Page 236 - كتاب تمريض نسا الاكتروني

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Nursing Care for the Postpartum Woman

Fourth Stage of Labor

 The first two hours after birth.

 Maternal organs start to undergo readjustments to the nonpregnant state.

Nurse’s role during the fourth stage of labor is:

1- Identify and manage promptly any deviations from the normal

processes that may occur

2- Promote and support parent-infant attachment

Assessment during the fourth stage of labor

 During the first hour in the recovery room, physical assessments
of the mother are frequent.

 All factors but temperature is assessed every 15 minutes for the

first hour and then every thirty minutes in the second hour.

 Temperature is assessed at the beginning and end of the recovery

period.

 Postpartum women experience intense tremors or shivering.

 Provide warm blankets.

Physiologic Assessments

Temperature

- First 24 hours every 4 hours

- Every 8 hours after that till discharge

Pulse, Respirations, and Blood Pressure

- Every 15 minutes-first hour of delivery.

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