Question

1.   What are the responsibilities of nurses and the nursing profession to ensure that the timing of discharge is appropriate and safe for each postpartum woman and her baby?
2.   How does the nurse play a critical role in promoting the safety of women who participate in an early-discharge program and plan to return home within 12 to 24 hours after their vaginal birth?
3.   What are the different treatment options and nursing instructions for superficial venous thrombosis versus acute pulmonary embolus?

Answer 1

Answer - Role and responsibilities of nurse are as follows -

- Assess and monitor the new mother after delivery to ensure proper recovery and healing

- Clean and monitor the newborn baby.
- Check vital signs.
- Assess the caesarian incisions if applicable.
- Remove catheters after delivery.
- Administer analgesic, antibiotics medication as prescribed by the physicians.
- Provide education to new parents regarding how to care for newborn baby.
- Help the new mother with the emotional aspects of the birth recovery.
-Work with lactation consultants to help the new mother breastfeed.

- Educate the mother about Postpartum follow up visiting at least 3 times.

Different treatments options for superficial vein thrombosis and acute pulmonary emboli is anticoagulants therapy (heparin, warfarin). It prevents further complications.Use of thrmbolytics which dissolve the clot quickly.

- Nursing responsibility first assess and monitor therapeutics ranges Heparin for aptt test ( active partial thrmboplastin test) warfarin for (prothrombin test).

- Monitor for pulmonary emboli or any respiratory distress.

- apply warm compress and elastic compression.

- Monitor vital sign regularly.

- Provide oxygen therapy.

- Provide psychological support to clients.

- Monitor the patient regularly and any complications consult with physician.

Thank you ver much