(The diet includes foods that are low in phenylalanine. a. -Rubella titer: Determines immunity to rubella 15.1415.1415.14, solve Prob. I will ask the nurse to take my baby back to the nursery if I need to leave my room. Part I of this two-part article discusses the assessment of general health, head and neck, heart, and lungs. reaches the maximum night and weight for the seat. HOW? The nurse should done clean gloves when obtaining heels stick lab pediatic stethoscope head Maternity Newborn Terms in this set (71) A nurse is assisting with the care of a client who is pregnant and receiving magnesium sulfate via a continuous IV infusion. -When there is suspected rupture of membranes, the nurse should first assess the FHR to ensure there is no fetal distress from possible umbilical cord prolapse, which can occur with the gush of amniotic fluid Which of the following statements should the nurse make? Summary. -Maternal serum alpha-fetoprotein: Screening occurs between 15 to 22 weeks of gestation. Used to rule out Down syndrome (low level) and neural tube defects (high level). Place the car seat ideally in the middle (away from airbags) to Bruins Capital Reviews, Ears are considered low-set when the helix of the ear meets the cranium at a level below that of a horizontal plane through both inner canthi (Figure 4). A term newborn should have pink skin, rest symmetrically with the arms and legs in flexion, cry vigorously when stimulated, and move all extremities equally. The APGAR Score follows the table below in the assessment of the newborn. WebIndications To confirm a diagnosis, monitor an illness, and/or patients response to a treatment. A. Discontinue oxytocin About Hemolytic Disease (RM MN RN 11 Chp 27 Assessment and -Have the client avoid foods that are high in sodium, alcohol and tobacco, and limit caffeine intake also instruct the client to drink six to eight 8-ounce glasses of water a day. The nurse should monitor the client for which of the following adverse effects of this medication? iii. Report at a scam and speak to a recovery consultant for free. births with each subsequent pregnancy, short labors, previous ATI Maternity Newborn Assessment The screening programs are headed by each state department of health and available to all infants in the United States. A nurse in a clinic is caring for a client who tests positive for gonorrhea. fifth intercostal space at A nurse is assisting with the care of a client who is in the active stage of labor. ii. Laboratory tests check a sample of your blood, urine, or body tissues. The respiratory examination is important because the infant is transitioning from fetal A nurse is caring for a client who is at 32 weeks of gestation and has a prescription for nifedipine. counted for 1 full minute, i. H: Hemolysis, resulting in anemia and jaundice All Rights Reserved. vi. obtain a culture for group B streptococcus B-hemolytic. Newborns with low-set ears should be evaluated for a genetic condition. A nurse is caring for a client who is at 16 weeks of gestation and is at risk for developing hyperemesis gravidarum. (RM MN RN 11 Chp 9 Medical Conditions,Active Learning Template: If the causative factor occurred later in pregnancy (e.g., uteroplacental insufficiency), the head circumference will be preserved relative to other measurements.6 A newborn with a birth weight above the 90th percentile is considered large for gestational age. Routine screening for congenital heart disease via pulse oximetry is recommended before discharge at 24 hours of life or later. Expected heart rate ranges -Tell the parents that a film of yellowish mucus can form over the glans by day two, and it is important not to wash it off A nurse is collecting data from a client who is at 36 weeks of gestation. Molding b. Vernix Caseosa c. Expected Reference Ranges of Physical Measurements Weight - 2500 - 4000 g Length - 45 - 55 cm (18 - 22 in) Head Circumference - 32 - 36.8 cm (12.6 -14.5 in) OVERVIEW. vi. Marcia Fudge Delta Sigma Theta President, which of the following types of transmission based isolation precautions should the nurse initiate for the client? Momandbaby ATIstudy 1 copy - 1. Assessment and Management A nurse is reviewing the laboratory results for a client who has a bp of 156/102 mm Hg and is at 36 weeks of gestation. A nurse in a clinic is assisting with the plan of care for a client who is at 36 weeks of gestation. a nurse is collecting data from a newborn who is 6 hr old. Newborns with these conditions often display dysmorphic features or are simply constitutionally small. -Respiratory distress symptoms Necrotizing enterocolitis Newborn Assessment: Eliciting Newborn Reflexes (Active Learning Template - Nursing Skill, RM MN RN 10.0 Chp 23) -Moro reflex: Elicit by allowing the head and trunk of the newborn in a semisitting position to fall backward to an angle of at least 30. It is limited by suture lines and occurs more commonly in deliveries in which forceps or a vacuum extractor was used. Bridgeview Homes London Ontario, Micrognathia (a small mandible) occurs with Pierre Robin syndrome. Breastfeed the newborn at least every 2 hours A nurse is assisting with collecting data from a newborn who was born 2 hours ago and has respiratory distress. Medical Conditions: Evaluating Laboratory Findings for Client Who Has A nurse is contributing to the plan of care for a client who is in labor and tested positive for group B streptococcus B-hemolytic. a. Fax: (404) 327-7919. which of the following interventions should the nurse include in the plan of care? The preliminary analysis in this situation is that this: 19. Diagnostic Tests (1 item) Management of Newborn Complications,Active Learning Template: 30 to 60 breaths/min with Aspartame, which contains phenylalanine, should be avoided by pregnant women who have PKU) Reportable findings for a a nurse is reinforcing teaching with a client who plans to use a modified paced breathing technique to relieve labor pain. -Three-hour glucose tolerance (fasting overnight prior to oral ingestion or IV administration of concentrated glucose with a venous sample taken 1, 2, and 3 hr later):Used in clients who have elevated 1-hr glucose test as a screening tool for diabetes mellitus. B. WebA nurse is reinforcing teaching with a client who is at 30 weeks of gestation and has a prescription for nifedipine to treat preterm labor. a nurse is contributing to the plan of care for a client who plans to formula feed their newborn. i. appropriate for babies needing shoulder dystocia, Fetomaternal hemorrhage with Rh isoimmunization, Inadvertent fetal damage or anomalies involving limbs, Inadvertent maternal intestinal or bladder damage, Leakage of amniotic fluid A nurse is caring for a client who is experiencing a postpartum hemorrhage. -Instruct the client about completely emptying her breasts with each feeding to prevent milk stasis, which provides a medium for bacterial growth.
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