Postpartum Period & Complications: Nursing Care, Emotional Health, and Emergency Interventions | Chapter 25 from Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition)

Postpartum Period & Complications: Nursing Care, Emotional Health, and Emergency Interventions | Chapter 25 from Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition)

Book cover

Welcome to Chapter 25 of the Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) by Linda Anne Silvestri and Angela E. Silvestri. This vital chapter addresses nursing care and potential complications during the postpartum period, from physiologic maternal changes to life-threatening emergencies and emotional well-being. Mastery of these concepts supports safe, individualized care and is critical for NCLEX-PN exam success and real-world practice.

Watch the complete video summary below, and subscribe to Last Minute Lecture for in-depth postpartum care guides, NCLEX-PN clinical walkthroughs, and emergency nursing strategies:

Physiological Changes and Routine Postpartum Assessments

  • Uterine Involution: Fundal height, position, and assessment techniques.
  • Lochia Progression: Rubra, serosa, alba—timing, characteristics, and expected findings.
  • Return of Menstruation: Differences in breastfeeding versus nonbreastfeeding mothers.
  • Perineal healing, bladder and bowel care, and breast changes with lactation.

Emotional Health and Client Teaching

  • Parent-newborn bonding assessment and reinforcement.
  • Emotional Changes: Postpartum blues, depression, and psychosis—recognition and nursing interventions.
  • Client teaching: newborn care, breastfeeding support, perineal care, nutrition, contraception, and signs to report.

Postpartum Discomforts and Relief Strategies

  • Managing pain, afterpains, engorgement, constipation, and hemorrhoids.
  • Techniques for episiotomy and perineal care, breast care, and LATCH evaluation for breastfeeding success.

Complications and Emergency Interventions

  • Postpartum Hemorrhage: Causes (uterine atony, laceration, retained placenta), assessment, fundal massage, and rapid response.
  • Vulvar Hematoma: Signs, complications, and need for surgical management.
  • Infections: Endometritis, cystitis, mastitis—prevention, signs, and nursing interventions.
  • Thrombophlebitis and Pulmonary Embolism: Risk factors, prevention, recognition, and emergency care.
  • Subinvolution, RhoGAM and rubella immunization, perinatal loss, and grief support.

Want more NCLEX-PN postpartum scenarios and clinical skills? Watch the video above and subscribe to Last Minute Lecture for chapter-by-chapter review and expert nursing guidance!

Conclusion: Comprehensive Support for Postpartum Clients

Chapter 25 of Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) ensures that you can confidently assess, support, and intervene during the postpartum period—promoting maternal and newborn health, recognizing complications early, and providing sensitive emotional support. These skills are crucial for both NCLEX-PN success and professional nursing practice.

If you found this breakdown helpful, subscribe to Last Minute Lecture for more NCLEX-PN postpartum care, emergency interventions, and evidence-based study tips.

If you found this breakdown helpful, be sure to subscribe to Last Minute Lecture for more chapter-by-chapter textbook summaries and academic study guides.

Explore the full YouTube playlist for Saunders Comprehensive Review for the NCLEX-PN Examination (7th Edition) here: Complete Playlist

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