Search the nursing literature for articles related to the care management of wom
ID: 125368 • Letter: S
Question
Search the nursing literature for articles related to the care management of women experiencing labor and birth complications discussed in this chapter. Choose one article and complete a bibliography card that includes the following:
Summary of the key points of the article
Personal reaction to the ideas presented in the article
How the professional nurse can use the ideas in the article to enhance and improve the quality of health care provided to women experiencing complications of labor and birth.
Present your findings in an APA formatted paper of at least 450 words
Explanation / Answer
TOPIC: Nursing Support of laboring women
Summary of the key points of the article
-Endorsing ease by touching and comfort as a rudimentary nursing interventions.
-Institute a therapeutic relationship with the pregnant woman and with her relatives.
-Facilitate and hearten women for frequently position changes while women in bed.
-Show respect to the woman and allow her family member if she wants.
-Check maternal vital signs to identify sign of hypertension or hypotension.
-Check regularity, intermission, incidence and period of contraction by palpation with finger tips.
-Assess level, site, period, strength of discomfort and issues that intensify or relive pain.
-Assess sternness of pain whether extra pain control events are wanted.
-Check show (blood-stained) of factual labor.
-Perform vaginal inspection to regulate cervical effacement, fetal exhibition, location and station.
-Perform vaginal inspection for examination of color, character of amniotic fluid and period of rupture.
-Hearten the woman to void 2-3 hourly to evade bladder swelling.
-Perform catheterization if inept to void and bladder is bloated.
-Check urine for recognizing protein and glucose.
-Built-up an intravenous line to uphold hydration and for a reserve.
-Safeguard upright location to indorse actual pushing and take benefit of gravity.
-Position all gadgets for final groundwork of birth.
-Provide episiotomy to avert maternal and neonatal disturbance and to headway baby out.
-Nurse should be equipped to accept the baby and endure practical woman perineum.
-Heartening woman to put all her hard work to pushing the newborn to the outside realm.
-Clean the newborn and shelter with waterless cloths to retain warm
-Evaluate the newborn and arrange for original nursing maintenance
-Manage oxytocin as instruction and designated after placental dismissal.
-Coach woman to thrust when sings of placenta parting ostensible.
-Prudently inspect placenta and fetal films for intactness.
-Sanitary perineum zone after delivery to find any cut.
-Mending episiotomy and perianal laceration as designated.
-Smear Ice pack to decrease swelling and coldness of perineum.
-Check uterine shrinkage, fundus of uterus after delivery.
-Check quantity, steadiness and shade of vaginal bleeding after delivery.
-Handover the mother to recovery area and safeguard warm situation.
Personal reaction to the ideas presented in the article
-The practical features of care have developed an emphasis for nurses since the usage of epidurals and fetal screens has augmented and develop mutual practice for labor and birth.
-Investigation ropes the necessity to have an incessant sustenance person as portion of the birth team.
-Nurses requisite to be capable in the knowledge of childbirth, but bodily and emotional provision of the laboring female are also dynamic features of care.
How the professional nurse can use the ideas in the article to enhance and improve the quality of health care provided to women experiencing complications of labor and birth.
Indication has exposed that poor superiority of capability based care for these females and newborns is one of the main causative influences for their raised tolls of morbidity and mortality. In totaling, womenfolk who observe the excellence of capability based maintenance to be underprivileged, may select to dodge facility based deliveries, where lifesaving involvements could be obtainable.
In this background, understanding the fundamental influences that influence the excellence of facility-based amenities and measuring the efficiency of interventions to advance the superiority of upkeep characterize critical contributions for the development of maternal and newborn fitness.
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