Maternal and Child Nursing (Notes)
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Description
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Nursing Interventions | Rationale |
Assess for signs of dehydration | improve fluid balance, and maintain a homeostatic mechanism, is the basis for the mother and fetus to maintain balance. |
Assess vital signs | temperature, pulse rate increased and decreased BP are signs of dehydration and hypovolemia. |
Give parenteral fluids: electrolytes, glucose and vitamins according to program | This fluid will provide or meet the needs of the body’s acid-base balance, electrolytes and hypoavitaminosis. |
Provide nutrition in small but frequent portions. | feeding gradually or slowly may help. |
Monitor the provision of fluids and food in 24 hours as well as expenditures and recorded fluid intake. | the provision of fluids and electrolytes is a way to deal with persistent vomiting, this recording will be able to assess the balance of electrolytes are given, while the number of how many calories can already be given. |
Review of edema in the legs or elsewhere. | the edema may also occur due to lack of albumin or renal failure. |
Assess the presence of ketones in the urine. | presence of ketones in the urine indicates maternal fat supplies for energy use due to inadequate caloric intake. |
Do collaborations with other teams for the administration of antiemetic drugs. | usually to cope with vomiting. |
Give the food a light, when it is allowed in small portions and frequent (liquid and solid) | the provision of solid and liquid foods in small portions and often may reduce vomiting. |
Increase feeding of this, if the client is able to accept (tolerance). | an increase in feeding demonstrate efficacy in the treatment. |
Monitor FHR and fetal activity. | FHR and fetal movement is an indication that the fetal / fetus in good condition. |
Monitor symptoms of morning sickness. | hormonal changes, maternal Hypoglycemia and decreased gastric motility, emotional and cultural factors. |
Examine the skin: the texture and turgor. | dry skin and poor turgor is a sign of dehydration. |
Encourage clients to multiply the rest. | |
Create a comfortable environment. |
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