发布时间 : 星期五 文章妇产科护理常规完整版更新完毕开始阅读
产科护理常规 目 录
一、产科一般护理常规·······································3 二、第一产程护理常规·······································3 三、第二产程护理常规·······································4 四、第三产程护理常规·······································5 五、第四产程护理常规·······································5 六、产褥期护理常规·········································6 七、臀位分娩护理常规·······································6 八、母乳喂养护理常规·······································7 九、健康新生儿护理常规·····································8 十、剖宫产护理常规·········································9 十一、催产素引产/催产护理常规······························11 十二、会阴切开缝合术护理常规·······························11 十三、早产分娩护理常规·····································12 十四、多胎分娩护理常规·····································13 十五、妊娠高血压疾病子痫前期护理常规·······················14 十六、妊娠高血压疾病子痫护理常规···························15 十七、前置胎盘护理常规·····································16 十八、胎盘早剥护理常规·····································17 十九、胎膜早破护理常规·····································18 二十. 产后出血护理常规·····································19 二十一、妊娠合并心脏病护理常规·····························20 二十二、妊娠合并甲亢护理常规·······························21 二十三、妊娠合并糖尿病护理常规·····························22 二十四、妊娠期肝内胆汁淤积症（ICP）护理常规················23 二十五、羊水栓塞护理常规···································24
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妇科疾病护理常规
目 录
一、妇科疾病手术一般护理常规···························26 二、妇科腹部手术护理常规·······························27 三、宫外孕非手术治疗护理常规···························28 四、卵巢癌广泛切除手术护理常规·························29 五、子宫颈癌根治手术护理常规···························30 六、阴道手术护理常规···································32 七、直肠阴道瘘及会阴三度撕裂修补手术护理常规···········33 八、尿瘘手术护理常规···································34 九、阴道成形术护理常规·································35 十、外阴癌手术护理常规·································36 十一、功能性子宫出血护理常规···························37 十二、急性盆腔炎护理常规·······························38 十三、妇科恶性肿瘤化疗护理常规·························39
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产科护理常规
一、产科一般护理常规
1. 应用护理程序对患者实施整体护理，做好入院评估及健康教育，做好护理记录。
2. 保持病室清洁、整齐、安静、安全及舒适。每日湿式清扫地面2次。每日通风2次，每次15～30分钟。
3. 一般产妇给予高热量、高蛋白、含丰富维生素的饮食，特殊情况饮食遵医嘱。 4. 入院后测体温、脉搏、呼吸每天2次，连续3天无异常者改每天1次。体温在37.5℃以上者每天5次，38.5℃以上者每4小时1次，39℃以上者按高热护理常规护理。每天记录大便1次。
5. 根据有无产兆，将患者送入待产室或病房，遵医嘱进行分级护理；观察胎心及产兆，每班听胎心1次，如有胎心异常者予以吸氧，左侧卧位，并报告医生及时处理。如有胎膜破裂者嘱患者卧床，听胎心并立即报告医师。
6. 经常巡视患者，了解病情，进行母乳喂养指导及健康指导，保持各种管道通畅。
7. 根据患者心理特征，实施心理护理。
二、第一产程护理常规 1. 按产科一般护理常规护理。
2. 患者临产后立即送入待产室。助产士热情接待患者，做好环境介绍，进行母乳喂养知识强化教育，帮助患者掌握分娩时的呼吸技巧和躯体放松技巧，以便顺利度过分娩全过程。
3. 认真查看门诊资料，掌握患者孕期动态，严密观察产程进展，做好产时评估。
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4. 保持室内环境安静、清洁及空气清新。
5. 注意患者的营养，鼓励少量多次进食，以清淡、易消化饮食为宜。并注意摄入足够水分。
6. 注意患者的生命体征，特殊患者按医嘱执行。潜伏期每60分钟、活跃期每15～30分钟听胎心1次、每小时观察宫缩1次，必要时做胎心监护。每2～4小时做肛查或阴道检查1次，并及时做好记录。 7. 做好心理护理，尽可能消除患者的焦虑、恐惧。
8. 注意患者的休息及膀胱排空情况，必要时根据医嘱给予镇静剂和补液；做好外阴皮肤准备。
9. 胎膜破裂后，立即听胎心，注意羊水的性状、颜色和量，同时记录破膜时间，发现异常，立即报告医师。胎头高浮者抬高臀部，以防脐带脱垂。 10. 有感染者，应予以隔离。
11. 初产妇宫口开全，经产妇宫口开大3～4cm，即送入分娩室，准备分娩。
三、第二产程护理常规
1. 调节好分娩室内的环境温度，将患者送入分娩室的产床上，医护人员应守护在待产妇的旁边，做好第二产程常规指导，如屏气用力。
2. 做好待产妇的心理护理，鼓励待产妇积极配合医护人员，确保产程顺利进行。 3. 严密观察宫缩的强度、频率及性质。使用胎心监护仪监测胎心，并做好记录。注意产程进展，如胎头下降及宫口扩张情况，如有异常及时报告医师，尽快结束分娩。
4. 准备好接生用物及新生儿抢救用物，调节好新生儿辐射台的温度；做好外阴清洁消毒。
5. 接生 接生者消毒双手，铺无菌巾，穿无菌衣，戴无菌手套，接生过程中注意无菌操作。保护好会阴，必要时行会阴侧切术。
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