NURS3244 Lecture Notes - Lecture 3: Serous Membrane, Wound, Fibrinogen
5 Sep 2016
School
Department
Course
Professor
Document Summary
Vitals: not very indicative during pregnancy; smell and look for signs of infection rather than looking for temp changes. Duramorph assessment: intrathecal morphine that gives narcotic comfort w/o narcotic. But watch out for respiratory depression, check q hr. Cannot give narcotics until duramorph assessment is complete unless you see anesthesia consult. Lab values: *look for blood type and rh. Mom neg, baby positive = mom get rhogam w/in 72 hrs post-delivery. Sensitization will happen an dnext baby will get wrecked by antibodies produced against rh+ baby. Severe rh incompatibility fetal hemolytic anemia erythoblastosis fetalis (fetal body trying to compensate for anemia) placenta will try to clear bilirubin but sometimes may lead to jaundice. Hyperbilirubenmia bilirubin crosses blood brain barrier and necroses neurons called kernicterus. Always give baby immunoglobulin for hep b. Breasts, uterine fundus, bladder, bowel, lochia, episiotomy and hemorrhoids, Breastfeeding: apply heat prn; ice after feeding; if not (ice only) Inspection: size/shape, nipples (erect/flat/inverted), scarring (surgeries/violence), skin breakdown (blisters/cracks/redness)
