RN CAPSTONE MATERNALNEWBORN –LATEST STUDY GUIDE

The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? 1) Mother’s physical and emotional condition 2) Baby's physical condition 3) Family being prepared for the baby The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm? 1) A client should be properly fitted with a diaphragm by a provider 2) Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or pelvic surgery, and after every pregnancy 3) Requires proper insertion and removal. Prior to coitus, the diaphragm is inserted vaginally over the cervix with spermicidal jelly or cream that is applied to the cervical side of the dome and around the rim. The diaphragm can be inserted up to 6 hours before intercourse and must stay in place 6 hours after intercourse but for no more than 24 hrs 4) Spermicide must be reapplied with each act of coitus 5) A client should empty her bladder prior to insertion of the diaphragm. A nurse is caring for a client who was diagnosed with group B streptococcus during her initial screening. What effects can this infection have on her pregnancy? Premature rupture of membranes, preterm labor & delivery, chorioamnioitis, infections of urinary tract, maternal sepsis. What are five (5) risk factors that affect female fertility? 1) Age greater than 35 2) Weight 3) Substance use 4) STDs 5) Surgical history A nurse is providing education to a new mother regarding storage of breast milk. Identify five (5) teaching points to discuss with the new mother regarding storage of breast milk. .clean wide-mouthed lid with tight lid At room temp for 8-10 hrs Refrigerator -24 hrs,Freezer -20 degrees C for three months-STORE MILK IN THE BACK OF THE MAIN BODY OF THE REFRIGERATOR MILK CAN BE STORED IN AN INSULATED COOLER BAG FOR 24HRS- KEEP ICE PACKS IN CONTACT WITH MILK CONTAINERS AT ALL TIMES,LIMIT OPENING OF THECOOLER BAG Thawed,Previously frozen in refregirator 40 degrees F UPTO 1 day THAWED MILK SHOULD NOT BE WARMED IN ANY OTHER WAY EXCEPT PUTTING MILK IN BOTTLE AND PLACING IN WARM WATER NB ;NEVER REFREEZE BREASTMILK AFTER IT HAS BEEN THAWED IF THE BABY HAS LEFTOVER MILK FROM FEEDING BOTTLE- USE WITHIN 2 HRS AFTER BABY IS DONE FEEDING THEN DISCARD. .................................................................................CONTINUED