ATI-RN Maternal Newborn Study Guide
Newborn Septic Shock:
The nurse have to display the blood pressure of a newborn who is at chance for septic surprise
and must pick out decreased blood strain as an indication of this trouble. Other manifestations
consist of tachypnea, tachycardia, mottled or grey-colored pores and skin, cool extremities, and
a fast pulse.
Early PostPartum Period:
Dark Red Lochia will pool within the vagina while the purchaser is mendacity in bed and could
glide out of the vagina when the customer stands up. After preliminary gush, the bleeding will
slow to a trickle of vivid pink lochia.
Retained placental fragments
-excessive vaginal bleeding that doesn't forestall.
-Can motive early PPH, however most not unusual motive of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain management, Antibiotics submit, Sonography,
Curettage (D&C)
Damaged Blood Vessel
Blood will spurt out of the vagina, and the glide will no longer slow.
Lochia Flow:
will steadily lower at some point of postpartum length.
Gomco Clamp Circumcision
-Pressure of clamp for three-5 minutes, then slit/reduce away extra skin
-Petroleum gauze strips to website online after to prevent sticking to diaper
,-Apply petroleum jelly to the penis with every diaper trade to shield incision from contact with
urine and feces.
- No towelettes
- Do no longer eliminate and yellow exudate (can cause ache and bleeding - a part of recovery
procedure)
- Do not wrap penis with dry gauze (can adhere and cause ache and bleeding at removal).
Psychological Task:
Accepting the Pregnancy - First Trimester
Accepting the child
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
Uses to relax uterine smooth muscle to inhibit uterine activity.
- Involves bronchodilation
Adverse Reaction:
Tachycardia (if pulse is more than 130/min, the medicine desires to be held until HCP is
notified.)
Terbutaline is a tocolytic remedy that causes uterine rest and is used to treat preterm hard work.
It isn't the best medication to treat uterine atony.
Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
Monitor I/O (blood drift to and from coronary heart increases for atleast the primary 24 hours
after delivery) this places the purchaser at high danger of cardiac decompensation and fluid
overload.
,Follow a high-fiber food plan to prevent straining with bowl movements because the pushing
effort (valsalva maneuver) can bring about cardiac strain.
Initiate bedrest with the hob extended to sell relaxation and decrease the clients oxygen
consumption.
Preventing Mastitis:
Use finger to launch suction on nipple after feeding.
Galactagogue Medications and Herbs can growth the customers milk supply. This INCREASES
the threat of mastitis, if the little one does now not empty the breast.
Waiting too long among feedings can result in clogging or plugging of nipples, this may
INCREASE the threat of mastitis.
Wearing underwire bra is related to extended chance for mastitis because of blocking off the
breast from emptying completely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
Maternal Infection
Maternal Diabetes
Administration of Oxytocin in the course of Labor
Delivery of a Stillborn Child:
-Unrestricted Access to Childs Body. (manner worrying occasion)
If the mother and father explicit a preference to see an anomaly, the nurse have to allow it and
give an explanation for what they're viewing.
Allow Privacy and Holding of Child.
Physical Assessment of Newborn following Vaginal Birth:
, Report small, pinpoint, reddish-red spots on the chest (petechiae) - typically determined above
the neck if the umbilical twine become around the newborns neck at start. This can imply
Infection or Low Platelet Count.
Bluish Feet and hands (acrocyanosis) - frequently found in newborns is an anticipated locating.
Overlapping Suture Lines (Cranial Bones Overlap) additionally called molding. - this facilitates
the fetal head flow through the canal and is an anticipated finding.
After 35 weeks a White, cheese-like substance masking skin (vernix caseosa) - allows hydrate
and protect newborns pores and skin after birth. This is an expected locating.
Milia are whiteheads at the face and brow and are a ordinary version.
Epstein pearls are white nodules at the gums and are a ordinary version.
Meconium stools are an expected locating in the first 12 to 48 hours after delivery. (Meconium is
a new child's first poop. This sticky, thick, dark green poop is made from cells, protein, fats, and
intestinal secretions, like bile. Babies normally pass meconium (mih-KOH-nee-em) in the first
few hours and days after start.)
Morning Sickness
Caused by the accumulation of human chorionic gonadotropin (hCG) within the mothers
system.
Dry foods eaten before rising in the morning have a tendency to reduce the chance of nausea.
(crackers)
Eat meals served at cool temps.
Decrease Fluid Intake throughout food to prevent overdistention of the belly. This reduces
nausea and vomiting.
Teach to Avoid brush enamel without delay after meals to lower nausea and vomiting.
Gonorrhea
A sexually transmitted bacterial disorder resulting from a gonococcus bacterium that causes
inflammation of the genital mucous membrane, burning ache when urinating, and a discharge.
Newborn Septic Shock:
The nurse have to display the blood pressure of a newborn who is at chance for septic surprise
and must pick out decreased blood strain as an indication of this trouble. Other manifestations
consist of tachypnea, tachycardia, mottled or grey-colored pores and skin, cool extremities, and
a fast pulse.
Early PostPartum Period:
Dark Red Lochia will pool within the vagina while the purchaser is mendacity in bed and could
glide out of the vagina when the customer stands up. After preliminary gush, the bleeding will
slow to a trickle of vivid pink lochia.
Retained placental fragments
-excessive vaginal bleeding that doesn't forestall.
-Can motive early PPH, however most not unusual motive of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain management, Antibiotics submit, Sonography,
Curettage (D&C)
Damaged Blood Vessel
Blood will spurt out of the vagina, and the glide will no longer slow.
Lochia Flow:
will steadily lower at some point of postpartum length.
Gomco Clamp Circumcision
-Pressure of clamp for three-5 minutes, then slit/reduce away extra skin
-Petroleum gauze strips to website online after to prevent sticking to diaper
,-Apply petroleum jelly to the penis with every diaper trade to shield incision from contact with
urine and feces.
- No towelettes
- Do no longer eliminate and yellow exudate (can cause ache and bleeding - a part of recovery
procedure)
- Do not wrap penis with dry gauze (can adhere and cause ache and bleeding at removal).
Psychological Task:
Accepting the Pregnancy - First Trimester
Accepting the child
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
Uses to relax uterine smooth muscle to inhibit uterine activity.
- Involves bronchodilation
Adverse Reaction:
Tachycardia (if pulse is more than 130/min, the medicine desires to be held until HCP is
notified.)
Terbutaline is a tocolytic remedy that causes uterine rest and is used to treat preterm hard work.
It isn't the best medication to treat uterine atony.
Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
Monitor I/O (blood drift to and from coronary heart increases for atleast the primary 24 hours
after delivery) this places the purchaser at high danger of cardiac decompensation and fluid
overload.
,Follow a high-fiber food plan to prevent straining with bowl movements because the pushing
effort (valsalva maneuver) can bring about cardiac strain.
Initiate bedrest with the hob extended to sell relaxation and decrease the clients oxygen
consumption.
Preventing Mastitis:
Use finger to launch suction on nipple after feeding.
Galactagogue Medications and Herbs can growth the customers milk supply. This INCREASES
the threat of mastitis, if the little one does now not empty the breast.
Waiting too long among feedings can result in clogging or plugging of nipples, this may
INCREASE the threat of mastitis.
Wearing underwire bra is related to extended chance for mastitis because of blocking off the
breast from emptying completely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
Maternal Infection
Maternal Diabetes
Administration of Oxytocin in the course of Labor
Delivery of a Stillborn Child:
-Unrestricted Access to Childs Body. (manner worrying occasion)
If the mother and father explicit a preference to see an anomaly, the nurse have to allow it and
give an explanation for what they're viewing.
Allow Privacy and Holding of Child.
Physical Assessment of Newborn following Vaginal Birth:
, Report small, pinpoint, reddish-red spots on the chest (petechiae) - typically determined above
the neck if the umbilical twine become around the newborns neck at start. This can imply
Infection or Low Platelet Count.
Bluish Feet and hands (acrocyanosis) - frequently found in newborns is an anticipated locating.
Overlapping Suture Lines (Cranial Bones Overlap) additionally called molding. - this facilitates
the fetal head flow through the canal and is an anticipated finding.
After 35 weeks a White, cheese-like substance masking skin (vernix caseosa) - allows hydrate
and protect newborns pores and skin after birth. This is an expected locating.
Milia are whiteheads at the face and brow and are a ordinary version.
Epstein pearls are white nodules at the gums and are a ordinary version.
Meconium stools are an expected locating in the first 12 to 48 hours after delivery. (Meconium is
a new child's first poop. This sticky, thick, dark green poop is made from cells, protein, fats, and
intestinal secretions, like bile. Babies normally pass meconium (mih-KOH-nee-em) in the first
few hours and days after start.)
Morning Sickness
Caused by the accumulation of human chorionic gonadotropin (hCG) within the mothers
system.
Dry foods eaten before rising in the morning have a tendency to reduce the chance of nausea.
(crackers)
Eat meals served at cool temps.
Decrease Fluid Intake throughout food to prevent overdistention of the belly. This reduces
nausea and vomiting.
Teach to Avoid brush enamel without delay after meals to lower nausea and vomiting.
Gonorrhea
A sexually transmitted bacterial disorder resulting from a gonococcus bacterium that causes
inflammation of the genital mucous membrane, burning ache when urinating, and a discharge.
