TMIKY MA1 VATI Maternal Newborn Review.
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VATI Maternal Newborn Review A nurse is caring for a newborn and notes signs of abstinence syndrome (withdrawal). The nurse uses the neonatal abstinence scoring system. What is assessed and scored w ... ith this tool? CNS – increased wakefulness; a high-pitched, shrill cry; incessant crying; irritability; tremors; hyperactive with an increased Moro reflex; increased deep-tendon reflexes; increased muscle tone; abrasions and/or excoriations on the face and knees; and convulsions. Metabolic, vasomotor, and respiratory findings – nasal congestion with flaring; frequent yawning; skin mottling; tachypnea greater than 60/min; sweating; and a temperature greater than 99°F. Gastrointestinal – poor feeding; regurgitation; diarrhea; and excessive, uncoordinated, and constant sucking. A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse anticipate? Facial anomalies include eyes with epicanthal folds, strabismus, and ptosis; mouth with a poor suck, small teeth, and a cleft lip or palate. Deafness Abnormal palmar creases and irregular hair Many vital organ anomalies, such as heart defects, including atrial and ventricular septal defects, tetralogy of Fallot, and patent-ductus arteriosus. Developmental delays and neurologic abnormalities Prenatal and postnatal growth retardation Sleep disturbances A nurse is caring for the family of a newborn. What are some interventions the nurse can use to facilitate sibling acceptance of the newborn? Take the sibling on a tour of the obstetric unit. Encourage the parents to: let the sibling be one of the first to see the infant, provide a gift from the infant to give the sibling, arrange for one parent to spend time with the sibling while the other parent is caring for the infant, allow older siblings to help in providing care for the infant, provide the preschooler with a doll to care for. [Show More]
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