In the postpartum assessment of Fatima Sanogo, a recently delivered mother who gave birth vaginally, there are several crucial findings that require immediate follow-up to ensure her well-being and the health of her newborn.

QUESTION

The nurse completes a postpartum assessment on Fatima Sanogo, who gave birth vaginally one hour ago, which assessment finding require immediate follow up select all that applies

ANSWER

In the postpartum assessment of Fatima Sanogo, a recently delivered mother who gave birth vaginally, there are several crucial findings that require immediate follow-up to ensure her well-being and the health of her newborn. These findings include:

Excessive Vaginal Bleeding: Excessive vaginal bleeding, also known as postpartum hemorrhage, is a critical finding that requires immediate attention. Rapid and significant bleeding can lead to maternal instability and compromise. Immediate follow-up is essential to determine the cause of the bleeding and initiate appropriate interventions to control it.

Abnormal Vital Signs: Any abnormal vital signs, such as a significantly elevated heart rate, low blood pressure, or high temperature, should be promptly addressed. These signs could indicate postpartum complications like infection, hemorrhage, or hypertensive disorders that require immediate intervention.

Severe Perineal Pain or Discomfort: Severe perineal pain or discomfort could indicate trauma or injury during delivery. It’s important to assess the perineal area for any signs of tearing, hematoma, or infection and provide appropriate pain relief and management.

Large Blood Clots: Passing large blood clots (larger than a golf ball) can indicate retained placental tissue or postpartum hemorrhage. Immediate follow-up is needed to assess the cause of the clots and prevent further complications.

Sudden Change in Mental Status: Any sudden changes in mental status, including confusion, disorientation, or altered consciousness, should be addressed promptly. These changes could be indicative of postpartum complications such as eclampsia, infection, or other neurological issues.

Difficulty Breathing or Shortness of Breath: Difficulty breathing or sudden onset of shortness of breath could be a sign of pulmonary embolism or other respiratory issues. Immediate assessment and intervention are necessary to ensure adequate oxygenation and prevent further complications.

Persistent Hypotension: If the patient’s blood pressure remains consistently low after delivery, it could indicate postpartum hemorrhage or other circulatory issues. Prompt evaluation and intervention are necessary to stabilize blood pressure and prevent further complications.

Signs of Infection:Any signs of infection, such as fever, chills, increased vaginal discharge with an abnormal odor, or redness/swelling at the perineal area, require immediate follow-up. Timely assessment and treatment are crucial to prevent the spread of infection and ensure maternal well-being.

Difficulty Urinating or Emptying Bladder: Inability to empty the bladder or experiencing pain while urinating may indicate urinary retention or infection. Immediate assessment is necessary to prevent urinary complications and ensure proper bladder function.

Signs of Postpartum Preeclampsia: If the patient develops new-onset hypertension (high blood pressure) accompanied by other signs of preeclampsia, such as headache, visual changes, or epigastric pain, immediate follow-up is essential to prevent complications.

In summary, any of these assessment findings in Fatima Sanogo’s postpartum period require immediate follow-up to ensure her safety and well-being, as well as the health of her newborn. Timely interventions can prevent complications and promote optimal recovery during the postpartum period.