Dena Evans, EdD(c), MPH, BSN, RN, CNE
Assistant Professor
Department of Nursing
The University of North Carolina at Pembroke
See Routine Orders pg. 857
 Prevent
uterine atony
 Relive pain
 Enhance or suppress lactation
 Promote bowel function
 Enhance immunity
 NSAIDS
• May prolong bleeding time
• Take with food or water ↓ GI upset
 Narcotics
 Systemic
analgesics
• Decreased alertness
 Opioids
• Bowel function
• Respirations
 Redness
 Ecchymosis
 Edema
 Discharge
 Approximation
 Witch
hazel
 Nupercainal onitment
 Nonpharmacological
• Sitz baths
 Medications
not used/less popular due to
side effects
• Chlorotrianisene (Tace)
• Deladumone OB
• Bromocriptine mesylate (Parlodel)
 You may be asked about these by a family member
 Now-support bras, breast bindings, axillary ice packs
 Flatus
• Antiflatulants
• Ambulation
• Increase water intake
• High-fiber foods
 Colace
 Peri-Colace
 Dulcolax
 MOM
 Mineral
Oil
 Nursing Process Laxatives-pg. 864
 Rho D
Immune Globulin
 Explain erythroblastosis fetalis
 Direct vs. Indirect Coomb’s test
 Given
prenatally in approx. 1-2% of Rhwomen.
 Assessed at initial prenatal visit and
again at 28-29 weeks.
 Can be given IM within 72 hours after
delivery
 Routinely given after maternal/fetal
blood mixing.
 Human D immunoglobulin
 Religious Beliefs**
 AKA
German Measles
 High rate of abortion, neurological
defects
 Congenital rubella syndrome
 First Trimester-risk
 After First Trimester-less risk
 Vaccine is contraindicated during
pregnancy
 Burning
at injection site acidic pH of
vaccine.
 Urticaria-allergic reaction
 Malaise
 Fever
 Headache
 Arthralgia
 Moderate fever
 Hypotension
 Chills
 Dizziness
 Headache
 Pruritis
 Injection
site reaction
 Have epinephrine available to treat
anaphylaxis
 Erythromycin
Ophthalmic Ointment
 Vitamin
K
 Anti-infective agents (cord stump)
• Literature supports drug cord care
 EES-chemical
conjunctivitis
 Vitamin K-prevents bleeding
• Pain and edema at injection site
• Allergic reaction
• Hyperbilirubinemia and jaundice
 Bilirubin and Vitamin K = protein binding sites
 HBV
 Require
maternal consent (signed)
 Number based on mothers HBsAg status
 IM-vastus lateralis (preferred site) or
rectus femoris
 Negative-only one injection
 Positive-two
• HBV vaccine AND HBIG (hepatitis B immune
globulin)
 Page
872