MATERNAL NEWBORN ATI REMEDIATION

Assessment and Management of Newborn Complications Assessment and management of newborn complications include assessment, risk factors, and collaborative care. Complications include: o Neonatal Substance Withdrawal o Hypoglycemia o Respiratory Distress o Meconium aspiration o Preterm size of the newborn o Postmature newborn o Macrocosmic newborn o Congenital abnormalities Nursing Care of Newborns: Performing Suctioning with a Bulb Syringe Interventions for stabilization and resuscitation of airway o The newborn is able to clear most secretions in air passages by the cough reflex. Routine suctioning of the mouth, then the nasal passages with a bulb syringe, is done to remove excess mucus in the respiratory tract. o Newborns delivered by C-sections are more likely to have more fluid remain in the lungs than newborns delivered by vaginal birth. o If bulb suctioning is unsuccessful, mechanical suctioning and back blows and chest thrusts can be used. o The bulb syringe should be kept with the newborn, and the newborn’s family should be instructed on how it is to be used. ▪ Compress bulb before insertion into one side of the mouth. ▪ Avoid center of the mouth to prevent stimulating the gag reflex. ▪ Aspirate mouth first, one nostril, then continue to the second nostril. Client Education and Discharge Teaching: Teaching about Sore Nipples o Inquire about patient’s current knowledge regarding self-care. o Assess the patient’s home support system and who will be there to assist. Include support persons in the educational process. o Determine the patient’s readiness for learning and her ability to verbalize or demonstrate the information she has been given. o Clients who are lactating: ▪ Place the newborn skin to skin as soon as possible following the birth and initiate breastfeeding within the first 1-2 hour after birth. ▪ Emphasize the importance of hand hygiene prior to breastfeeding to prevent infection. ▪ Allow the infant to feed until the breast softens. IF the 2nd breast doesn’t soften after feeding, the milk can be expressed by breast pump. ▪ For flat or inverted nipples, suggest that the patient roll the nipples between the fingers just before feeding. ▪ For sore nipples, the client should apply a small amount of breast milk to her nipple and allow it to air dry if they are irritated and cracked.