Page 200 - ترم ثاني كتاب تمريض صحة الام الكتروني

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• Maintain an intake and output chart.
• Diet should be nutritious, easily digestible, and small in amount.

• Solid food is usually avoided during active labor since gastric emptying is
prolonged, and in anticipation of anesthesia, may cause aspiration of vomitus.

• If solid food is permitted, it should be rich in carbohydrates such as jam,
honey and canned fluids. Fats and proteins are not allowed because they are not
easily digested

Rest and Sleep
• Anxiety and painful uterine contractions produce sleeplessness. So, اأ أ5
important to be with the woman, reassure her, and encourage her to express

her discomfort, fear and anxiety, or help her to sleep by use of hypnotics.
• The nurse helps the woman fo sleep by.
o Have her evacuate the bladder.

o Serving her a warm, nourishing drink.
o Maintaining a quiet room with dim lighting and a comfortable bed.

• Rest is important in the first stage of labor to reserve energy, prevent
exhaustion and anxiety, and maintain mental equilibrium.
• Ambulation may decrease the need for analgesics, shorten labor, and
decrease incidence of fetal heart rate abnormalities.

• The woman is allowed to ambulate if there are no contraindications like
bleeding, premature rupture of membranes with high head, pregnancy-

induced hypertension, cardiac disease, or any other medical problems.

Comfort and Assistance

• Follow the aseptic techniques to prevent infection.
• Provide dry and clean clothes and bed linen for the woman.

• Reassure the woman that vomiting is normal (if it happens).
• Provide mouthwash and sips of water if her mouth is dry.
• Massage the back if she complains of backache.

• Relieve pain by encouraging deep breathing during contractions and use
of analgesics.

• Make dorsiflexion if cramps of her legs occur.

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