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ATI Maternal Newborn Remediation Maternal Child Health Nursing (Rasmussen University)

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1. Management of Care a. Establishing Priorities Requires Further Assessment (Chp 27) tones and reflex responses, and seizures. A term newborn’s blood glucose should be 30-60mg/dL. Hypoglycemia can bring about poor feeding, jitteriness/tremors, hypothermia, diaphoresis, w...

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  • January 22, 2024
  • 23
  • 2023/2024
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lOMoARcPSD|3013804




ATI Maternal Newborn
Remediation

Maternal Child Health Nursing (Rasmussen
University)

, lOMoARcPSD|3013804




ATI MATERNAL NEWBORN REMEDIATION



1. Management of Care

a. Establishing Priorities

i. Assessment and Management of Newborn Complications: Priority Finding that

Requires Further Assessment (Chp 27)

Signs of alcohol withdrawal include jitteriness. Irritability, increased

tones and reflex responses, and seizures. A term newborn’s blood

glucose should be 30-60mg/dL. Hypoglycemia can bring about poor

feeding, jitteriness/tremors, hypothermia, diaphoresis, weak cry, and

lethargy.

Other reportable findings are respiratory distress which include

tachypnea, nasal flaring, expiratory grunting, retractions, and cyanosis.

Newborn infections like sepsis can cause an infant to have temperature

instability, suspicious drainage, poor feeding, weak suck, vomiting,

diarrhea, hypo or hyperglycemia, respiratory distress, and low BP.



Hyperbilirubinemia includes yellowish tint to skin, sclera, mucous

membranes, observe the newborns color for yellowish tint as the skin is

blanched, and assess if there is an underlying cause that needs to be

fixed. Look for hypoxia, hypothermia, hypoglycemia, and metabolic

acidosis. Increased risk for brain damage. Congenital anomalies involve

cleft lip/palate and tracheoesophageal fistula, excessive mucous

secretions and drooling, periodic cyanotic episodes and choking,

, lOMoARcPSD|3013804




distended abdomen. PKU can result in cognitive impairment if

untreated, not evident at birth and it’s found in newborn screening.

Hypothyroidism: hypothermia, poor feeding, lethargy, jaundice,

cretinism. Spina bifida is a protrusion of meninges and/or spinal cord,

tufts of hair on the spine. Patent ductus arteriosus is another neonate

complication that includes murmurs, abnormal heart rate or rhythm,

breathlessness, and fatigue while feeding.




Tetralogy of Fallot is a combination of four congenital abnormalities that

has respiratory difficulties, cyanosis, tachycardia, tachypnea, and

diaphoresis. Down syndrome, also known as trisomy 21, exhibits oblique

palpebral fissures or upward slant of the eyes, epicanthal folds, flat facial

profile with a depressed nasal bridge and small nose, protruding tongue,

short broad hands with a fifth finger that has one flexion crease instead

of two, a deep crease across the center of the palm, hyperflexibility,

hypotonic muscles.



ii. Medical Conditions: Priority Finding That Requires Further Assessment (Chp 9)

● Cervical insufficiency is a painless opening of the cervix that results in

delivery of the baby in the 2nd trimester of pregnancy. Some expected

findings are pink stained vaginal discharge or bleeding, possible gush of

fluid, and uterine contractions w/ expulsion of fetus. The nurse needs to

evaluate the client’s support system and if assistance is available for

them if they are prescribed activity restrictions or bed rest. Assess the

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