth
• Cesarean section is another way of delivering a baby.
• Baby is delivered through an incision in the abdomen rather than through the birth canal.
• Between 20 and 30 percent of all births in the United States occur this way.
Copyright © 2008 Delmar Learning. All rights reserved.
Postpartum Care
• You may be assigned to assist in caring for the mother during the postpartum period.
Copyright © 2008 Delmar Learning. All rights reserved.
Postpartum Care
• With other team members:– You will assist the mother from the
stretcher into bed– A protective pad may be placed under the
patient’s buttocks
Copyright © 2008 Delmar Learning. All rights reserved.
Postpartum Care
• Always wear gloves– Follow standard precautions when caring
for the postpartum patient
Copyright © 2008 Delmar Learning. All rights reserved.
Breast Care
• Even if the mother chooses not to breast-feed– Her breasts should be washed daily with
soap and water.
• Breasts should be supported continuously by a well-fitted brassiere.
• Medications to suppress milk production are sometimes ordered.
Copyright © 2008 Delmar Learning. All rights reserved.
Security
• All infants are identified to prevent switching, misidentification, and abduction.
• Nurse will apply identification bands to the infant’s wrist and ankle while in the delivery room.
• The mother is given a matching wrist band.
Copyright © 2008 Delmar Learning. All rights reserved.
Security
• Wear your identification badge in a visible place
• Identify yourself each time you enter the mothers’ rooms