Question

LEA, AGE 25 YRS OLD, HAD JUST DELIVERED TO A BABY BOY 18 HOURS AGO. SHE TELLS THE NURSE THAT SHE HAD TO CHANGE HER PERINEAL PADS TWICE IN THE LAST 30 MINUTES BECAUSE THEY WERE SATURATED. IN ADDITION, THE NURSE NOTICED 2 LARGE CLOTS ON HER PAD. TO GUARD HER SAFETY, WHAT SHOULD THE NURSE DO. (GIVE AT LEAST 3 NURSING ACTION THAT THE NURSE SHOULD DO FIRST/PRIORITY)

Answer 1

Nursing actions of a patient with bleeding after delivery

Nurses also need to assess the patient . The assessment or action include,

1) assess the amount of bleeding

2) assess the maternal vital signs to establish baseline data

3) assess for the sign of shock

4) assess the conditions of uterus

After the assessment inform to consult and talk about the blood clots.

After that save all perineal pads used during bleeding and weigh them to determine the amount of blood lose .

5) Place the women in a side lying position to make sure that no bleed is pooling underneath her.

6) assess lochia frequently to determine if the amount discharged is still within normal limit.

7) if the patient is isotonic administer fluids as prescribed by doctors order

8) check the risk of infection

9) administer medication as per doctors order