Epidural Anesthetic Assignment

Epidural Anesthetic Assignment

Epidural Anesthetic Assignment

Epidural Anesthetic Assignment


CASE STUDY: POSTPARTUM A 24-year-old primipara gave birth 4 hours ago. She had a vaginal delivery with a midline episiotomy. She received an epidural anesthetic.

Identify the immediate postpartum assessment within the first hour.
Her pad is soaked with blood within 30 minutes. Is this normal?
Fundus is to the right. What does this indicate?
What instruction needs to be given before palpating her bladder
5. How do you document fundal height?

6. Describe the 3 stages of lochia and the time period for each.

7. Discuss the 9 areas of postpartum physical assessment (Bubble He).

8. Describe the components of the breast exam postpartally with rationale.

9. She got up a short time ago and noticed a sudden gush of lochia. Her fundus is firm on exam. How would you explain this occurrence?

10. Explain REEDA scale. She has 2 cm of edema and ecchymosis around her incision. What therapy is appropriate at this stage?

11. She had received an epidural. What assessment is important in the next 6-8 hours?

12. What is Homan’s sign and what does a positive Homan indicate?

13. What discharge teaching instruction would be given for self-care and newborn care?

14. When she is discharged in 48 hours, what should her fundal height, lochia, perineum, breast, and voiding status be?

15. She is talking about her experience during the labor process. She looks tired but states she is waiting to eat and then will take a nap. What psychological phase is she going through?

16. After 24 hours, she wants to know how to diaper her infant and wants instruction on breastfeeding. She states that she feels so clumsy and is afraid of hurting the infant. What phase is this?

17. When she goes home, she may be overwhelmed and in the next 3-5 days may go through the __________________________ phase. 1

8. Give three nursing diagnoses with goals/expected outcomes for a postpartal woman.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.