ATI-RN Maternal Newborn Study Guide
Newborn Septic Shock:
The nurse ought to screen the blood stress of a newborn who is at threat for septic surprise and
should become aware of reduced blood pressure as a demonstration of this hardship. Other
manifestations encompass tachypnea, tachycardia, mottled or grey-colored pores and skin, cool
extremities, and a rapid pulse.
Early PostPartum Period:
Dark Red Lochia will pool in the vagina when the client is lying in bed and could drift out of the
vagina while the consumer stands up. After preliminary gush, the bleeding will gradual to a
trickle of brilliant red lochia.
Retained placental fragments
-immoderate vaginal bleeding that does not forestall.
-Can cause early PPH, however maximum common cause of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain control, Antibiotics publish, Sonography, Curettage
(D&C)
Damaged Blood Vessel
Blood will spurt out of the vagina, and the glide will no longer sluggish.
Lochia Flow:
will step by step decrease at some stage in postpartum period.
Gomco Clamp Circumcision
-Pressure of clamp for 3-five mins, then slit/cut away excess skin
-Petroleum gauze strips to website after to prevent sticking to diaper
,-Apply petroleum jelly to the penis with every diaper exchange to shield incision from touch with
urine and feces.
- No towelettes
- Do now not put off and yellow exudate (can cause pain and bleeding - a part of recovery
manner)
- Do not wrap penis with dry gauze (can adhere and motive pain and bleeding at elimination).
Psychological Task:
Accepting the Pregnancy - First Trimester
Accepting the infant
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
Uses to relax uterine clean muscle to inhibit uterine activity.
- Involves bronchodilation
Adverse Reaction:
Tachycardia (if pulse is greater than a hundred thirty/min, the drugs desires to be held until HCP
is notified.)
Terbutaline is a tocolytic medicinal drug that reasons uterine relaxation and is used to treat
preterm exertions. It isn't the proper remedy to deal with uterine atony.
Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
Monitor I/O (blood waft to and from coronary heart will increase for atleast the first 24 hours after
delivery) this places the purchaser at excessive chance of cardiac decompensation and fluid
overload.
,Follow a excessive-fiber eating regimen to save you straining with bowl movements because
the pushing attempt (valsalva maneuver) can result in cardiac stress.
Initiate bedrest with the hob expanded to sell rest and decrease the customers oxygen
consumption.
Preventing Mastitis:
Use finger to launch suction on nipple after feeding.
Galactagogue Medications and Herbs can growth the clients milk supply. This INCREASES the
danger of mastitis, if the little one does now not empty the breast.
Waiting too long among feedings can bring about clogging or plugging of nipples, this may
INCREASE the chance of mastitis.
Wearing underwire bra is related to expanded hazard for mastitis due to blocking the breast
from emptying absolutely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
Maternal Infection
Maternal Diabetes
Administration of Oxytocin at some stage in Labor
Delivery of a Stillborn Child:
-Unrestricted Access to Childs Body. (manner annoying occasion)
If the dad and mom express a desire to peer an anomaly, the nurse ought to allow it and explain
what they may be viewing.
Allow Privacy and Holding of Child.
Physical Assessment of Newborn following Vaginal Birth:
, Report small, pinpoint, reddish-crimson spots at the chest (petechiae) - usually observed above
the neck if the umbilical twine changed into across the newborns neck at delivery. This can
imply Infection or Low Platelet Count.
Bluish Feet and palms (acrocyanosis) - frequently found in newborns is an predicted finding.
Overlapping Suture Lines (Cranial Bones Overlap) also referred to as molding. - this facilitates
the fetal head circulate through the canal and is an predicted locating.
After 35 weeks a White, cheese-like substance overlaying skin (vernix caseosa) - facilitates
hydrate and guard newborns pores and skin after delivery. This is an predicted finding.
Milia are whiteheads at the face and forehead and are a everyday variation.
Epstein pearls are white nodules at the gums and are a ordinary variant.
Meconium stools are an anticipated locating within the first 12 to 48 hours after start. (Meconium
is a new child's first poop. This sticky, thick, darkish inexperienced poop is made of cells,
protein, fats, and intestinal secretions, like bile. Babies typically bypass meconium
(mih-KOH-nee-em) in the first few hours and days after birth.)
Morning Sickness
Caused by the buildup of human chorionic gonadotropin (hCG) within the moms machine.
Dry meals eaten before rising inside the morning generally tend to reduce the chance of
nausea. (crackers)
Eat ingredients served at cool temps.
Decrease Fluid Intake all through meals to save you overdistention of the stomach. This
reduces nausea and vomiting.
Teach to Avoid brush teeth without delay after food to lower nausea and vomiting.
Gonorrhea
A sexually transmitted bacterial ailment because of a gonococcus bacterium that reasons
inflammation of the genital mucous membrane, burning ache while urinating, and a discharge.
Newborn Septic Shock:
The nurse ought to screen the blood stress of a newborn who is at threat for septic surprise and
should become aware of reduced blood pressure as a demonstration of this hardship. Other
manifestations encompass tachypnea, tachycardia, mottled or grey-colored pores and skin, cool
extremities, and a rapid pulse.
Early PostPartum Period:
Dark Red Lochia will pool in the vagina when the client is lying in bed and could drift out of the
vagina while the consumer stands up. After preliminary gush, the bleeding will gradual to a
trickle of brilliant red lochia.
Retained placental fragments
-immoderate vaginal bleeding that does not forestall.
-Can cause early PPH, however maximum common cause of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain control, Antibiotics publish, Sonography, Curettage
(D&C)
Damaged Blood Vessel
Blood will spurt out of the vagina, and the glide will no longer sluggish.
Lochia Flow:
will step by step decrease at some stage in postpartum period.
Gomco Clamp Circumcision
-Pressure of clamp for 3-five mins, then slit/cut away excess skin
-Petroleum gauze strips to website after to prevent sticking to diaper
,-Apply petroleum jelly to the penis with every diaper exchange to shield incision from touch with
urine and feces.
- No towelettes
- Do now not put off and yellow exudate (can cause pain and bleeding - a part of recovery
manner)
- Do not wrap penis with dry gauze (can adhere and motive pain and bleeding at elimination).
Psychological Task:
Accepting the Pregnancy - First Trimester
Accepting the infant
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
Uses to relax uterine clean muscle to inhibit uterine activity.
- Involves bronchodilation
Adverse Reaction:
Tachycardia (if pulse is greater than a hundred thirty/min, the drugs desires to be held until HCP
is notified.)
Terbutaline is a tocolytic medicinal drug that reasons uterine relaxation and is used to treat
preterm exertions. It isn't the proper remedy to deal with uterine atony.
Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
Monitor I/O (blood waft to and from coronary heart will increase for atleast the first 24 hours after
delivery) this places the purchaser at excessive chance of cardiac decompensation and fluid
overload.
,Follow a excessive-fiber eating regimen to save you straining with bowl movements because
the pushing attempt (valsalva maneuver) can result in cardiac stress.
Initiate bedrest with the hob expanded to sell rest and decrease the customers oxygen
consumption.
Preventing Mastitis:
Use finger to launch suction on nipple after feeding.
Galactagogue Medications and Herbs can growth the clients milk supply. This INCREASES the
danger of mastitis, if the little one does now not empty the breast.
Waiting too long among feedings can bring about clogging or plugging of nipples, this may
INCREASE the chance of mastitis.
Wearing underwire bra is related to expanded hazard for mastitis due to blocking the breast
from emptying absolutely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
Maternal Infection
Maternal Diabetes
Administration of Oxytocin at some stage in Labor
Delivery of a Stillborn Child:
-Unrestricted Access to Childs Body. (manner annoying occasion)
If the dad and mom express a desire to peer an anomaly, the nurse ought to allow it and explain
what they may be viewing.
Allow Privacy and Holding of Child.
Physical Assessment of Newborn following Vaginal Birth:
, Report small, pinpoint, reddish-crimson spots at the chest (petechiae) - usually observed above
the neck if the umbilical twine changed into across the newborns neck at delivery. This can
imply Infection or Low Platelet Count.
Bluish Feet and palms (acrocyanosis) - frequently found in newborns is an predicted finding.
Overlapping Suture Lines (Cranial Bones Overlap) also referred to as molding. - this facilitates
the fetal head circulate through the canal and is an predicted locating.
After 35 weeks a White, cheese-like substance overlaying skin (vernix caseosa) - facilitates
hydrate and guard newborns pores and skin after delivery. This is an predicted finding.
Milia are whiteheads at the face and forehead and are a everyday variation.
Epstein pearls are white nodules at the gums and are a ordinary variant.
Meconium stools are an anticipated locating within the first 12 to 48 hours after start. (Meconium
is a new child's first poop. This sticky, thick, darkish inexperienced poop is made of cells,
protein, fats, and intestinal secretions, like bile. Babies typically bypass meconium
(mih-KOH-nee-em) in the first few hours and days after birth.)
Morning Sickness
Caused by the buildup of human chorionic gonadotropin (hCG) within the moms machine.
Dry meals eaten before rising inside the morning generally tend to reduce the chance of
nausea. (crackers)
Eat ingredients served at cool temps.
Decrease Fluid Intake all through meals to save you overdistention of the stomach. This
reduces nausea and vomiting.
Teach to Avoid brush teeth without delay after food to lower nausea and vomiting.
Gonorrhea
A sexually transmitted bacterial ailment because of a gonococcus bacterium that reasons
inflammation of the genital mucous membrane, burning ache while urinating, and a discharge.
