Maternal Newborn Practice B 2019
Maternal Newborn Practice B 2019 Maternal Newborn Practice B 2019 Promotion of security & safety of newborn: - "Staff members who take care of your baby will be wearing a photo identification badge." 10 wk gestation, lab finding to report: - Hemoglobin 10g/dL Rational: reference range of greater than 11g/dL for pregnant client client receiving Magnesium Sulfate IV, action to take: - Have calcium gluconate readily available Active labor, no cervical change in last 4hrs: - "Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions.: Rational: Insertion of an intrauterine pressure catheter is necessary to determine uterine contraction intensity, frequency, and duration which will identify whether the contractions are adequate for progression of labor. newborn transferred into nursery 30min after birth, action to take first: - Verify the newborns identification. Assessment for manifestations of hypoglycemia, finding to expect: - Jitteriness Rational: Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea, abnormal cry, poor feeding, and seizures are expected findings of hypoglycemia. Newborns who are small or large for gestational age and late preterm newborns are at an increased risk for hypoglycemia. Prenatal clinical, menstrual period 2 wks late, client anxious: - "You can miss your period for several other reasons. Describe your typical menstrual cycle." Rational: Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should explore the client's menstrual cycle to determine other necessary interventions. 1st trimester, placement of the doppler ultrasound stethoscope in what location for FHT: - Just above the symphysis pubis.
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- 13 april 2021
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