Maternal Newborn Nursing: Post Partum Assessment
Ryan Davis 2/28/12
Seton Hall University
College of Nursing
NUTC 3914 Maternal Newborn Nursing
Post Partum Assessment
Mother’s initials: CC • Age of Mother : 36
Allergies • Medications: NKDA • Food: None • Environmental: None
Gravida
Para: 1, Gravinda 4 • Term : 2 • Pre-term : 0 • Abortion : 2 • Living : 2
Age of siblings : 4
Type of delivery • Normal Spontaneous Vaginal delivery (NSVD) or caesarean-section delivery • Length of labor (if applicable) • Partner or Spouse available : yes, he is by the mother’s bedside. • Anesthesia (local, spinal, epidural, and/or general) : Elective C- Section • Was this a high-risk pregnancy of labor and deliver? …show more content…
No stridor, wheezing, rales, ronchi, gurgling or snoring present.
Heart Sounds • S1 and S2: Present • Murmur: None present
Breasts • Wearing bra: Yes, Supportive
• Soft, filling, firm, engorged, redness, or area of tenderness or discomfort (if present, describe): Breast or filling with no tenderness present.
• Nipples (intact, reddened, sore, cracked, inverted, and/or using breast shields): No cracking, redness, edema, pain, or outwardly signs present. Nipples are intact and healthy appearing.
• Comfort measures used for breastfeeding or non-breastfeeding mother (bra, ice, no stimulation, analgesics, cabbage leaves, tea bags, lanolin cream): None
Newborn feeding (Document mother’s answers in quotes)
1. It is important to feed the baby on demand. Do you know what this means? : Mother understands that it is important to feed her baby when she gets hungry and at regular intervals. 2. Describe how and when to burp the baby. : The baby should be burped at every half once.
3. How do you know the baby is getting enough formula or breast milk? : Because the baby detaches from the nipple and stops
Seton Hall University
College of Nursing
NUTC 3914 Maternal Newborn Nursing
Post Partum Assessment
Mother’s initials: CC • Age of Mother : 36
Allergies • Medications: NKDA • Food: None • Environmental: None
Gravida
Para: 1, Gravinda 4 • Term : 2 • Pre-term : 0 • Abortion : 2 • Living : 2
Age of siblings : 4
Type of delivery • Normal Spontaneous Vaginal delivery (NSVD) or caesarean-section delivery • Length of labor (if applicable) • Partner or Spouse available : yes, he is by the mother’s bedside. • Anesthesia (local, spinal, epidural, and/or general) : Elective C- Section • Was this a high-risk pregnancy of labor and deliver? …show more content…
No stridor, wheezing, rales, ronchi, gurgling or snoring present.
Heart Sounds • S1 and S2: Present • Murmur: None present
Breasts • Wearing bra: Yes, Supportive
• Soft, filling, firm, engorged, redness, or area of tenderness or discomfort (if present, describe): Breast or filling with no tenderness present.
• Nipples (intact, reddened, sore, cracked, inverted, and/or using breast shields): No cracking, redness, edema, pain, or outwardly signs present. Nipples are intact and healthy appearing.
• Comfort measures used for breastfeeding or non-breastfeeding mother (bra, ice, no stimulation, analgesics, cabbage leaves, tea bags, lanolin cream): None
Newborn feeding (Document mother’s answers in quotes)
1. It is important to feed the baby on demand. Do you know what this means? : Mother understands that it is important to feed her baby when she gets hungry and at regular intervals. 2. Describe how and when to burp the baby. : The baby should be burped at every half once.
3. How do you know the baby is getting enough formula or breast milk? : Because the baby detaches from the nipple and stops