ATI-RN Maternal Newborn Study Guide 2023ATI-RN Maternal Newborn Study Guide 2023 Questions And Verified Solutions A+ Graded
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Course
NGN ATI RN MATERNAL NEWBORN
Institution
NGN ATI RN MATERNAL NEWBORN
ATI-RN Maternal Newborn Study Guide 2023ATI-RN Maternal Newborn Study Guide 2023 Questions And Verified Solutions A+ Graded
Newborn Septic Shock:
The nurse should monitor the blood pressure of a newborn who is at risk for septic shock and should identify decreased blood pressure as an indicat...
The nurse should monitor the blood pressure of a newborn who is at risk for septic shock and
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should identify decreased blood pressure as an indication of this complication. Other
manifestations include tachypnea, tachycardia, mottled or gray-colored skin, cool extremities,
and a rapid pulse.
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Early PostPartum Period:
Dark Red Lochia will pool in the vagina when the client is lying in bed and will flow out of the
vagina when the client stands up. After initial gush, the bleeding will slow to a trickle of bright
red lochia.
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retained placental fragments
-excessive vaginal bleeding that does not stop.
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-Can cause early PPH, but most common cause of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain management, Antibiotics post, Sonography,
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Curettage (D&C)
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Damaged Blood Vessel
Blood will spurt out of the vagina, and the flow will not slow.
Lochia Flow:
will steadily decrease during postpartum period.
Gomco Clamp Circumcision
,-Pressure of clamp for 3-5 minutes, then slit/cut away excess skin
-Petroleum gauze strips to site after to prevent sticking to diaper
-Apply petroleum jelly to the penis with each diaper change to protect incision from contact with
urine and feces.
- No towelettes
- Do not remove and yellow exudate (can cause pain and bleeding - part of healing process)
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- Do not wrap penis with dry gauze (can adhere and cause pain and bleeding at removal).
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Psychological Task:
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Accepting the Pregnancy - First Trimester
Accepting the baby
- Second Trimester
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Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
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Uses to relax uterine smooth muscle to inhibit uterine activity.
- Involves bronchodilation
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Adverse Reaction:
Tachycardia (if pulse is greater than 130/min, the medication needs to be held until HCP is
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notified.)
Terbutaline is a tocolytic medication that causes uterine relaxation and is used to treat preterm
labor. It is not an appropriate medication to treat uterine atony.
Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
,Monitor I/O (blood flow to and from heart increases for atleast the first 24 hours after delivery)
this places the client at high risk of cardiac decompensation and fluid overload.
Follow a high-fiber diet to prevent straining with bowl movements because the pushing effort
(valsalva maneuver) can result in cardiac stress.
Initiate bedrest with the hob elevated to promote rest and decrease the clients oxygen
consumption.
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Preventing Mastitis:
Use finger to release suction on nipple after feeding.
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Galactagogue Medications and Herbs can increase the clients milk supply. This INCREASES
the risk of mastitis, if the infant does not empty the breast.
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Waiting too long between feedings can result in clogging or plugging of nipples, this can
INCREASE the risk of mastitis.
Wearing underwire bra is associated with increased risk for mastitis due to blocking the breast
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from emptying completely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
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Maternal Infection
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Maternal Diabetes
Administration of Oxytocin during Labor
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Delivery of a Stillborn Child:
-Unrestricted Access to Childs Body. (process traumatic event)
If the parents express a desire to see an anomaly, the nurse should allow it and explain what
they are viewing.
Allow Privacy and Holding of Child.
, Physical Assessment of Newborn following Vaginal Birth:
Report small, pinpoint, reddish-purple spots on the chest (petechiae) - commonly found above
the neck if the umbilical cord was around the newborns neck at birth. This can indicate Infection
or Low Platelet Count.
Bluish Feet and hands (acrocyanosis) - often present in newborns is an expected finding.
Overlapping Suture Lines (Cranial Bones Overlap) also called molding. - this helps the fetal
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head move through the canal and is an expected finding.
After 35 weeks a White, cheese-like substance covering skin (vernix caseosa) - helps hydrate
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and protect newborns skin after birth. This is an expected finding.
Milia are whiteheads on the face and forehead and are a normal variation.
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Epstein pearls are white nodules on the gums and are a normal variation.
Meconium stools are an expected finding within the first 12 to 48 hours after birth. (Meconium is
a newborn's first poop. This sticky, thick, dark green poop is made up of cells, protein, fats, and
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intestinal secretions, like bile. Babies typically pass meconium (mih-KOH-nee-em) in the first
few hours and days after birth.)
Morning Sickness
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Caused by the buildup of human chorionic gonadotropin (hCG) in the mothers system.
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Dry foods eaten before rising in the morning tend to reduce the risk of nausea. (crackers)
Eat foods served at cool temps.
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Decrease Fluid Intake during meals to prevent overdistention of the stomach. this reduces
nausea and vomiting.
Teach to Avoid brush teeth immediately after meals to decrease nausea and vomiting.
Gonorrhea
A sexually transmitted bacterial disease caused by a gonococcus bacterium that causes
inflammation of the genital mucous membrane, burning pain when urinating, and a discharge.
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