ATI maternal 2

ATI remediation-Maternal Newborn PN 1. Complications of the Newborn: Use of phototherapy Lights Pg. 244 • Place an eye mask over the newborns eyes after they are gently closed to protect the corneas and retinas. • Avoid applying lotions or ointments to newborns because they absorb heat and can cause burns. • Turn off the phototherapy lights before drawing blood for testing. • Remove newborns every 2 hours to expose all of the body surfaces to the phototherapy lights and prevent pressure sores. 2. Nursing care of the Newborn: Newborn Safety Pg. 224 • Keep small objects out of reach of newborns. • Provide a firm mattress for newborns to sleep on. Never put pillows, large floppy toys, or loose plastic sheeting in crib. • The space between the mattress and sides of the crib should be less than two fingerbreasths. • The slats on the crib should be no more than 2.5 inches apart. 3. Assessment of Fetal well-being: nonstress test Pg. 42 • Seat the client in a reclining chair or place in a semi-flowers or left lateral position. • Perform Leopold’s maneuvers to locate the fetal back. • Apply conduction gel to the ultrasound transducer. • Secure a Doppler transducer to the client’s abdomen over the fetal back to record the FHR pattern. 4. Care of the postpartum client: epistomy care Pg. 154 • Apply ice packs to the client’s perineum for the first 24 to 48 hours to reduce edema and provide anesthetic effect. • Encourage sitz baths at a temperature of 38-40 degrees at least twice a day. • Administer analgesia as prescribed for pain and discomfort. • Apply topical anesthetics to the client’s perineal area as needed or witch hazel compress to the rectal area. 5. Nursing care of the newborn: cord care Pg. 221 • Keep the cord dry and keep the top of the diaper folded underneath it. • Avoid submerging newborns in water until the cord falls off around 10 to 14 days after birth. Give sponge baths until the cord falls off. • Report any foul smelling, purulent drainage, or redness at the cord site to the provider. 6. Nursing care of the newborn: Reinforcing teaching about elimination Pg. 22