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CLIENT ASSESSMENT DATA BASE
Review prenatal and intraoperative record, and the indication(s) for cesarean delivery.
Circulation
Blood loss during surgical procedure approximately 600-800 ml
Ego Integrity
May display emotional lability, from excitation, to apprehension, anger, or withdrawal.
Client/couple may have questions or misgivings about role in birth experience.
May express inability to deal with current situation.
Elimination
Indwelling urinary catheter may be in place; urine clear amber.
Bowel sounds absent, faint, or distinct.
Food/Fluid
Abdomen soft with no distension initially.
Mouth may be dry.
Neurosensory
Impaired movement and sensation below level of spinal epidural anesthesia
Pain/Discomfort
May report discomfort from various sources, e.g., surgical trauma/incision, afterpains, bladder/abdominal distension, effects of anesthesia
Respiratory
Lung sounds clear and vesicular
Safety
Abdominal dressing may have scant staining or may be dry and intact.
Parenteral line/saline lock when used, is patent, and site is free of erythema, swelling, and tenderness.
Sexuality
Fundus firmly contracted and located at the umbilicus.
Lochia flow moderate and free of excessive/large clots.
DIAGNOSTIC STUDIES
CBC, Hb/Hct: Assesses changes from preoperative levels and evaluates effect of blood loss in surgery.
Urinalysis (UA); Urine, Blood, Vaginal, and Lochial Cultures: Additional studies are based on individual need.
NURSING PRIORITIES
1. Promote family unity and bonding.
2. Enhance comfort and general well-being.
3. Prevent/minimize postoperative complications.
4. Promote a positive emotional response to birth experience and parenting role.
5. Provide information regarding postpartal needs.
DISCHARGE GOALS
1. Family bonding initiated
2. Pain/discomfort easing
3. Physical/psychological needs being met
4. Complications prevented/resolving
5. Positive self-appraisal regarding birth and parenting roles expressed
6. Postpartal care understood and plan in place to meet needs after discharge
Wiki User
∙ 15y ago
Wiki User
∙ 12y agoDuring a C-section, the mother usually doesn't do anything since doctors take over. The mother is given a local anesthestic and has to lie completely still while the doctors take the baby out.
Wiki User
∙ 16y agoassess vital signs before the procedure begins assess vital signs before the procedure begins
Wiki User
∙ 11y agowhat are the long term goal and short term goal of cesarean section
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