Please enable JavaScript.
Coggle requires JavaScript to display documents.
Patient: A.K. 27 y/o female
09/14/2020
G1P1
Allergies: lentils and…
Patient: A.K. 27 y/o female
09/14/2020
G1P1
Allergies: lentils and sunflower seeds
postpartum care-SVD
Diagnosis: Factor 5 Leiden and Chorioamnionitis
Cardiovascular
-
no extra heart sounds, S1 and S2 is heard loudest at the apex and base
-
-
-
-
-
Baby: O.K. 1 d/o male
DOB: 9/13/20 2152
Gestational age: 40w0d
Length: 54.6 cm (21.5 in)
Apgar score: 8/9/
Diagnosis: Chorioamnionitis
-
-
-
-
Neuro
-
rooting, sucking, swallowing, palmar grasp, and babisinki reflexes intact
-
Eyes, Ears, & Nose
Nose: midline, nares patent, no drainage
Ears: correct placement, well-formed firm cartilage, responds to voice and other sounds
Eyes: clear, PERRLA intact, and brown
-
-
-
-
Neuro and Psychosocial
-
-
-
-
Pain level: 1/10, sore, achy pain in the perineum area
-
-
-
-
-
-
Reproductive
-
-
Breasts: soft, filling, erect nipples, no cracking, but some bruising on right breast
3) Ineffective breastfeeding related to difficulty with correct latching technique as evidenced by r. breast bruising, mother stating that it hurts to breastfeed and baby not wanting to latch on for more than 5 min.
-
help pt. with placement of the baby and ensure the baby is latching onto as much of the areola as possible
-
Eval: Pt. met with the lactation consultant 01420.
-
-
-
-
-
-
1) Risk for postpartum hemorrhage related to factor V leiden as evidenced by low platelet count and a decreased hematocrit level.
Monitor platelet count, INR, and PTT
-
-
-
-
-
-