University:
University of Nottingham
Course:
B723 | Midwifery
Academic year:

2024
Views:

480

Pages:

6
Author:

Christy C.

MIDWIFERY CARE OF PUBLIC WOMEN A. Physical examination of postpartum women 1. Understanding Physical examination is one way to find out symptoms or health problems experienced by postpartum mothers by collecting objective data and examining the patient. 2. Goals The purpose of a postpartum mother's physical examination is: a. To collect data b. Identify patient problems c. Assess changes in patient status d. Evaluate the implementation of the actions that have been given 3. Preparation of tools and materials a. Tray 1 piece b. Pressure meter c. Stethoscope d. Thermometer e. Flashlight f. Savlon cotton g. DTT Water h. Hand schoen i. Tweezers j. Bent k. Rubbish bin l. 0.5% chlorine solution. 4. Work Procedures a. Assessment of mental status and appearance b. Measurement of vital signs Vital signs include: body temperature, respiratory rate and blood pressure, c. Facial examination Face: swelling in the facial area. Eyes: conjunctiva and sclera Nose Lips d. Neck examination: Thyroid gland, lymph nodes and jugular veins. b. Breast examination: Nipples (shape, colostrum discharge), swelling, wounds/abrasions, signs of inflammation and lumps. c. General abdominal examination and checking the height of the uterine fundus, uterine contractions and checking whether the bladder is empty/full d. Genital examination: Perineum (edema and hematoma) Checking the episiotomy suture wound Cleanliness of the perineal area Lochea discharge (color and smell) Anus (haemorrhoids and bleeding) e. Examination of lower extremities: thrombophlebitis, edema, varicose veins, ref. patella. PHYSICAL EXAMINATION OF THE PUBLIC MOTHER CLINICAL PROCEDURE / STEPS 1. Inspection approval a. Greetings therapeutic. b. Explain this examination to the mother. c. Explain the purpose and expected results of the examination d. If the mother understands what has been said, ask for verbal consent regarding the examination that will be carried out. Work procedures Wash hands before and after preparation 2. Tools preparation : a. Tensimeter b. Thermometer c. Watch d. 3 bottles (for thermometer) e. Tissue paper in place f. Cover the client's body g. Flashlight h. Hammer reflex i. Tongue spatula j. Bent k. Gauze l. Weight scales m. Stationery n. Dracing car has a base/legs o. Client status 3. Client and environment preparation a. Install the sling b. Explain the purpose and objectives of the physical examination c. Asking about client complaints d. Position the client and baby 4. General inspection a. Examination of the client's general condition/appearance and awareness b. Check vital signs: blood pressure, temperature, pulse and breathing c. Measuring TB/BW (k/p) 5. The client is in the supine position and examines the head, neck and thorax 6. Abdomen Examination: a. Positioning the client and inspecting the abdomen b. Check the bladder is empty/not c. Check the height of the uterine fundus, contractions and position d. Stimulates uterine contractions e. Check for rectus abdominal diastasis f. Check for tenderness 7. Genetalia examination a. Adjust the client's position b. Check episiotomy sutures c. Check the cleanliness of the perineal area d. Check for bleeding and hemorrhoids 8. Lower extremity examination a. Check the presence/absence of edema b. Check the presence/absence of varicose veins c. Checking for human signs