ATI Remediation OB
Karlie Brown
NSG 3047
Health promotion and maintenance
Ante/Intra/Postpartum and Newborn Care -
Nageles Rule: Take the first day of the clients last menstrual cycle,
subtract 3 months, and then add seven days and a year
Second stage of labor: P: 30 min to 2 hours and M: 5 to 30 mins. Full
dilation , Progresses to intense contractions every 1 to 2 min , Birth .
Pushing results in birth of fetus.
Contractions: Begin with irregular uterine contractions ( Braxton Hicks)
that eventually progress in strength and regularity. Backache: constant
low, dull backache caused by pelvic muscle relaxation. Energy Burst :
sometimes called “nesting response”.
Breast milk must be stored according to guidelines for proper containers,
labeling, refrigerating, and freezing.
Breast milk can be stored at room temperature under very clean
conditions for up to 8 hours. It can be refrigerated in sterile bottles
for use within 8 days , or can be frozen in sterile containers in the
freezer compartment for up to 6 months. Breast milk can be stored
in a deep freezer for 12 months. Do not microwave the bottle to
reheat use a boil to do so.
Health Promotion/Disease Prevention -
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, 11/13/23, 1:39 AM Remediation ATI OB final
ATI Remediation OB
Karlie Brown
NSG 3047
Deep vein thrombosis : a thrombus that is associated with inflammation.
The postpartum client is at greatest risk for a deep-vein thrombosis (DVT)
that can lead to a pulmonary embolism.
Expected leg pain and tenderness , unilateral area of swelling ,
warmth, and redness. Hardened vein over the thrombosis and calf
tenderness.
Prevention of Thrombophlebitis: maintain sequential
compression device until ambulation established. If bed rest
is prolonged longer than 8 hours, use active and passive
range of motion to promote circulation in the legs if
warranted. Initiate early and frequent ambulation
postpartum. Measure the lower extremities for fitted elastic
thromboembolic hose to lower extremities.
Lifestyle Choices -
Nutritional History : a complete dietary assessment can alert the
practitioner to deficient practices and food allergies. Good nutrition is
important and has a direct effect on the growth and development of the
fetus.
Healthy behaviors: avoid all over-the-counter medications, supplements,
and prescriptions medications unless the provider who is supervising their
care has knowledge of this practice, alcohol ( birth defects) and tobacco
( low birth weight ) are contraindicated during pregnancy
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