ATI Maternal Newborn- Preterm Labor, Complications, Contraception Exam 2023

ATI Maternal Newborn- Preterm Labor, Complications, Contraception Exam 2023 Rho(D) immunoglobin (RhoGAM) indications - ANS-Mother Rh negative and baby Rh positive. Given at 24 weeks of gestation Within 72h delivery Protects future births Given during amniocentesis d/t possible mixing of baby/mother blood Late decels indicate what? - ANS-Utero-placental insufficiency Oxytocin contraindication - ANS-Late decels Newborn screening tests need to be repeated if done within what time frame? - ANSBefore 24 hours, if sent home before the tests will need to be repeated at follow up visit APGAR scoring - ANS-Activity (muscle tone) Pulse (heart rate) Grimace (reflex irritability) Appearance Respirations (airway) At 1 and 5 min. of life, score of 0-2 for each, 9 normal APGAR - ANSResuming sexual intercourse postpartum - ANS-Wait 2-4 weeks, slower and less intense sexual response, use water soluble lube, begin ovulating within one month (breastfeeding consistently is great form of birth control) Recent cocaine use for a client in labor may increase risk of? - ANS-Abruptio placenta d/t vasoconstriction Hyperemesis gravidarium dietary teaching - ANS-Eat to taste to avoid nausea, eat protein following snack, eat healthy snack at bedtime, alternate fluids and liquids Q 2hrs Minimize pain for newborn during heel stick - ANS-Pacifier with glucose Swaddle immediately after When do you screen for gestational diabetes? - ANS-28 weeks 3 hr glucose test done after 1 hr test if 1 hr test is above 140 mg/dL When do you screen for Rubella during gestation? - ANS-Initial prenatal visit When do you screen for Group B Strep (GBS) during gestation? - ANS-35-37 weeks When would you do a 24 hour urine specimen for protein during gestation? - ANS-If at risk for preeclampsia, pregnancy induced hypertension Medroxyprogesterone risk factors - ANS-Osteoperosis -Depo-shot Estrogen-progestin oral contraceptive contraindications - ANS-Cardiovascular disease, estrogen-dependent tumors, poor liver fxn, breast cancer Norelgestromin/ethinyl estradiol contraindications - ANS-Thromboembolism, hypertension -Transdermal patch IUD contraindications - ANS-Pelvic inflammatory dz, multiple sexual partners Priority intervention when rupture of membranes - ANS-Monitor FHR for late decels d/t risk umbilical cord prolapse Priority assessment after vaginal or cesarean birth? - ANS-Lochia and uterine tone d/t risk for hemorrhage Non-stress test: Positioning Procedure Results - ANS-Position in semi-fowlers, sitting or to one side Instruct to press button when movement felt Drink liquids to remain hydrated Reactive: OK Non-reactive - bad sign, no variability Infant safety teaching - ANS-Hot water heater <120 deg. F Crib slats no more than 2 3/8 in. apart Set carrier on floor Refrain from soft blankets in crib Intervention if fetus presenting in occiput posterior position during active labor? CONTINUES...