NR 452 VATI Maternal Newborn 100% GUIDE

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NR 452 VATI Maternal Newborn 100% GUIDE A nurse notes late decelerations on the fetal monitor. What priority actions should the nurse take? Suggested Maternal Newborn Learning Activity: Fetal Heart M... onitoring and Interpretation A priority safety measure of a Maternal Newborn nurse is infant safety in the acute care setting. What measures can the nurse implement to prevent infant abduction? A client asks the nurse what are indications for a cesarean birth. What information should the nurse provide? Suggested Maternal Newborn Learning Activity: Cesarean Birth The nurse is assessing a pregnant client at 20 weeks gestation for risk factors for preeclampsia. What risk factors would the nurse assess for? Suggested learning activity: Medical disorders-Gestational Hypertension A nurse is providing client education regarding the advantages and disadvantages of intrauterine devices. What information should the nurse include? Suggested Maternal Newborn Learning Activity: Contraceptives - A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse anticipate? 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? Suggested Maternal Newborn Learning Activity: Restorative stages of the postpartum period / bonding - What are four (4) care measures that the nurse should implement to manage pain for labor clients during the latent phase of labor? Suggested learning activity: Nonpharmacological Pain Management - A nurse is caring for a newborn. One complication that the nurse monitors for is hypoglycemia. Identify the criteria for hypoglycemia in the newborn. Suggested Maternal Newborn Learning Activity: Hypoglycemia in Newborn A nurse is caring for a client prescribed tromethamine (Hemabate) for the treatment of postpartum hemorrhage. What signs of an adverse reaction to this medication should the nurse monitor for? Suggested Maternal Newborn Learning Activity: A nurse is caring for a client who has tested positive for Group B Streptococci. What medication should the nurse anticipate administering to this client? Suggested Maternal Newborn Learning Activity: TORCH Screen - Penicillin G or ampicillin (Principen) is most commonly prescribed for Group B Streptococci What are the priority nursing actions for hypotension following placement of epidural regional analgesia? Suggested learning activity: Epidurals in Labor Nursing action would include: • Administer oxygen. • Increase flow of IV fluids. • Possibly administer ephedrine if hypotension is severe. A nurse is caring for a client undergoing a contraction stress test. What is a negative (normal) finding? What is a positive (abnormal) finding? -A negative finding would be indicated if within a 10-min period, with three uterine contractions, there are no late decelerations of the FHR. -A positive finding would be indicated if persistent and consistent late decelerations with 50% or more of the contraction, which is suggestive of uteroplacental insufficiency. Immediately after rupture of amniotic membranes, a client states that she can feel something in her vagina and the nurse is able to visualize the umbilical cord protruding from the introitus. Discuss emergency nursing care measures the nurse should take. Suggested Maternal Newborn Learning Activity: Labor Complications- Prolapsed Cord In order the nurse should: • Call for assistance immediately. • Notify the provider. • Use a sterile-gloved hand, insert two fingers into the vagina, and apply finger pressure on either side of the cord to the fetal presenting part to elevate it off of the cord. • Reposition the client in a knee-chest, Trendelenburg, or a side-lying position with a rolled towel under the client’s right or left hip to relieve pressure on the cord. • Apply a warm, sterile, saline-soaked towel to the visible cord to prevent drying and to maintain blood flow. • Provide continuous electronic monitoring of FHR for variable decelerations, which indicate fetal asphyxia and hypoxia. • Administer oxygen at 8 to 10 L/min via a face mask to improve fetal oxygenation. • Initiate IV access, and administer IV fluid bolus. • Prepare for an immediate vaginal birth if cervix is fully dilated or cesarean section A nurse is completing an Apgar score on a newborn. What is assessed when obtaining an Apgar score? What does a score of 5 indicate? Suggested Maternal Newborn Learning Activities: Normal newborn physical assessment and Newborn Vital Signs - The Apgar is a review of systems that is completed soon after birth. It monitors the heart rate, respiratory rate, muscle tone, reflex irritability, and color on a scale of 0-2. An Apgar score of 5 indicates moderate distress and some suctioning and stimulation of the newborn is necessary. [Show More]

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