Postpartum Blues

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NURS 3219 Maternal Newborn Nursing Postpartum Adaptations and Nursing Care.

Case Study Marge, a primitive, gave birth to a full term, 7lb 8oz boy 30 minutes ago. Her placenta is intact and normal in appearance and size. Currently, her fundus is firm, at the umbilicus and midline. Lochia is a moderate rubra with no odor and a few small clots. A midline epistomy is performed during the birth process. Marge has several large hemorrhoids that first developed late in the third trimester and increased in size as a result of Marge’s bearing down efforts. Epidural anesthesia is used during labor and birth. Marge plans to breastfeed her baby.

1. What is the difference between a. and a. Outline the assessments that should be given priority when monitoring
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These disturbances are characterized by mood swings, feelings of sadness, irritability, and anxiety. This can happen for any number of reasons, such as changes in hormones, physical/emotional status, or overall social support. Discuss strategies to help Marge cope with postpartum blues in an effective manner; I would encourage Marge to open up communication to various family members or event support groups with other moms. With any sort of mental health change it is critical to have strong social support in recovery. I would also tell her to take some time to rest and focus on herself (maybe a hobby, activity, or sleep). Many times, with pregnancy, the baby has support from many different angles but often the mothers are forgotten about in their recovery. Critical to Remember: Postpartum High-Risk Factors Hemorrhage Grand multiparity (5 or more) Overdistention of uterus (large baby, twins, hydramnios) Precipitous labor (less than 3 hours) Prolonged labor Retained placenta Placenta previa or abruption placenta Induction or augmentation of labor Administration of tocolytics to stop uterine contractions (Magnesium Sulfate; Terbutaline) Operative procedures (vacuum