Page 299 - Critical Maternity & Newborn Health Nursing
P. 299
• Physical Assessment:
o Assess for the following clinical manifestations:
• Elevated temperature 38.5°C chills.
• Foul-smelling lochia.
• Abdominal tenderness, pelvic pain.
• Dysuria, burning on urination.
• Tachycardia.
• Increased WBC.
• Presence of predisposing factors:
• Traumatic delivery.
• Prolonged difficult labor.
• Dehydration.
• Excessive vaginal exams.
• Premature rupture of membranes.
• Anemia.
• Retained placental fragment.
• Hemorrhage.
Psychosocial/Cultural Assessment:
• Mother experiences frustration associated with extreme fatigue and she
may appear uncooperative and uninterested.
• Planning /Goals:
o Provide safe, effective environment.
o Provide teaching regarding hygienic measures.
o Promote physiological integrity.
o Administer treatment specific to infection.
o Promote psychosocial integrity.
298 Table of Contents
