Elsa Gonzaga, a 30-year-old G4P4 who delivered a 4,309-gm term male infant 40 minutes ago via NSD. She had normal pregnancy, and her only medications taken during pregnancy were prenatal vitamins. Her membranes ruptured at home 45 hours prior to delivery, and she was in active labor when she was admitted to Labor & Deliver. Her labor progressed quickly, and she delivered an hour later. The placenta was delivered spontaneously within 6-7 minutes. Her estimated blood loss was 400 ml. She had a second-degree perineal laceration that was repaired under local anesthesia. After one hour after her delivery the following vital signs were noted by the nurse: Pulse rate 100; BP 100/76; Resp Rate 22 and O2 saturation of 93% on room air. Uterine fundus is boggy and located at 3 cm above umbilicus. Patient is lethargic but responsive. Patient has pain in the lower abdomen and around the vagina. Hospital gown and bed lines are soaked with blood, perineal pads are saturated and changed pads every one to two hours. Guide Questions: What postpartum complication is being experienced of the above patient? Explain your answer. What nursing managements are appropriate for the patient? Identify at least three and include the rationale of the nursing interventions?
Elsa Gonzaga, a 30-year-old G4P4 who delivered a 4,309-gm term male infant 40 minutes ago via NSD. She had normal pregnancy, and her only medications taken during pregnancy were prenatal vitamins.
Her membranes ruptured at home 45 hours prior to delivery, and she was in active labor when she was admitted to Labor & Deliver. Her labor progressed quickly, and she delivered an hour later. The placenta was delivered spontaneously within 6-7 minutes. Her estimated blood loss was 400 ml. She had a second-degree perineal laceration that was repaired under local anesthesia.
After one hour after her delivery the following vital signs were noted by the nurse: Pulse rate 100; BP 100/76; Resp Rate 22 and O2 saturation of 93% on room air.
Uterine fundus is boggy and located at 3 cm above umbilicus.
Patient is lethargic but responsive. Patient has pain in the lower abdomen and around the vagina.
Hospital gown and bed lines are soaked with blood, perineal pads are saturated and changed pads every one to two hours.
Guide Questions:
- What postpartum complication is being experienced of the above patient? Explain your answer.
- What nursing managements are appropriate for the patient? Identify at least three and include the rationale of the nursing interventions?
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