ati_vati_maternal_newborn_remediation QUESTIONS AND ANSWERS 100% CORRECT

1. How can the nurse prevent infant abduction? Identification is applied to the newborn by the nurse immediately after birth. The nurse should ensure the information on the infant’s and parent’s bracelets matches exactly. It is an important safety measure to prevent the newborn from being given to the wrong parents, switched, or abducted. The newborn, client, and client’s partner are identified by plastic identification wristbands with permanent locks that must be cut to be removed. Identification bands should include the newborn’s name, sex, date, and time of birth, and client’s medical record number. The newborn should have one band placed on the ankle and one on the wrist. In addition, the newborn’s footprints and client’s finger print are taken. The above information is also included with the footprint sheet 2. A nurse is caring for a client during a nonstress test. What is the nurse's responsibility during the test and what teaching should be reinforced? • Obtaining information regarding the patient most current health status to identify any contraindications for implementing the stress testing. • Obtain informed consent as indicated as indicated. • Obtain an EKG. • Operating appropriate exercise equipment as indicated. • Monitoring vital signs. What teaching should be reinforce • ECG stress testing is painless, has little risk, and does not use radiation. • During the procedure you will lie on a reclining chair. You will have your blood pressure taken at regular interval during test • Instruct the client to press the button on the handheld event marker each time she feels the fetus move. 3. What education should the nurse reinforce to the postpartum client regarding mastitis? • Improper latch is most common cause of nipple soreness and mastitis • Use ice packs or warm packs on her affected breasts for discomfort. • Begin breastfeeding from the unaffected breast first to initiate the letdown reflex in the affected breast that is distended or tender. • Continue breastfeeding frequently (at least every 2 to 4 hr), especially on the affected side. Instruct clients to manually express breast milk or use a breast pump if breastfeeding is too painful. If an abscess forms, it can cause contamination of breast milk. If this occurs, breastfeeding should be stopped and the breasts pumped until resolved. 4. How is Nagele's rule used to calculate the estimated date of birth? Naegele’s rule: Take the first day of the woman’s last menstrual cycle, subtract 3 months, and then add 7 days and 1 year, adjusting for the year as necessary.