ATI: RN Maternal Newborn 2019
Remediation
1. Infections: Treatment for Gonorrhea.
- Maternal infections during pregnancy require prompt identification
and treatment by a provider.
- Lab tests done for Gonorrhea:
● Urethral and vaginal cultures
● Urine culture
- Medications prescribed for Gonorrhea:
● Ceftriaxone (Rocephin) IM
● Azithromycin (Zithromax) PO
- One dose prescription
- Broad-spectrum antibiotic
- Bactericidal action
2. Pain Management: Nursing Actions to Reduce Pain.
- With pain, it is important to attempt nonpharmacological
treatments to relieve pain. These treatments could be effleurage,
music therapy, hydrotherapy, massage, position changes,
hypnosis, biofeedback.
- If these don't work, pharmacological pain management may be
used this includes: sedatives, opioid analgesics, epidural and spinal
analgesia, regional blocks, or general anesthesia.
3. Sources of Nutrition: Teaching a Client About High-Calcium Food. (see
TEMPLATE as well)
- Calcium is important due to its involvement of bone and teeth
formation. Sources include milk, fortified soy milk, fortified orange
juice, nuts, legumes, dark leafy vegetables. Daily recommendation is
1,000 mg for pregnant and non-pregnant women over the age of 19
and 1,300 mg for those under 19.
4. Early Onset of Labor: Laboratory Values During Tocolytic Therapy.
- Fetal fibronectin (can be related to inflammation of the placenta that
can lead to preterm birth), cervical cultures (test for presence of
infectious organisms), CBC, and urinalysis are assessed during
preterm labor.
● 1. Monitor for magnesium sulfate toxicity- loss of deep tendon
reflexes, urinary output less than 30 mL/hour, respiratory
depression.
● 2. Positive nitrazine paper test or positive ferning test is
conducted on amniotic fluid to verify rupture of membranes.
● 3. After PROM, obtain CBC test.
, 5. Medical Conditions: Client Teaching About Magnesium Sulfate.
- Magnesium sulfate is an anticonvulsant that would be prescribed for a
client who is exhibiting signs and symptoms of severe preeclampsia
as evidenced by this client's elevated blood pressure and 3+
proteinuria.
Remediation
1. Infections: Treatment for Gonorrhea.
- Maternal infections during pregnancy require prompt identification
and treatment by a provider.
- Lab tests done for Gonorrhea:
● Urethral and vaginal cultures
● Urine culture
- Medications prescribed for Gonorrhea:
● Ceftriaxone (Rocephin) IM
● Azithromycin (Zithromax) PO
- One dose prescription
- Broad-spectrum antibiotic
- Bactericidal action
2. Pain Management: Nursing Actions to Reduce Pain.
- With pain, it is important to attempt nonpharmacological
treatments to relieve pain. These treatments could be effleurage,
music therapy, hydrotherapy, massage, position changes,
hypnosis, biofeedback.
- If these don't work, pharmacological pain management may be
used this includes: sedatives, opioid analgesics, epidural and spinal
analgesia, regional blocks, or general anesthesia.
3. Sources of Nutrition: Teaching a Client About High-Calcium Food. (see
TEMPLATE as well)
- Calcium is important due to its involvement of bone and teeth
formation. Sources include milk, fortified soy milk, fortified orange
juice, nuts, legumes, dark leafy vegetables. Daily recommendation is
1,000 mg for pregnant and non-pregnant women over the age of 19
and 1,300 mg for those under 19.
4. Early Onset of Labor: Laboratory Values During Tocolytic Therapy.
- Fetal fibronectin (can be related to inflammation of the placenta that
can lead to preterm birth), cervical cultures (test for presence of
infectious organisms), CBC, and urinalysis are assessed during
preterm labor.
● 1. Monitor for magnesium sulfate toxicity- loss of deep tendon
reflexes, urinary output less than 30 mL/hour, respiratory
depression.
● 2. Positive nitrazine paper test or positive ferning test is
conducted on amniotic fluid to verify rupture of membranes.
● 3. After PROM, obtain CBC test.
, 5. Medical Conditions: Client Teaching About Magnesium Sulfate.
- Magnesium sulfate is an anticonvulsant that would be prescribed for a
client who is exhibiting signs and symptoms of severe preeclampsia
as evidenced by this client's elevated blood pressure and 3+
proteinuria.
