Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of her baby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole 500 mg 1 tablet 3x /day , Mefenamic Acid 500 mg/capsule every 6 hours for 5 days and as needed for pain to be taken after meal, Natal plus Multivitamins with Iron to be taken once a day and Vitamin C with Zinc and lastly Caltrate onetab once a day as calcium supplement. 1. 1. Based on the scenario, kindly describe the possible findings of physical maternal assessment as part of your immediate postpartum care.
Thelisha , a first time 23 year old mother had a spontaneous vaginal delivery (SVD), and Medio lateral episiotomy has been done, was roomed-in together with her full term baby girl thinly meconium stain, 1 and 1/2 hour after birth. Upon physical assessment, the nurse-on-duty noticed that the mother’s episiotomy wound was intact, noheavy vaginal blood flow; fundus is firm upon palpation, and with healthy breasts forbreastfeeding. After providing some comfort measures, like positioning and attachment of her
baby for adequate breastfeeding, she asked the mother how she feels at the moment. The mother claimed to have a moderate perineal pain and pain over her hypogastric area that made her movedthe mother’s vital signs hourly until stable, with initial taking of Temp =36.8 C, BP =90/70, PR =70 bpm, RR =18 bpm; and note for signs of maternal vaginal bleeding. The NOD gave the ordered oral medications such as Doxycycline in 100 mg 1 capsule 2 times a day to complete for 1 week ,Metronidazole 500 mg 1 tablet 3x /day , Mefenamic Acid 500 mg/capsule every 6 hours for 5 days and as needed for pain to be taken after meal, Natal plus Multivitamins with Iron to be taken once a day and Vitamin C with Zinc and lastly Caltrate onetab once a day as calcium supplement.
1. 1. Based on the scenario, kindly describe the possible findings of physical maternal assessment as part of your immediate postpartum care.
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