Maternal-Newborn Final Study Guide (Latest update)

Maternal-Newborn Final Study Guide (Latest update) This is broken up into areas that you may see the questions in. Some of the material you may see repeated. Coordinate the study guide as you need to. Please complete this study guide --- find the answers to all the topics, then upload to the gradebook & Basic Care and Comfort Client education: lactation suppression (how to prevent lactation) & engorgement (breast & bottle) • Wear a firm and supportive bra • Relieve pain and swelling with cold/gel packs in your bra • Cabbage leaves can be used as cold compresses Hyperemesis gravidarum: lab work associated with this • Urinalysis for ketones and specific gravity Nutrition during pregnancy: iron, folic acid, protein, vitamin & minerals: know values & why need • 1000mg for iron: helps transfer o2 to baby • Folic acid: 600g of folic acid a day and prevents neuro tube defects • Protein: 70-100g a day: good source of iron Pain management during labor: pharmacological and nonpharmacological (counterpressure, hypnosis) actions to reduce pain • Epidural anesthesia for pharmacological • Distraction, deep breathing exercises, music for non-pharmacological Postpartum assessment findings physiological adaptations • Emotion for postpartum depression • LOCHIA: crucial to see if the fluid is infected or not • Fundus placement and if firm or boggy • Make sure the bladder is working, help pt to restroom Pain Control for Heel stick for infant • Swaddling • Warm heel using heel warmers • Skin to skin Postpartum Physiological Adaptations: Contraindications for Postpartum Medication Administration Methergine is contraindicated to high blood pressure Early Onset of Labor: Laboratory Values During Tocolytic Therapy (Magnesium sulfate) Magnesium sulfate lab values are 4-8 Medical Conditions: Reportable Findings for Magnesium Sulfate (BURP) • B: decreased bp • U: decreased urine output • R: decreased respirations • P: patella deep tendon reflexes absent Medications Affecting Labor and Delivery: Contraindications for Receiving Terbutaline • Diabetes • Ketoacidosis • HBP Safety and Infection Control Priority for client having a seizure (safety protocols) • Padding on bed rails • If on magnesium keep calcium gluconate near • Suction at bedside as well as o2 • Never leave patient alone • Turn on side Newborn home safety & security within hospital (ex. do not leave infant unattended) • Make sure baby has band on at all times in hospital • Never leave baby alone • No weapons in reach for baby • Medicine cabinet locked • Soft edges on furniture and cabinets • Lay baby on back when sleeping Safe medication administration (Rights) • Make sure right patient 2 patient identifiers • Check for allergies • Double check the right medication • Make sure gag reflex is intact, if needed Discharge Instructions: Instructions for car seat safety • Make sure center clip on nipple line • Place car seat in middle seat of car • Position newborn in rear facing car seat until 2 years old • 4-7 years keep the child forward facing with a harness