Antenatal prevention and primary nursing patient

Antenatal prevention and primary nursing patientHow is the patronage of a pregnant woman? As soon as a pregnant woman becomes registered in female consultation, information is transmitted in the regional children's hospital. The ward nurse performs 2 antenatal patronage to the pregnant woman. First of patronage shall be conducted within the first 10 days after admission to the hospital information about the pregnant woman, and the second during the period of maternity leave pregnant, during the 32nd week of pregnancy. When conducting patronage nurse gives pregnant tips on relaxation, nutrition, helps prepare the Breasts for lactation. Visiting nurse must help the expectant mother to prepare everything necessary to care for a newborn with regard to the living conditions of the family. As should be organized nutrition of pregnant women? Much attention in the patronage nurse pays nutrition. Nutrition of pregnant women must cover the increased needs of the body in all major substances. The need for protein in the first months of pregnancy is 90-100 g, in the second half - 130 grams per day. In the daily diet to include lean meats up to 120-200 grams per day, or fish - 150-250 grams per day. Milk and milk products included in the diet as a protein source and as the main suppliers of salts of calcium and phosphorus. The amount of fat should not be brought up to 80-100 grams per day, with part of the butter, it is desirable to replace the sour cream and be sure to include 15-30 grams of vegetable oil. Carbohydrates - not more than 400-500 grams per day. Required raw vegetables and fresh fruits. A particular problem in the nutrition of pregnant women is the provision of a diet with iron. The daily requirement of iron reaches 15-20 mg. To ensure this amount of iron must be regularly included in the menu of meats, egg yolk, wholesome cereals (buckwheat, oat). When signs anemizatsii recommended iron supplements. Diet restrictions relate primarily of salt, but salt food within normal limits is acceptable. If you experience swelling reduced daily rate of the fluid. You should limit and obligate allergens, especially if the woman has ever had an allergic reaction. When is the first nursing a newborn? The senior nurse of the children's polyclinic, having received information about discharge of the infant from the hospital on the same day, records the data in the log newborns; it fills in the history of the development of the newborn pastes in her ear antenatal patronage, tells the story of development in the registry or directly to the ward nurse. First of patronage to the child must be made no later than 1-2 days after discharge from the hospital; premature infants with perinatal and congenital disorders sister must visit on the day of discharge. If this day is a Saturday or a Sunday, the children attending the on-call pediatrician. How is primary nursing a newborn? Primary supervision is carried out by the ward doctor and nurse together. To visit the newborn they need to get clean gowns, masks, sterile material for processing umbilical wound, the set of necessary medicines. Sterile material is issued in a special packaging (bags, bottles). Medical gowns and masks remain at home in the newborn, for their purity is monitored by the mother. The robe and mask are returned by the mother during the first visit to the pediatric clinic at the child reaches the age of 1 month. When conducting primary patronage of the mother of recommendations for the protection of their health: a day of rest, a variety of food, enhanced water, personal hygiene (daily take FLS or wash the body to the waist, daily change bra, wash hands after coming from the street, before diapering and feeding the baby, and so on). What is a sample diet of lactating women? Estimated daily set of products for breastfeeding women consists of: 200 grams of meat, 1 liter of milk in any form, 100-150 g of cottage cheese, 20-30 grams of cheese, 1 egg, 300-350 g bakery products, 600 g of vegetables (of which not more than 200 g potatoes), 200-300 g of fruit that provides sufficient intake of minerals and vitamins. Nursing mothers should avoid food-allergens: citrus fruits, strawberries, chocolate, organic coffee, savoury, strong broths, canned products, excess eggs, sausages. Drinking and Smoking are eliminated. Rational diet must be combined with adequate rest (8 hours of sleep at night and 1-2 hours in the afternoon, walking in the fresh air). What are the physiological factors of lactation? Lactation - act psychophysiological, therefore, a favorable psychological climate in the family, a great desire of the mother to provide their child with breast milk, conversation, assuring the mother confidence all contribute to the preservation of lactation for a long period. How is the treatment of hypogalactia? Medical treatment of hypogalactia conducted a district pediatrician, includes the use of nicotinic acid, vitamin B, prolactin, glutamic acid, apilak and other drugs. The role of the ward nurses is to oversee the implementation of all doctor's prescriptions..



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