VATI MN Remediation Questions and Answers Rated A+

VATI MN Remediation Questions and Answers Rated A+ Priority Actions for Late Decelerations -Place client in side-lying position -Increase rate of IV fluid infusion -D/c oxytocin -O2 8-10 L nonrebreather -Elevate legs -Notify provider Car Seat Safety The nurse should educate the parents of a newborn that the newborn must be placed in an approved rear-facing car seat in the back seat away from air bags and side impact. Infants should be kept in a rear-facing car seat until 2 years old (MN ATI, Chapter 26, Page 129) Preventing Infant Abduction Measures that the nurse can implement to prevent infant abduction include teaching the client that all staff members are required to wear photo identification badges and that the newborn should never be given to anyone without a photo ID badge from the maternal-newborn unit, and that the mother should bring the baby's bassinette into the bathroom with her to keep an eye on the baby at all times (MN ATI, Chapter 24, Page 164). Interventions for Mastitis -Allow nipples to air-dry -Completely empty breasts with each feeding -Use ice packs or warm packs -Continue breastfeeding, especially on affected side -Encourage rest, analgesics, and 3,000 mL/fluids/day Breast Care -Completely empty breast with each feeding -Massage breast to help express milk -Apply warm packs before feedings and cool packs after feedings -Sore nipples = put breast milk/ colostrum on nipples -Apply breast creams Assessing Client Risk for Rubella -Rubella (German measles) is contracted through children who have rashes or neonates who are born to women who had rubella during pregnancy. -For rubella, immunization of women who are pregnant is contraindicated because rubella infection can develop. These women should avoid crowds of young children. Women who have low titers prior to pregnancy should receive immunizations. Checking Fundal Height -Immediately after delivery, the fundus should be firm, midline with the umbilicus, and approximately at the level of the umbilicus -At 12 hr postpartum, the fundus may be palpated at 1 cm above the umbilicus -Every 24 hr, the fundus should descend approximately 1 to 2 cm. It should be halfway between the symphysis pubis and the umbilicus by the sixth postpartum day -After 2 weeks, the uterus should lie within the true pelvis and should not be palpable Teaching Routine Prenatal Care to Clients Chapter 4