ATI Maternal-Newborn Study Guide 2021/2022- Complete Study Guide

ATI Maternal-Newborn Study Guide 2021/2022 Basic Care and Comfort Client education: lactation suppression, engorgement ● Advantages o Anyone can feed o Less painful o Can feed at any time o Know how much infant is getting ● Disadvantages o Economical-Expensive o Can mix wrong o Less immunity o Need to prepare it: Mix and warm it ▪ Considerations for Mom ● Supportive bras/bind breasts ● Avoid nipple stimulation ● Apply ice packs or frozen cabbage leaves for engorgement ● Suppression of lactation is necessary for clients who are not breastfeeding. Avoid breast stimulation and running warm water over the breasts for prolonged periods until no longer lactating. Hyperemesis gravidarum ▪ Excessive vomiting ▪ May be hospitalized for this ▪ Unknown etiology ▪ Usually 0-12 weeks ▪ Treat with: IV fluids, Phenergan, Prilosec, Reglan, Zofran, TPN if severe ▪ Small frequent bland meals Nutrition during pregnancy ▪ Need extra 340 calories a day ▪ Double for twins o Increase caloric intake by 340 calories per day, should get a minimum of 2200 calories per day