assessment - vaginal birth infections (time sensitive)

Nursing Students Student Assist

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Specializes in SNU/SNF/MedSurg, SPCU Ortho/Neuro/Spine.

Hello there!

I need some help I was assigned:

Prevention of Infection for a lady partslly delivered patient.

Assessment criteria

and i haven't been able to find anything yet dedicated to that other than:

assessing for symptoms

"The primary symptom of BV is an abnormal, odorous lady partsl discharge. The fish-like odor is noticeable especially after intercourse. Women with BV also may have burning during urination or itching around the outside of the lady parts, or both. However, nearly half of the women with clinical signs of BV report no symptoms. A physician may observe these signs during a physical examination and may confirm the diagnosis by doing tests of lady partsl fluid. "

can you guys think of anything else?

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How about the baby? Erythromycin for the eyes?

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If I am reading this right you need methods for preventing BV, not symptoms or how to recognize it, correct? I would say pt teaching, such as wiping from front to back after bowel movements and rinsing with a peri bottle after urination or defecation. Changing pads often and taking showers only, not tub baths, until Lochia ceases or the pt has their 6 weeks postpartum check-up. Some sources recommend lying down after a shower on a towel and letting air get to the peritoneal area for a short time. A heat lamp is used sometimes as well, but that is more for comfort and soothing stitches. Do you have a textbook for OB? I would check the section on postpartum if you do. I hope this helps!:D

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Maybe I read it wrong. LOL I was thinking lady partslly delivered patient would be the baby. It's been a long day.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

Prevention of Infection for a lady partslly delivered patient.

Prevention will have to do with doing something about the cause of lady partsl infection. lady partsl infections are more likely to occur when there have been:

  • multiple cervical examinations
  • prolonged labor
  • manual extraction of the placenta
  • diabetes
  • urinary catheterization
  • anemia

Knowing this, you want to take precautions against a lady partsl infection happening when any of the above have occurred.

Signs and symptoms of a lady partsl infection are quite simply fever. chills, malaise, purulent, foul smelling lochia, tachycardia.

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Specializes in SNU/SNF/MedSurg, SPCU Ortho/Neuro/Spine.

thank you yall!

i have fond a lot of info afterwords. I had a couple of people that emailed me also the assistance!!

i had my case study, and spoke within beth's and daytonite's post

it went really well!!!

lol

i actually like ob! and have been doing better then the girls lol!

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