Page 248 - كتاب تمريض نسا الاكتروني

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2. Promoting Proper Bowel Function

 Teach the woman that bowel activity is sluggish because of decreased abdominal

muscle tone, anesthetic effects, effects of progesterone, decreased solid food

intake during labor, and pre-labor diarrhea.

 Inform the woman that pain from hemorrhoids, lacerations, and episiotomies may

cause her to delay her first bowel movement.

 Review the woman's dietary intake with her.

 Encourage daily, adequate amounts of fresh fruit, vegetables, fiber, and at least

eight glasses of water.

 Encourage frequent ambulation.

 Administer stool softeners as indicated.

3. Reducing Fatigue

• Provide a quiet and minimally disturbed environment.

• Organize nursing care to keep interruptions to a minimum.
• Encourage the woman to minimize visitors and phone calls.

• Encourage the woman to sleep while the baby is sleeping, and specifically to
nap or lie down and get off her feet at least 30 minutes per day.

4. Preventing Infection

 Observe for elevated temperature above (38° C).

 Evaluate episiotomy/perineum for redness, edema, ecchymosis, discharge

(color, amount, odor) and approximation of the skin (REEDA).

 Assess for pain, burning, and frequency on urination.

 Administer antibiotics as ordered.

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