Maternal Newborn ATI Remediation HEALTH CARE QUESTIONS WITH ANSWERS

 Assessment and management of newborn complications include assessment, risk factors, and collaborative care.  Complications include: o Neonatal Substance Withdrawal o Hypoglycemia o Respiratory Distress o Meconium aspiration o Preterm size of the newborn o Postmature newborn o Macrocosmic newborn o Congenital abnormalities Nursing Care of Newborns: Performing Suctioning with a Bulb Syringe  Interventions for stabilization and resuscitation of airway o The newborn is able to clear most secretions in air passages by the cough reflex. Routine suctioning of the mouth, then the nasal passages with a bulb syringe, is done to remove excess mucus in the respiratory tract. o Newborns delivered by C-sections are more likely to have more fluid remain in the lungs than newborns delivered by vaginal birth. o If bulb suctioning is unsuccessful, mechanical suctioning and back blows and chest thrusts can be used. o The bulb syringe should be kept with the newborn, and the newborn’s family should be instructed on how it is to be used.  Compress bulb before insertion into one side of the mouth.  Avoid center of the mouth to prevent stimulating the gag reflex.  Aspirate mouth first, one nostril, then continue to the second nostril.  Client Education and Discharge Teaching: Teaching about Sore Nipples o Inquire about patient’s current knowledge regarding self-care. o Assess the patient’s home support system and who will be there to assist. Include support persons in the educational process. o Determine the patient’s readiness for learning and her ability to verbalize or demonstrate the information she has been given. This study source was downloaded by from CourseH on :28:53 GMT -06:00 2 MATERNAL NEWBORN ATI REMEDIATION o Clients who are lactating:  Place the newborn skin to skin as soon as possible following the birth and initiate breastfeeding within the first 1-2 hour after birth.  Emphasize the importance of hand hygiene prior to breastfeeding to prevent infection.  Allow the infant to feed until the breast softens. IF the 2nd breast doesn’t soften after feeding, the milk can be expressed by breast pump.  For flat or inverted nipples, suggest that the patient roll the nipples between the fingers just before feeding.  For sore nipples, the client should apply a small amount of breast milk to