Postpartum Care

No.	Competency Item	NAC	DEV	COM	DTE	EXC
CE-06-01	Demonstrate knowledge of involution process.
CE-06-02	Demonstrate knowledge of medical terminology as it applies to postpartum client.
	Demonstrate ability to perform assessment of post delivery client such as:
CE-06-03	breasts / nipples
CE-06-04	caesarean section incision
CE-06-05	fundus
CE-06-06	hemorrhoids
CE-06-07	lochia
CE-06-08	perineum
CE-06-09	vital signs.
	Demonstrate ability to recognize post-delivery complications such as:
CE-06-10	boggy fundus
CE-06-11	client passing large clots or tissue
CE-06-12	difficulty voiding or distended bladder
CE-06-13	displaced fundus
CE-06-14	edema (hands and feet)
CE-06-15	high blood pressure
CE-06-16	postpartum hemorrhage
CE-06-17	seizure activity.
CE-06-18	Demonstrate ability to provide appropriate nursing interventions.
	Demonstrate ability to recognize physiological changes such as:
CE-06-19	after pains
CE-06-20	cervical closure
CE-06-21	constipation
CE-06-22	decreased perineal muscle tone
CE-06-23	diuresis
CE-06-24	involution of uteruse
CE-06-25	lactation
CE-06-26	ovulation / menstruation
CE-06-27	vaginal rugae
CE-06-28	vital sign changes
CE-06-29	diaphoresis
CE-06-30	weight loss.
	Demonstrate ability to recognize psychological changes such as:
CE-06-31	bonding
CE-06-32	postpartum blues
CE-06-33	postpartum depression.
	Demonstrate the ability to teach and support client in ongoing postpartum care such as:
CE-06-34	breast feeding / bottle feeding
CE-06-35	changes in family dynamics
CE-06-36	nutrition and exercise
CE-06-37	importance of rest
CE-06-38	involution
CE-06-39	newborn care
CE-06-40	perineal hygiene
CE-06-41	personal hygiene
CE-06-42	physiological changes
CE-06-43	psychological changes.
	Demonstrate the ability to perform ongoing assessments during postpartum period such as:
CE-06-44	bowel function
CE-06-45	breasts
CE-06-46	caesarean section incision
CE-06-47	edema
CE-06-48	fundus
CE-06-49	legs (deep vein thrombosis)
CE-06-50	lochia
CE-06-51	pain in breasts, uterus, perineum, other
CE-06-52	perineum – episiotomy / hemorrhoids
CE-06-53	vital signs
CE-06-54	voiding.
CE-06-55	Demonstrate ability to safely use equipment needed in the postpartum period.
CE-06-56	Demonstrate the ability to assist mother with breast feeding.
CE-06-57	Demonstrate the ability to initiate inter-agency referrals as part of discharge planning.
CE-06-58	Demonstrate ability to provide discharge teaching to mother, father and / or significant other.