VATI Maternal Newborn

VATI Maternal Newborn What is abstinence syndrome? Symptoms of drug withdrawal as a result of physical dependence of the mother What are the indications for a non-stress test? Pregnancy problems such as suspected intrauterine growth restriction (IUGR), maternal diabetes, or when mother has twins in womb Over how much time should morphine be administered over? 4-5 minutes to prevent hypotension and respiratory depression A client who does not wish to breastfeed can alleviate engorgement and swelling by wearing what type of bra? Tight-fitting bra or breast binders to alleviate engorgement and swelling A nurse is planning care for a client who has Hep B with jaundice. What intervention should the nurse include in the plan? Provide high-calorie, high protein diet. Clients w/ Hep B are at increased risk for inadequate nutrition d/t N/V, anorexia, and fatigue A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What action should the nurse perform? Prepare equipment needed for newborn resuscitation *endotracheal suctioning occurs if newborn has poor respiratory effort, decreased muscle tone, and bradycardia after delivery What is the Bishop score? Used to determine maternal readiness for labor by evaluating whether the cervix is favorable by rating the following: 1. dilation, 2. effacement, 3. cervical consistency, 4. cervical position and 5. station of presenting part A nurse in a clinic is providing education to a client at 32 weeks gestation who has pruritis gravidarum. What should the nurse teach as the treatment. Slightly increase exposure to sunlight b/c it can reduce itching. Pruritis gravidarum is a condition of pregnancy that causes generalized itching without the presence of a rash d/t stretching of the skin For what clients is isotretinoin cream contraindicated in? (Accutane).. Contraindicated in pregnant clients b/c it is teratogenic What is the moro reflex? startle reflex-initiated by clapping hands and infant will have symmetric movement of arms and legs How long does it take for respiratory depression to occur after an IV bolus of morphine? Can occur within 7 minutes after What are characteristics of the fetus that are reviewed to determine the biophysical profile (BPP) during an ultrasound? -Fetal tone -Relative FHR in relation to activity -Fetal breathing movements -Gross body movements (body and libms) -Qualitative amniotic fluid volume A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse anticipate? -Facial anomalies- eyes with epicanthal folds, strabismus, ptosis, mouth with a poor suck, small teeth, cleft lip or palate, -Deafness -Heart defects -Developmental delays and neurological delays -Growth retardation -Sleep disturbance A nurse is caring for a client who is in active labor with ROM. On assessment, the nurse notes the client has extrusion of the umbilical cord at the vaginal introitus. What is the priority nursing intervention? Use a sterile gloved hand and apply finger pressure to elevate the presenting part of the fetus. Compression of cord prevents adequate fetal blood flow and can cause anoxic brain damage. Nurse should emergently elevate part of fetus that is compressing the umbilical cord A client complaining of pain or vaginal pressure and has a large amount of bright lochia with a firm uterus likely has what? A perineal laceration What are the types of perineal lacerations? 1st degree-4th degree depending on size and depth of cut 1st degree-only perineal skin (skin between vaginal opening and rectum). Typically heals on its own 4th degree-extends through anal sphincter and into mucous membrane lining rectum A nurse notes late decelerations on the fetal monitor. What priority actions should the nurse take? -Monitor BP-Turn client onto side -Administer IV fluids -Discontinue oxytocin -Give O2 -Prepare for delivery What are the indications for an amniotomy? Inducing or expediting labor or in anticipation of the placement of internal monitors (uterine pressure catheters or fetal scalp electrodes) Ptosis Eyelid drooping. Upper eyelid is lower than it should be in infants and children (can occur in one or both eyes) When does breast engorgement occur and how should it be managed? 3-5 days after birth. -Cold compresses applied AFTER breastfeeding