1. Nursing Care and Discharge Teaching: Circumcision Care
a. Check bleeding every 15 minutes the first hour then hourly for at least 12 hours, first
voiding.
b. Apply petroleum jelly with each diaper change for at least 24 hours after circumcision to
keep diaper from adhering to penis.
c. Never wrap tight gauze, no tub baths until it healed.
2. Assessment and management of newborn complications: postpartum rubella management
a. Patient who has a titer of less than 1:8 is administered a subcutaneous injection of
rubella vaccine during postpartum period to protect subsequent fetus from
malformations.
b. Instruct patient not to get pregnant for 1 month following immunization
3. Pain management: complication of epidural anesthesia
a. When giving this medication to the patient, make sure to check blood pressure because
it can cause hypotension.
4. Postpartum infections: Mastitis
a. Women who is breastfeeding that becomes painful, swollen and red, it usually common
in the first 3 months of breastfeeding. Engourgement occurs due to poor milk drainage,
and related to nipple trauma with resultant swelling and compression of one or more
milk ducts.
5. Early onset of labor: actions of terbutaline
a. This stop or delay preterm labor due to preventing and slowing contractions of the
uterus.
6. Assessment of fetal well-being: Nonstress test
a. It evaluates baby’s health before birth. It provide useful information about baby’s
oxygen supply by checking his or her heart rate and how it responds to baby’s
movement.
7. Clinical findings of Ectopic pregnancy
a. Pain, amenorrhea and vaginal bleeding. This is usually present with bleeding and may
have abdominal tenderness.
8. Promoting Infant security
a. Make sure not to give the baby to anyone even though they are a family member of the
patient.
b. They need to have identification photo and make sure that the mother have the consent
to whom can hold the baby.
9. Semen analysis – diagnostic procedure of infertility. This may need to be repeated.
10. Manifestations of Trisomy 21
a. Short neck
b. Flat face with an upward slant to the eyes
c. Protruding tongue
d. Small head
e. Deep crease in the palm of the hand with relatively short fingers.
f. White spots in the iris of the eye
g. Poor muscle tone
11. Hepatitis B schedule
a. For women infected with hepatitis b, hepatitis b immune globulin along with vaccine is
given within 12 hour of birth.
12. Teaching about nutrition
a. 6 months old can have fruity juice, but make sure to give it limited.
13. Nursing care and discharge teaching of bathing
a. Always start of with the cleanest to dirtiest. Head to toe then the diaper because diaper
is the dirtiest of all.
b. Bath 3 times a week
14. Inevitable abortion
a. Make sure to be there with the patient and educate the patient for the future
pregnancy.
b. Being there with the patient shows good rapport between patient and nurse
relationship.