NUR 212 Lecture Notes - Lecture 8: Lochia, Postpartum Period, Serous Membrane
30 Nov 2018
School
Department
Course
Professor
Document Summary
*for a formula feeding mother* assess fullness and firmness, engorgement. Are breasts full? are they filling and firming and may begin to discharge. Observe latch breast-mouth open wide, tongue down, nipple and areola in. General assessment data: vital signs-low grade temp during the first few hours and during the first few days of breast feeding with engorged breasts. Lung sounds should be clear in all lobes. Bubble-le-breasts, uterus, bladder, bowel, lochia, episiotomy/perineum, lower extremity (assessing for dvts, cap refill etc) , emotional stability (lactogenesis/lactation) mouth, audible suck and swallow. Assess is and os for appropriate feeding. appropriate feeding behaviors; rooting, sucking, alert, cluster feeding. Engorgement: breast tissue will swell, alot of blood flow. Express milk by squeezing breast, then feed baby. Feed more often, gets the milk moving and out to get the swelling down. will still happen. Suppress lactation-compress breasts/sports bra, ice compresses, analgesics, education. Support uterus and symphysis to prevent flipping. lochia, red flag.
