ATI Maternal Newborn Focused Study guide

ATI Maternal Newborn Focused Study guide Maternal Child Health Nursing (Rasmussen University) StuDocu is not sponsored or endorsed by any college or university 1. Assessment and Management of Newborn Complications: findings to report Substance Withdrawal • High-pitched cry, shrill cry; incessant crying; irritability, tremors, disturbed sleep pattern • Hypertonicity, convulsions • Hyperactivity with an increased moro reflex • Increased deep-tendon reflex • Increased muscle tone • Nasal congestion with flaring • Frequent yawning • Skin mottling • Retractions • Apnea • Tachypnea greater than 60/min (RR) • Sweating • Temperature greater than 99 • Poor feeding • Regurgitation (projectile vomiting) • Diarrhea • Excessive uncoordinated constant sucking Hypoglycemia: serum glucose less than 40 mg/dl • Hypothermia • Flaccid muscle tone Dehydration • Urine output less than 1 mL/kg/hr • Urine specific gravity 1.015 • Weight loss, dry mucous membranes, absent skin turgor, depressed fontanel Overhydration • Urine output greater than 4 mL/kg/hr • Urine specific gravity less than 1.001 • Edema, increased weight gain, crackles in lungs, intake greater than output • Nursing care and discharge teaching: car seat safety Harness should be snug and clip is at axillary level (not across neck or abdomen) • Infections: Treatment for Gonorrhea Administer Erythromycin to all infants following delivery • Ceftriaxone & azithromycin PO** • Report disease to health care department • Assessment of Fetal Well-Being: Contraindications for a Contraction Stress Test Placenta previa • Vasa previa • Preterm labor • Multiple gestations (twins) • Previous classic incision from a cesarean birth • Reduced cervical competence 2. Nutrition During Pregnancy: Educating a Client Who has heartburn • Eat small frequent meals (not allow tummy to get too full or too empty) • Sit up for 30 min after meals • Check provider prior to using OTC antacids 3. Contraception: Tubal Ligation) • Menstrual periods? contraception • Baby-Friendly Care: Responding to Clients Concerns About Sibling Adaptation Take sibling on a tour of the OB unit • Encourage parents to let sibling be one of the first to see infant • Provide a gift from the infant to give to sibling • Arrange for one parent to spend time with the sibling while the other parent is caring for the infant • Allow older siblings to help in providing care for the infant • Provide preschool aged siblings with a doll to care for • Medical Conditions: Laboratory Values to Report Hgb less than 11 mg/dl in 1st and 3rd trimester • Hgb less than 10.5 in 2nd trimester • Hct less than 3% • Positive blood glucose: 130/140 mg/dl or greater • BP greater than 140/90 or greater recorded on two different occasions at least 4 hours apart • Report proteinuria (gestational hypertension): mild +1; severe +3 & 160/110 • Serum creatinine than 1.1 mg/dl • Platelet less than 100,000 4. Assessment of Fetal well-being: Complications Associated with an amniocentesis • Amniotic fluid emboli • Maternal or fetal hemorrhage • Fetomaternal hemorrhage with Rh isoimmunization • Maternal or fetal infection • Inadvertent fetal damage or anomalies involving limbs • Fetal death • Inadvertent maternal intestinal or bladder damage • Miscarriage or preterm labor • Premature rupture of membranes • Leakage of amniotic fluid 5. Newborn Assessment: Perform Focused Assessment of Newborn