RN VATI Maternal Newborn Remediation Questions and Answers All Rated A

1. How can the nurse prevent infant abduction? Identification band is applied to the newborn immediately after birth. The nurse must ensure the information on both infant’s and parent’s bracelet matches exactly, as it ...

1. How can the nurse prevent infant abduction? Identification band is applied to the newborn immediately after birth. The nurse must ensure the information on both infant’s and parent’s bracelet matches exactly, as it prevents the newborn from being given to the wrong parents, switched, or abducted. 2. A nurse is caring for a client during a nonstress test. What is the nurse's responsibility during the test and what teaching should be reinforced?  Instruct the client to press the button on the handheld event marker each time she feels the fetus move.  If there are no fetal movements (fetus sleeping), vibroacoustic stimulation (sound source, usually laryngeal stimulator) may be activated for 3 seconds on the maternal abdomen over the fetal head to awaken a sleeping fetus. 3. What education should the nurse reinforce to the postpartum client regarding mastitis?  Encouraged the client to rest and to ensure adequate fluid intake of at least 3000 mL per day.  Wear a well fitted bra ton provide support  Wash hands frequently before breastfeeding  Maintain cleanliness of breasts with frequent changes of breast pads  Completely empty breast with each feeding to prevent milk stasis.  Use ice/ warm packs on affected breast for any discomfort  Complete the entire course of antibiotics  Report any redness or fever to your provider  Continue breastfeeding frequency (2 – 4 hours), especially on affected breast.  Begin breastfeeding from the unaffected breast first to initiate the letdown reflex in the affected breast that is distended/ tender. 4. Provide five (5) teaching points regarding formula feeding the nurse should reinforce to parents of a newborn?  Prepared formula can be refrigerated for up to 48 hours  Do not use the formula past the expiration date  Cradle the newborn in the arms in a semi-upright position. Do not place the newborn in a supine position during bottle feeding because of the danger of aspiration. Newborns who bottle feed do best when held close and at a 45-degree angle.  Place the nipple on top of the newborns tongue.  always hold the bottle and never prop the bottle for feedings. 5. A nurse is collecting data on a newborn and suspects that the newborn has Down Syndrome. What manifestations can be seen in a newborn with Down Syndrome?  A protruding tongue can be an indicative of Down syndrome. This study source was downloaded by 100000831988016 from CourseHero.com on 03-19-2022 14:55:07 GMT -05:00 https://www.coursehero.com/file/37143562/Matdocx/ 6. A nurse is reinforcing discharge instructions with a postpartum client. What findings should the client report to the health care provider that could suspect mastitis?  Painful or tender localized mass and redden area, usually on one breast.  Chills  Fever  Enlarged tender axillary lymph nodes, with an area of inflammation that can be red, swollen, warm, and tender. 7. How is Nagele's rule used to calculate the estimated date of birth? Take the first days of the client’s last menstrual cycle, subtract 3 months, and then add 7 days and a year, adjusting for the year as necessary. 8. What are abnormal findings during pregnancy that the client should be instructed to notify their provider about if they occur? During the first trimester the client should report the provider immediately if she is experiencing burning on urination, diarrhea, fever or chills as these are signs of infection. She should report sever vomiting, abdominal cramps and or vaginal bleeding as this maybe a sign of a miscarriage and ectopic pregnancy. During the second/ third trimester the client should report any:  Gushing of fluids from the vagina prior to 37 weeks of gestation  Vaginal bleeding  Abdominal pain  Change in fetal activity  Edema of the face and hands  Epigastric pain