Maternal Newborn ATI Focused Review 100% Solved

Maternal Newborn ATI Focused Review 100% Solved Fetal Assessment during Labor: Priority Intervention for Recurrent Variable Decelerations of the FHR Variable decelerations are abrupt slowing of the FHR less than 110/min that varies in duration, intensity and time. It can be caused by cord compression. Actions: Reposition mother from side to side or knee-chest Discontinue oxytocin (if patient is on it) Administer oxygen by mask 8-10 L Perform/assist in vaginal examination Assist with amnioinfusion if needed. Nursing Care and discharge teaching: Care of a newborn who is uncircumcised Wash the penis with soap and water and rinse. The foreskin should NOT be forced back or constriction can result. Nursing Care during Stages of Labor: Transition Stage of Labor - Encourage voiding every 2 hours - Encourage a rapid pant-pant-blod breathing pattern - Discourage pushing until the cervix is fully dilated -Observe for perineal bulging or crowning - Listen for client's statement of needing to have a bowel movement. This is a finding of complete dilation and fetal descent. Contraception: Evaluating Client's understanding of an IUD The device must be monitored monthly by the client after menstruation to ensure the presence of the small string that hangs from the device into the upper part of the vagina to rule out migration or expulsion of the device. The device lasts for 3-10 years Contraception can be reversed with immediate return to fertility. Contraception: Client Education about Diaphragms - A provider will properly fit you with a diaphragm - It should be replaced every 2 years or every pregnancy - When inserting, apply spermicidal jelly or cream around the rim - It can be inserted up to 6 hour before intercourse and must stay in place after intercourse for no more than 24 hours - You must void before insertion - The diaphragm must be washed with mild soap and water after each use Nutrition during Pregnancy: Recommended Nutrients to Increase during Pregnancy Increase calorie and protein intake Increase calcium Increase fluids Take an iron supplement or increase iron intake Therapeutic Procedures to Assist with Labor and Delivery: Indications to discontinue Oxytocin Infusion Discontinue if there is uterine hyperstimulation - Contraction frequency more often than 2 minutes - Contraction duration longer than 90 seconds - Contraction intensity that results in pressures greater than 90 mm Hg - Uterine resting tone greater than 20 mm Hg between contractions No relaxation of uterus between contractions Pain Management: Adverse Effects of Epidural - decreased gastric emptying - inhibition of bowel and bladder elimination sensations - bradycardia - hypotension - respiratory depression - allergic reaction and pruritus - elevated temperature Infections: Identifying Medications use to treat Streptococcus B-hemolytic Infection Penicillin G or Ampicillin are prescribed Bleeding during Pregnancy: Identifying a pregenncy complication in a client who has a history of cocaine usage Spontaneous abortion or Abruptio placentae can occur due to cocaine usage Nursing care of Newborns: Monitoring a Newborn's blood glucose Hypoglycemia frequently happens in the first few hours of life so it is critical to watch for signs - jitteriness, twitching, weak, high-pitched cry, irregular respiratory effort, cyanosis, lethargy, eye rolling, seizures, blood glucose less than 40 by heel stick - Have mother breastfeed immediately Newborn Assessment: Reportable Lab Findings for a Newborn who is 24 hours old EXPECTED LAB FINDINGS - Hgb: 14-24 - Platelets: - Hct: 44-64% - Glucose: 40-60 - RBC: 4.8-7 - Billirubin: 2-6 - Leukocytes: Postpartum Infections: Client Teaching about Mastitis Wash hands prior to breastfeeding Allow nipples to air-dry Teach the client proper latching techniques Instruct the client to completely empty their breasts Encourage the client to use hot or ice packs after breastfeeding Continue breastfeeding, especially on the affected side Instruct the client to manually express breast milk or use a breast pump Encourage rest, analgesics, and fluid intake Encourage the client to wear a well-fitting bra for support Assessment and Management of Newborn Complications: Nursing Interventions during Phototherapy Maintain an eye mask over the newborn's eye Keep the newborn undressed Avoid applying lotions to the skin Remove the baby from phototherapy every 4 hours Reposition the baby every 2 hours to expose all of the body surfaces Turn off the phototherapy lights before drawing blood for testing Complications related to the Labor Process: Actions for a Prolapsed Cord Call for assistance Using a sterile-glove, insert two fingers into the vagina and apply pressure on either side of the cordto the fetal presenting part to elevate it off of the cord Reposition the client to knee-chest Aooky a warm, sterile saline-soaked towel to the visible cord continually monitor the FHR Administer oxygen nonrebreather 8-10 L Prepare for an immediate vaginal birth