ILIGAN MEDICAL CENTER COLLEGE College of Nursing, Midwifery & Health Aide NCM ______ RLE Resource Unit

TOPIC DESCRIPTION: POSTPARTUM CARE ENTRY COMPETENCE: GENERAL OBJECTIVE: The purpose of this course is to provide a review of postpartum physiology, psychology, assessment, normal adaptation, complications, and teaching the postpartum client. SPECIFIC OBJECTIVE

CONTENT OUTLINE

TIME ALLOTMENT

TEACHING-LEARNING ACTIVITIES Participative Lecture and Discussion Post test

EVALUATION

Describe the normal A. NORMAL POSTPARTUM physiologic and ADAPTATIONS: PHYSIOLOGIC psychological adaptations Reproductive System Episiotomy to the postpartum period. Breast (milk production) Explain how to perform a Endocrine system postpartum nursing Cardiovascular system GI system assessment. Respiratory system Identify the teaching topics Urinary system that are relevant to Musculoskeletal system Integumentary system postpartum clients. Discuss nursing care for the postpartum client. NORMALPOSTPARTUM Summarize the treatment ADAPTATION: PSYCHOLOGICAL of maternal complications Attachment seen during the postpartum Paternal Partner Adjustment period. List the symptoms that postpartum clients should B. POSTPARTUM ASSESSMENT report to their healthcare

10min

Post test Participative Lecture and Discussion 10 min

providers after discharge.

AND PATIENT EDUCATION Breast Uterus Bowel Function Bladder Function Lochia Episiotomy Lower extremities Emotions Other: o o o Vital signs Pain CS issues

C.POSTPARTUM
COMPLICATIONS

Post test Postpartum Hemorrhage Risk Factors

Multiple parity Multi-fetal pregnancy Macrosomia Prolonged or precipitous labor Labor induction Vacuum or forceps delivery Lacerations Stillbirth Placenta previa Use of certain medications (eg, magnesium sulfate) Mechanical factors, such as a full bladder

Participative Lecture and Discussion 1 hour

Causes Nursing Interventions Discharge Instructions

Hypovolemic Shock Causes Nursing Interventions Discharge Instructions Thrombophlebitis Causes Nursing Interventions Discharge Instructions Mastitis Causes Nursing Interventions Discharge Instructions Endometritis Causes Nursing Interventions Discharge Instructions Wounds Causes Nursing Interventions Discharge Instructions UTIs Causes Nursing Interventions Discharge Instructions Postpartum Depression Causes Nursing Interventions Discharge Instructions Discharge Instructions
Fever

Foul-smelling lochia Large blood clots or bleeding that saturates a pad in one hour Discharge or severe pain from incisions Hot, red, painful areas on the breasts or legs Bleeding and/or severe pain in the nipples Severe headaches and/or blurred vision Chest pain and/or dyspnea without exertion Frequent, painful urination Signs of depression

PREPARED BY: