ATI MATERNAL NEWBORN REMEDIATION
T
Medical Conditions: Priority Postpartum Client (RN QSEN - Safety, Active Learning
Template - Basic Concept, RM MNRN 10.0 Chap 9)
-monitor vitals
-provide education on pregnancy
...
ATI MATERNAL NEWBORN REMEDIATION
T
Medical Conditions: Priority Postpartum Client (RN QSEN - Safety, Active Learning
Template - Basic Concept, RM MNRN 10.0 Chap 9)
-monitor vitals
-provide education on pregnancy medical condition and what it means now that pt is
postpartum
-do all necessary lab tests to see if labs have returned to normal
-provide medications if needed
-maintain patient comfort
-provide medications to baby if needed
Infections: Caring for a Newborn Whose Mother Has HIV (Active Learning Template -
System Disorder, RM MN RN 10.0 Chp 8)
-Provide counseling prior to and after testing
-Refer client for a mental health consultation, legal assistance, and financial resources
-administer antiviral prophylaxis, triple-drug antiviral, or highly active antiretroviral
therapy (HAART) as prescribed
-encourage vaccination against hepatitis B, pneumococcal infection, Haemophilius
influenzae type B and viral influenza
-Infant should be bathed after birth before remaining with mother
Infections: Prophylaxis Treatment for a Newborn Whose Mother is HBsAg-Positive
Mothers (RN QSEN - Safety, Active Learning Template - Basic Concept, RM MN RN 10.0
Chp 8)
-information for immunization
--infants get their first dose as infants
--completes over a period of 6 months (at birth, 1 month, and 6 months)
--given as an injection
--usually 0.5ml for a newborn dosage
--know how many mLs you need to draw up
--know how to do dosage calculations based on information given in the question
--it is recommended to be administered to all newborns
--informed consent must be obtained
-info about immune globulin
--know how to do dosage calculations based on info given in the question
--for moms who are infected with hep B, the hep B immunoglobulin and the hep B
vaccine is given within 12 hours of birth
1
--vaccine is then given at 1 month, 2 months, and 12 months
Not from ATI Can’t FIND
The first hepatitis B vaccine is given at the birth facility to infants of uninfected mothers
as well as to those whose mothers are positive for hepatitis B. Hepatitis B immune
globulin is also given to infants of infected mothers.
The hepatitis B vaccine should be administered with a 25-gauge, 5/8-inch needle.
Hepatitis B vaccination is recommended for all infants. If the infant is born to an infected
mother who is a chronic carrier, hepatitis vaccine and hepatitis B immune globulin should
be administered within 12 hours of birth. Hepatitis B vaccine should be given in the
vastus lateralis muscle. Hepatitis B vaccine can be given at birth.
Assessment of Fetal Well-Being: Contraindications for a Contraction Stress Test (Active
Learning Template – Diagnostic Procedure, RM MN RN 10.0 Chp 6)
-contraindications for oxytocin stimulation
-can be difficult to stop and could lead to preterm labor!
-only used this method when nipple stimulation fails
-contradictions are placenta previa, bass previa, preterm labor, multiple gestation,
previous classic incision from a cesarean birth, and reduced cervical competence
Infections: Expected Findings of Trichomoniasis (Active Learning Template - System
Disorder, RM MN RN 10.0 Chp 8)
-Males: Penile itching or irritation, dysuria, and urethral discharge
2
-Females: Yellow-green, frothy vaginal discharge with foul odor, dyspareunia and
itching, dysuria
-Females (physical findings): Discharge in the vaginal vault, which can be sampled for
microscopy, strawberry spots on the cervix (tiny petechiae), a cervix that bleeds easily
Therapeutic Communication: Supporting a Client in Early Pregnancy (RN QSEN - Patientcentered Care, Active Learning Template - B
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