Page 316 - Critical Maternity & Newborn Health Nursing
P. 316
• If a tonic uterus:
o Inform the obstetrician.
o Feel consistency of the uterus.
o Massage the uterus to express clots and make it hard .
o Assess the general physical condition of the mother (face,
skin...)
o Monitor TPR and blood pressure.
o Put the infant to the breast to suck or stimulate the nipple
manually.
o Prepare instruments and equipment such as (sterile gloves,
cannula 18, IV set, catheter set.... etc.)
o Administer oxytocic drugs as ordered.
o Start IV infusion and oxytocin drip.
o Empty the bladder.
o Examine the expelled placenta and membranes for
completeness.
o Administer medications as ordered.
o Reassure the mother:
Never leave the mother alone.
Touch the mother’s hand and talk to her.
• In cases of traumatic bleeding:
o Press on the tear or laceration.
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