Question

Q1:Describe the postnatal management using the BUBBLEHEE method ?

Q2:Identify the nursing management of a patient with Caesarean section ?

Q3: Mention the possible complications during postpartum period and its management ?

Q4:Describe the nursing management of a antenatal woman with eclampsia ?

Q5:Describe the danger signs during preganancy and postpartum ?

Answer 1

1.BUBBLE HEE method is one of the assessment tool for a post natal mother.

• Assess the breast for any tenderness, pain, discharge ,engorgement ,breastfeefing , latching. In case of any issues manage by teaching breastfeeding techniques ,use of post natal bra, warm compress, breastmilk express in case of engorgement .
• Uterus :Check whether the fundus is firm in case of boggy administer uterine medications as per order .Manage pain with medication, comfort devices ,diversions therapy
• Bowel:check for bowel sounds and initiate diet as per order in case of cesarean section
• Bladder :assess for any complaints of painful micturation, quantity, frequency .Manage this by increasing the fluid intake, mobilisation
• Lochia :Assess its color ,odour, consistency ,quantity to know how the uterus is functioning .It can be helpful to identify post natal hemorrhage and complications .Provide sterile pad, perineal hygiene
• Episiotomy:Assess for any redness ,tenderness ,erythema, bleeding.Provde perineal hygiene ,antimicrobial application ,sits bath.
• Homan's signs:Tgis is used to assess for any varicose veins ,thrombophlebitis. Encourage patient to mobilise
• Emotion:Assess how the mother feels ,family members around her ,etc., to know the coping mechanism.
• Education :Educate the mother regarding the post natal care

2.The nursing management for a patient with caesarean section are

• Pain management with administration of analgesics as per order
• Monitor the site for any pain ,tenderness ,swelling, redness, oozing, fever to identify any infection
• Check for bowel sounds to initiate oral diet
• Monitor for urine output after catheter removal
• Administration of antibiotics to prevent infection
• Teach the mother the breast feeding techniques or position to feed the baby
• Provide psychological support to relieve from anxiety

3.The possible complications and its management in post party period are

• Infection:Medication ,aseptic procedure ,hygienic measure ,meticulous hand hygiene
• Hemorrhage :Assess the quality and quantity of discharge .Ensure the patient is not under any anticoagulant therapy ,avoid strenuous exercise
• Incontinence:Teach kegel exercise ,encourage to drink adequate fluid
• Constipation :encourage to take adequate fruits and vegetables ,fibre rich diet ,plenty of liquids ,mild activities ,routine bowel habits daily.
• Postpartum depression : psychological support, teach post natal care, family therapy and support during this period ,relaxation techniques

4.Nursing management of an antenatal women with eclampsia are

• Monitor vital signs especially blood pressure
• Administration of magnesium sulfate in order to prevent eclampsia during labor
• Assess for signs of any abnormalities related to pre eclampsia

5.The danger signs during pregnancy and postpartum period are

• Bleeding during pregnancy or heavily after deliver
• Raise if body temperature is an indication of infection
• Elevated blood pressure can affect the mother and fetus during pregnancy .Post natal complications of heart disease after delivery
• Lack of fetal movement, fetal heart sounds