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2 Cards in this Set
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Fourth Stage
1. Includes first 1 to 4 h after deliver; this stage is actually part of the postpartal periosd but client usually remains in birthing suite for nursing care |
Fourth Stage
2. Assessment: BP, P, RR, fundus, lochia and perineum per agency protocol; usually q15m for 1h; q30m for 2h; q60m for 1h |
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Fourth Stage
3. Collaborative management a. Episiotomy or lacerations are repaired b. Provide comfort; clean gown, warm blanket, position of comfort, ice to perineum if sutures or edema present, analgesia as requested and ordered c. Help parents to explore newborn and initiate breast-feeding if desired and if mother and baby are stable d. Provide fluids and regular diet as tolerated; consider cultural preferences |
Fourth Stage
4. Outcome is that maternal and newborn well-being are maintained; family unit is supported and participates in birth process as desired |
