Susan P. had a SVD (spontaneous vaginal delivery) today approximately 2 hours ago.

Susan P. had a SVD (spontaneous vaginal delivery) today approximately 2 hours ago. The labor and

delivery nurse is calling to give you report. She is new and not sure what you want to know from her.

What questions do you need to ask to provide comprehensive care to this patient once she is transferred

into your care?

There are several questions that need to be answered in relation to a recent birth for the mother and the

newborn. First, the vitals will need to be known, temperature, pulse, respirations, blood pressure,

fundus, lochia, episiotomy or incision, hemorrhoids, bladder, CVAT, lower extremities Homans' sign,

mood, and bonding/attachment (Ward, & Hisley, 2016). I would need to know of any medications,

prescribed, over the counter, supplements, if she smokes, drugs, alcohol. During delivery did she have

any complications such as bleeding or tears? Does she have a support system and if so, who would that

be?

The baby I would need the same information such as vitals, the babies name, voided or stooled, has baby fed, breastfeeding or formula, has the baby latched or will the mother need assistance, is the security protocol in place? Did the baby have any complications?

2  Postpartum:

Susan P. had a SVD (spontaneous vaginal delivery) today

approximately 2 hours ago. The labor and delivery nurse is calling to give you

report. She is new and not sure what you want to know from her.

What questions do you need to ask to provide comprehensive care

to this patient once she is transferred into your care?

It is vital that the patient be monitored for post-partum hemorrhage, infection, and shock. My goal as a post-partum nurse would be to provide comfort to the patient, assist the patient with their recovery, provide pharmacological pain relief, provide patient and newborn teaching, I would ask the nurse giving me report the following questions. I would ask about the patient's breast, and if the newborn is latching on, and if there is any redness or tenderness to the breasts. I would then ask about the patient's uterus and ask for fundal height, uterine placement, and consistency. I would ask if the patient is having normal GI bowel function as well as normal bladder function. I would ask about the amount of lochia the patient is excreting as well as the odor, color, and consistency of the lochia. If the patient had an episiotomy, I would ask for if there was any edema, ecchymosis, and approximation. Last, I would request the patient's most recent vital signs as well any patient teaching that must be done.

please comment /discuss on my above two post if you agree or disagree. Please explain and include references"

1. Questions for Postpartum Care:

 Postpartum Maternal Care:

 Vitals and Physical Assessment: Asking about the mother’s temperature, pulse, blood pressure and also, performing physical examination like fundal examination, checking the lochia, episiotomy or the incision made and haemorrhoids is significant. These parameters help in evaluation of onset of complications such as post partum bleeding, infection or retention of the uterus.

 Pain and Comfort: It is crucial to pay much attention to the management of the mother’s pain and her comfort. One has to confirm that the pain management is adequate for the recovery of the patient in question.

 Medications and Health History: Some of the history that should be elicit include the drugs that the patient was taking during her pregnancy or puerperium, over the counter drugs, substance abuse and events that occurred during delivery such as bleeding or tears.

 Support System: It will help in identifying the people who are around her and in this way, support her emotionally as well as practically in the healing process.

 Newborn Care:

 Vitals and Physical Assessment: Observing the baby’s heart rate, confirming that the baby wets and does number one and number two are parameters that are used to assess the state of the newborn.

 Feeding and Latching: One has to ask if the baby is feeding well if the child is on breast milk or formula and if the mother needed help in how to feed the baby.

 Security Protocols: Thus, it is possible to protect the newborn by executing the following measures of security:

 References:

 Ward, S. & Hisley, L. (2016): Rights of the Woman after Childbirth and Examination of the Newborn Baby. [Insert Source if Available]

 2. Postpartum Assessment Questions:

 Breast Assessment: Some of the concerns that can be posed are concerning the health of the breasts they are painful or have rashes which may be an implication of mastitis or poor milk production.

 Uterine Assessment: The size, position and consistency of the uterus as compared to the fundal height should also be felt as a way of examining for Atonic uterus or complications of the delivery.

 Lochia: Quantitative and qualitative assessment of the amount, colour and texture of lochia can be used to diagnose postpartum haemorrhage or infection.

 Episiotomy Care: The examination of the episiotomy site for signs of oedema, ecchymosis and approximation has to be done in order to determine the healing process.

 GI and Bladder Function: The baby should not wake up the mother’s bowels and bladder and this can cause her a lot of discomfort and slow her down.

 Patient Teaching: It also enables the mother to be well equipped for postpartum care and the care of the newborn since all the patient teaching is done in the process.

 References:

 As stated by American College of Obstetricians and Gynecologists. (2020). Postpartum Care. [Insert Source if Available]