NURSING 101 Med surge VATI

NURSING 101 Med surge VATI 1. Complete an ATI Focused Review® 1.Amniocentesis is used for locating the placenta and determing the fetal position. The client should empty their bladder prior to the procedure to prevent complications. The client should rest for 24 hours after the procedure. 2. Discharge teaching a newborn should have 6-8 wet diapers in a 24 hour period. Newborns cry when they are overstiumulated, wet, hungry, need burped, hot, tired, or cold. It is okay to let the baby cry for short periods of time 3.New borns should never sleep in a parents bed, They get days and nights mixed up. If chanign the baby at night use a small night light instead of a biright over head light to keep the baby relaxed. Baby should be placed on back when sleeping 4.Postpartum infections can occur up to 28 days after birth. Patient shoud practice good handwashing hygiene frequently. Prolonged labor and C-sections are high risk facoters for infection. 2. Answer the following questions and review the suggested learning activities. Send me your answers here. Discuss five (5) general safety tips that should be provided to parents before discharge. 1. Never leave the baby unattended with small pets or other children. 2. Never place the baby on their stomach during the first few months of life alone. 3. Keep small objcets out of reach 4. The slats on the babys crib should be no more than 2.25 inches apart 5. Baby’s mattress should be firm and no loose blankets or sheets A priority safety measure of a Maternal Newborn nurse is infant safety in the acute care setting. What measures can the nurse implement to prevent infant abduction? The newborn is not to be given to someone who is not wearing a name badge Many facilities have locked units for the newborn and mother. All states require testing for phenylketonuria (PKU). Describe eight (8) steps that should be included in the procedure for collecting blood samples from the newborn's heel. 1. Nurse dons clean gloves the heel se with an sntiseptic spring activated lancet 5. stick the outer edge of the heel pressure with gauve until the bleeding stops with adhesive bandage 8. cuddle and comfort the baby after the procedure A nurse is caring for a newborn post-circumcision. What information should be taught to the parents regarding care? Clean the area with earm water with every diaper change. A tub bath should not be given until it is healed. Do not wash away an yellowish mucus Avoid premoistened wipes, baby can sleep for several hours after procedure Should be healed completely within a couple of weeks. A nurse is caring for a client in the postpartum phase. How should the nurse assess fundal height following delivery? After pregnancy the fundus is at the umbilicus. It will decrease 1 cm per day and be non-palpable by 10-14 days. Suggested Maternal Newborn Learning Activity: Postpartum Fundal Assessments A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse anticipate? Facial anamolies Deafness Developmental delays, sleep disturbances, growth retardation A nurse is caring for the family of a newborn. What are some interventions the nurse can use to facilitate sibling acceptance of the newborn? Provide a gift from the newborn to the sibling. Spend one on one time with the sibling when the newborn is born. Allow older sibling to help provde care of the newborn. Suggested Maternal Newborn Learning Activity: Restorative stages of the postpartum period / bonding A nurse is caring for a newborn. One complication that the nurse monitors for is hypoglycemia. Identify the criteria for hypoglycemia in the newborn. • Jitteriness. • Cyanosis, apnea, Hypothermia, Poor body tone, Poor feeding,Lethargy, Seizures. • Blood suger less than 40 mg Suggested Maternal Newborn Learning Activity: Hypoglycemia in Newborn A nurse is caring for a client being discharged following admission for hyperemesis gravidarum. What dietary instructions should the nurse provide to the client? Advance the client to clear liquids after 24 hr if no vomiting. advance the client's diet, as tolerated, with frequent, small meals. Start with dry toast, crackers, or cereal; then move to a soft diet; and finally to a normal diet as tolerated. In severe cases, or if vomiting returns, enteral nutrition per feeding tube or total parental nutrition (TPN) may be considered Suggested Maternal Newborn Learning Activity: Hyperemesis Gravidarum Immediately after rupture of amniotic membranes, a client states that she can feel something in her vagina and the nurse is able to visualize the umbilical cord protruding from the introitus. Discuss emergency nursing care measures the nurse should take. Immediately call for assistance. Notify the provider Don sterile gloves. Apply pressure on the presenting part. Soak a towel with saline to keep the cord moist. Provide continuous FHR monitoring. Provide oxygen. Prepare for a c section Suggested Maternal Newborn Learning Activity: Labor Complications- Prolapsed Cord A nurse is caring for a client who is to have a forceps-assisted birth due to breech presentation. What nursing actions should be taken to prepare the client for this procedure? Explain the procdure to the client and her partern, assist the client to the lithotomy position, . assess to ensure the clients bladder is empty.. Make sure the feturs us and engaged ad the membranes have ruptures. Assess and record FHR before, during and after procedure Suggested Maternal Newborn Learning Activities: Stages and Phases of Labor and Cesarean Birth What are risk factors for endometritis? What are manifestations of endometritis? Risk factors include c section, reatiend pacental fragemnts and manual extraction of placenta, postpartum hemorrhage. Manifestation include unterine tdnerness and alargement, dark profuce lchia, fever, tachycardia. Suggested learning activity: Infections Suggested Maternal Newborn Learning Activity: Postpartum Infection A 6-week gestation client enters the emergency department with complaints for unilateral stabbing pain and tenderness on the lower right abdominal quadrant and red vaginal bleeding. The physician diagnoses the client with an ectopic pregnancy. The physician orders methotrexate. What teaching should the nurse perform related to the administration of methotrexate? avoid alcohol consumption and vitamins containing folic acid wear two pairs of gloves as this med dissolve a pregnancy and is very potent A nurse is completing an Apgar score on a newborn. What is assessed when obtaining an Apgar score? What does a score of 5 indicate? The apgar score is a quick review of systems that is completed within the first 1-5 minutes of life. It monitors heart rate, respiratory rate, muscle tone, relfelx irritability and color ona scale of 0-2. An apgar score fo 5 indicated moderate distress and some suctioning and stimulation of the newborn is necessary. Suggested Maternal Newborn Learning Activities: Normal newborn physical assessment and Newborn Vital Signs 3. Complete the pre-test, tutorial and post-test for the Maternal Newborn Skills Module 4. Complete the following practice assessment and Focused Reviews and send me a detailed summary (2-3 sentences each) of 4 concepts that you learned from the focused review. Toxoplasmosis is caused by consuming raw or undercooked meat or handling contaminated cat feces. Good hand hygiene is a must for the client. The client should also avoid changing the litter box. Leopold maneuvers consist of performing external palpations of the maternal uterus through the abdominal wall to determine the number of fetuses and the presentation of the fetus. To perform the maneuver the head should feel round, firm, and move freely. The breech should feel irregular and soft. Fetal alcohol syndrome results from the chronic or periodic intake of alcohol during pregnancy. Alcohol is considered teratogenic, so the daily intake of alcohol increases the risk. Newborns who have this are at risk for specific congenital physical defects and long term complications. Infection can be contracted by the newborn before, during, or after delivery. Newborns are more susceptible to micro organisms due to their limited immunity and inability to localize infection. The infection can spread rapidly into the bloodstream. RN Maternal Newborn 2016 A 64A5766R67 5. Create custom exam and complete 20 Board Vitals questions using the Ante/Intra/Postpartum and Neonatal care content area. Once you finish your custom BoardVitals Exam, send me a summary of five nursing concepts you reviewed from your Board Vitals quiz to indicate completion. Directions for creation of a BoardVitals Exam can be found in the Announcement section of your review. If you do not have access to BoardVitals please complete the Maternal Newborn Learning system Practice Quizzes 1&2 When you have completed the above remediation, spend 2 hours on the following preparation activities found in the Virtual-ATI Review under the Nursing Care of Children Module: 1. Nursing Care of Children Concept Maps 2. Quizzes: o Nursing Care of Children Health Promotion and Maintenance o Nursing Care of Children Alternate Item Format 3. If additional practice is needed, complete Learning System Quizzes located on under the test tab: o Nursing Care of Children 1 o Nursing Care of Children 2 When preparation activities are completed, review the Take Assessment section of the Nursing Care of Children Module prior to starting the assigned Virtual-ATI assessment. Complete the VATI Nursing Care of Children Assessment and send me a message