Type of Exercise General Description Indication/Purpose Client’s response Nursing Responsibility

Ambulation Ambulation, or walking, is a Encouraging new mothers to - The client Prior:

vital aspect of postoperative ambulate gently and gradually independently walks
care for new mothers aids in pain management by on her own to reduce - Assess the client’s
recovering from a cesarean promoting circulation and the pain in her stitch. overall health status,
section (C-section). Following releasing natural pain- including vital signs,
a C-section, ambulation serves relieving hormones. It also - The procedure is done level of pain, and any
multiple purposes in helps prevent complications in a careful manner in specific concerns or
facilitating recovery and such as blood clots and order to lessen the limitations that may
promoting overall well-being. pneumonia by improving pain. affect her ability to
blood flow and respiratory ambulate safely.
function. Furthermore, - Explain the purpose of
ambulation supports the the procedure.
healing process by promoting During:
tissue repair and reducing the - Assess the client’s
risk of postoperative pain level.
complications. - Monitor the client’s
response towards the
procedure, including
vital signs, pain level,
and any signs of
distress and difficulty.
After:
- Document the
patient’s response to
ambulation, including
changes in vital signs,
pain assessment, and
the distance or
duration of ambulation
achieved.
 Progressive movement of
Active Assistive ROM joints and muscles with partial
assistance from the therapist
or the patient’s mother,
usually ankle circumduction,
knee flexion and extension.
To gradually increase joint
mobility, strengthen muscles,
decrease stiffness and
promote good circulation.
- The patient cooperates with
her mother in stretching her
legs, knees and feet.
- The procedure is done in a
careful manner in order to
lessen the pain.
Prior:
- Check the vital signs of the
patient.
- Assess the physical
condition of the patient, level
of pain and assist in proper
positioning.
- Ensure that the environment
is safe.
- Assess the ability and
readiness of the patient.
During:
- Begin the procedure with
precaution.
- Provide assistance to the
patient and give emotional
support throughout the
process.
- Monitor and observe the
condition of the patient.
After:

Type of Exercise General Description
A breathing technique called
Diaphragmatic breathing diaphragmatic breathing
works the diaphragm, an
important muscle that allows
breathing
Indication/Purpose
It can be a helpful tool in
managing and relieving pain.
While it may not eliminate
pain entirely, it can contribute
to a sense of relaxation and
help reduce the perception of
pain.
Client’s response
- This helps the patient to
calm and relaxes her body.
- This helps to ease the pain
on her incision site.
- Evaluate the response of the
patient and assist in position
of comfort.
- Attend to the needs of the
patient.
- Provide education regarding
proper body mechanics.
Nursing Responsibility
Prior:
- Explain to the patient and
mother the procedure of
the exercise and gain
consent.
- Obtain patient’s vital
signs.
- Established rapport and
trusting relationship with
the patient and mother.
- Ensure a safe environment
 for the patient.

- Assist the patient in

comfortable position.

During:

- Aid in providing health

teaching in regard to the
process of healing.

- Assist with health

education about adapting
to new life situations, not
just physically but
holistically.

- Advise patient and mother

to notify and report
immediately any
discomfort.

- Observe any pain or

discomfort.

- Be aware of non-verbal
cues.
- Assist the patient in the
exercise and do not put
too much pressure to do it.

After:

- Monitor patient’s progress

and response to the
exercise.

- Assist the patient in a

comfortable position.

- Obtain patient vital signs.

- Document and record all

the intervention done.