University:
The University of Texas Rio Grande Valley
Course:
NURS4602 | Family Health Care
Academic year:

2023
Views:

194

Pages:

2
Author:

Brenna Molina

RN Maternal Newborn Online Practice 2019 A Remediation Safety and Infection Control Standard Precautions/Transmission-Based Precautions/Surgical Asepsis Infections: nursing Action for a client who has parvovirus B19 (fifth desease): 1. 2. 3. 4. 5. Ruling out or verifying fetal abnormalities Assessing fetal position Placental grading (evaluating placental maturation) Adjunct for other procedures (amniocentesis, biophysical profile) Empty the bladder prior to the procedure to reduce its size and reduce the risk of inadvertent puncture 6. Obtain and document baseline vitals signs and FHR prior to the procedure 7. Report to the provider if the patient is experiencing fever, chills, leakage of fluid or bleeding 8. Monitor vital signs, temperature, respirtatory status, FHR, uterine contractions, and vaginal discharge 9. Administer mediction as prescribed 10. Offer support and reassurance. Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care Nursing care of Newborns: evaluating client understanding about the facility policy for newborn safety: 1. All facility staff who assist in caring for the newborn are required to wear photo identification badges. 2. The newborn is not to be given to anyone who does not have a photo identification badge that distinguishes that person as a staff member of the facility meternal-newborn unit. 3. Some facilities have sensor device on the ID band or umbilical cord clamp that sounds an alarm if the newborn is removed from the facility. Nursing care of newborns: steps for bathing a newborn 1. Bathing by immersion is not done until the newborn’s umbilical cord has fallen off and the circumcision has healed. 2. Avoid drafts or chilling of the newborn, only expose the body part being bathed and dry the newborn thoroughly to prevent heat loss. 3. If male, cleanse an uncircumcised penis and wash with soap and water. 4. Apply fragrance free hypoallergenic moisturizing emollient immediately after bathing to prevent dry skin. 5. Never leave baby alone, make sure to gather all necessary supplies. 6. Make sure the room is warm and water heater is set at 49 degrees celcius. Pharmacological and Parenteral Therapies Adverse effects/contraindications/ side effects/ interactions Postpartum disorders: adverse effects of carboprost 1. Encourage early breastfeeding for a client who is lactating. This will stimulate the production of natural oxytocin and prevent hemorrhage. 2. Encourage emptying of the bladder to prevent possible uterine displacement and atony. 3. Carboprost can cause hypertension Physiological Adaptation: Alterations in Body Systems: Assessment and management of newborn complications: planning care for a newborn receiving phototherapy 1. Avoid applying lotions or ointment to the skin because they absorb heat and can cause burns. 2. Be sure to remove the metal strip from the mask to prevent burning 3. Remove the newborn form phototherapy every 4 hours and unmask their eyes, checking for inflammation or injury. 4. Turn ff the phototherapy light before drawing blood for testing 5. Check the lamp energy with a photometer per facility protocol.

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