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ATI Maternal Newborn Proctored Exam: Study Set (Focused Reviews)

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ATI Maternal Newborn Proctored Exam: Study Set (Focused Reviews) How to perform a heel stick on a newborn: 1. Don clean gloves 2. Warm the newborns heel 1st to increase circulation 3. Cleanse the area w/an appropriate antiseptic & allow to dry 4. A spring-activated lancet is used on the outer aspect of the heel. The lancet should go no deeper than 2.4 mm 5. Apply pressure w/dry gauze until bleeding stops & cover w/an adhesive bandage 6. Comfort the newborn after 1. A diaphragm needs to have what applied with each act of coitus? 2. How long must a diaphragm remain in place following coitus? 3. Diaphragms are contraindicated for clients with: 1. spermicidal gel, cream, or foam 2. 6 hours 3. a hx of TSS or frequent UTIs Temp can ____slightly at the time of ovulation, with the Basal Body Temperature (BBT) method of contraception, a woman is instructed to: -drop -measure oral temp prior to getting out of bed each morning to monitor ovulation Caring for a client with severe preeclampsia: -monitor for mag sulf toxicity (absence of patellar DTRs, urine output <30 mL/hr, RR <12/min, decreased LOC) -bed rest -side-lying position -avoid alcohol, limit caffiene -increase fluid intake to 8 glasses/day -avoid stimuli that may precipitate a seizure -daily weights -monitor LOC -perform NST and daily kick counts as perscribed -monitor vitals and I&Os Interventions for a postpartum client who has bladder distention: -encourage the client to empty her bladder frequently (Q 2-3 hr) -increase fluid intake -catheterize if necessary Contraindications to Methylergonovine Contraindications to Methergine include: -clients with HTN -clients with eclampsia -hx of risk factors for coronary artery disease -severe hepatic or renal disease -sepsis Caring for a client who is receiving mag sulf: -monitor client's BP, pulse, and RR -monitor client's LOC -monitor client's DTRs -monitor urinary output -monitor for presence of headaches, visual disturbances, epigastric pain, uterine contractions -monitor FHR and activity -place client on fluid restriction of 100-125 mL/hr -make sure client's urine output is over 30 mL/hr Labor induction using oxytocin: -obtain informed consent -obtain baseline data of fetal & maternal -prior to admin, the nurse must confirm that the fetus is engaged in the birth canal at a minimum of station 0. -position side-lying -administer O2 by face mask at 8-10 L/min -use the infusion port closest to the client for admin, piggyback

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