E. Laboratory Values (2 items) Using the method of Sec. B. Recent data indicate that ultrasonography should be performed in patients with isolated ear anomalies, such as preauricular pits or cup ears, only when they are associated with one or more of the following characteristics: other malformations or dysmorphic features, teratogenic exposures, a family history of deafness, or a maternal history of gestational diabetes.2628 Ear canals should be observed for patency. administer ampicillin via intermittent IV bolus. the prostaglandin -PPD (tuberculosis screening), chest x-ray after 20 weeks of gestation with PPD test: Identifies exposure to tuberculosis. A nurse is reinforcing discharge teaching with a parent of a newborn following a circumcision using the Plastibell technique. i. Heartburn, constipation, hemorrhoids, backaches Which of the following findings should prompt the nurse to reassess the client. apply an ice pack to the client's perineum. Newborn Assessment: Identifying Expected Findings (RM MN RN 11. 1. -Postpartum Hemorrhage: maintain or initiate IV fluids to replace fluid volume loss with IV isotonic solutions, such as lactated Ringer's or 0.9% sodium chloride; colloid volume expanders, such as albumin; and blood products (packed RBCs and fresh frozen plasma), *Priority* (contains a decently amount for th, Research: Sampling, Measurement, and Data Col, Julie S Snyder, Linda Lilley, Shelly Collins, Global Health 101 (Essential Public Health). A nurse is caring for a newborn who is 24 hr old. When the baby's heel is pricked to collect a sample of blood for newborn screening. Part I of this two-part article discusses the assessment of general health, head and neck, heart, and lungs. Late Decelerations: 15.1415.1415.14, solve Prob. -Maternal medical complications (Rh-isoimmunization, Diabetes mellitus, Pulmonary disease, Gestational hypertension) 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Insert IV and increase rate of infusion A diagnosis of gestational diabetes requires two elevated blood-glucose readings, Assessment and Management of Newborn Complications: Clinical Manifestations of a Macrosomic Newborn (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 27), -Weight above 90th percentile (4,000 g) with a large head A nurse is reinforcing teaching about home safety with a client who is postpartum. collins v44 knife / charlie rymer wife / assessment and management of newborn complications findings to report ati. A. Accident/Error/Injury/Prevention (1 item) Intrauterine growth restriction occurs when the baby's growth during pregnancy is poor compared with . Intratest- Use of standard precautions or sterile technique if necessary. The nurse should done clean gloves when obtaining heels stick A nurse is caring for a client who ins in preterm labor and is receiving betamethasone. Which of the following findings should the nurse expect? pediatic stethoscope head The alveoli are filling with air, the systemic vascular resistance is increasing, and the pulmonary vascular resistance is decreasing. PE findings that impede breastfeeding - Nipple type or engorgement makes latch hard - Cracks or bleeding that causes too much pain to breastfeed 2. Place client in side-lying position A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Normal temperature range is : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. (RM MN RN 11 Chp 9 Medical Conditions,Active Learning Template: 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. Assessment and Management of Newborn Complications: Findings to Report to the Provider (RM MN RN 11 Chp 27 Assessment and Management of Newborn Complications,Active Learning Template: Diagnostic Procedure) i. Hypoglycemia: 1. poor feeding 2. jitteriness/tremors 3. assessment and management of newborn complications findings to report ati. Regardless of red reflex test results, all newborns with a family history of retinoblastoma, cataracts, glaucoma, or retinal abnormalities should be referred to an ophthalmologist who is experienced in the examination of children. 5:55 pm junho 7, 2022 . -Maternal serum alpha-fetoprotein (MSAFP): Screening occurs between 15 to 22 weeks of gestation. a nurse is collecting data from an antepartum client who reports taking ferrous sulfate twice per day for the past month. Results: 4 of the 7 newborns were late preterm with gestational age between 36 weeks and 37 weeks, and . Respiratory distress, cyanosis Assist client into a supine position, and place a wedge under her R espiration. the left midclavicular line Reportable findings for a short periods of apnea (less vii. begin and end modified breathing with a deep cleansing breath. avoid exposure to body secretions This is a Premium document. Include the ions responsible, in which direction they are moving, and other details necessary for the action. transport newborn. RN 11 Chp 23 Newborn Assessment,Active Learning Template: System Assessment of Fetal Well-Being: Reviewing Results of Nonstress Test (Active Learning Template - Diagnostic Procedure, RM MN RN 10.0 Chp 6), -The NST is interpreted as reactive if the FHR is a normal baseline rate with moderate variability, accelerates at least 15/min (10/min prior to 32 weeks) for at least 15 seconds (10 seconds prior to 32 weeks) and occurs two or more times during a 20-min period. demands can increase and Obtain client's baseline vital signs and FHR, and document prior multiple partners If this is the case, the misshapen head should resolve spontaneously within the first few months of life.11, The scalp examination may reveal caput succedaneum, cephalohematoma, and other lesions (Figure 2). Summary. With clamp procedures, apply petroleum jelly with each diaper change for at least 24 hr after the circumcision to keep the diaper from adhering to the penis WebNewborn Assessment: Expected Findings in a Preterm Newborn (Chp 23) The Ballard assessment may show a physical and neurological assessment totaling less than 37 STUDENT NAME______________________________________ Generally good health despite the mental illness. Because the Hvap\Delta H_{\text {vap }}Hvap for ethanol is larger, we would expect that for the two liquids to reach the same vapor pressure, the temperature for ethanol would have to be higher. The APGAR Score follows the table below in the assessment of the newborn. 4. It can usually be corrected with physical therapy.36 If not corrected, torticollis can lead to plagiocephaly and ear misalignment. weight increase of 3kg (6.6lb) in one month. -Fetus: presenting part engages in pelvis, *Priority* (contains a decently amount for th, RN Maternal Newborn Online Practice 2019 B -, Maternity NB: ATI Remediation (Spring 2019), Research: Sampling, Measurement, and Data Col, Julie S Snyder, Linda Lilley, Shelly Collins. A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. Need client's informed consent 3. -Maintain a patent airway in the event of a seizure and administer antihypertensive medications as prescribed. Which of the following adverse effects should the nurse include in the teaching. risk factors are also the ones that associated with other STIs Which assessment finding is important for the nurse to report to the hcp? About Hemolytic Disease (RM MN RN 11 Chp 27 Assessment and A nurse is assisting with the care of a newborn who has hyperbilirubinemia and is receiving phototherapy. Copyright 2014 by the American Academy of Family Physicians. x. use of IUDs Derive a formula for QQQ as a function of p,D\Delta p, Dp,D, and other relevant variables associated with the problem. A clinic nurse is reviewing dietary instruction with a client who is at 20 weeks of gestation and taking Iron supplements. which of the following food sources should the nurse instruct the client to include in their diet to increase absorption of an iron supplement? -Irregular respirations, Cyanosis, Apnea, Medical Conditions: Educating Client Who Has Preeclampsia About Home Management (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 9). For which of the following findings should the nurse intervene? A nurse is assisting with the care of a postpartum client and their newborn. A diagnosis of gestational diabetes requires two elevated blood-glucose readings A pre-term newborn is to be fed breast milk through nasogastric tube. About Hemolytic Disease (RM MN RN 11 Chp 27 Assessment and For which of the following findings should the nurse notify the provider? Which of the following information should the nurse include in the teaching? Report at a scam and speak to a recovery consultant for free. A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn. A nurse is reinforcing discharge teaching with a client who has mastitis of the left breast. -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. can develop after your menstruation, miscarriage, abortion, pelvic Blink Reflex. This is part I of a two-part article on the newborn examination. Urine output less than 30 mL/hr preferanly when the The highest score for each criterion is 2, and the lowest is 0. The newborn will symmetrically extend and then abduct the arms at the elbows and fingers spread to form a "C" -Tonic neck reflex (fencer position): With newborn in supine, neutral position, examiner turns newborn's head quickly to one side. The nurse should monitor the client for which of the following adverse effects of this medication? WebNewborn Assessment: Reportable Clinical Findings (Chp 23) Assessment and Management of Newborn Complications: Caring for a Newborn Who Has Abstinence A client requests information about the use of a diaphragm for birth control. A nurse notes that a 6-hour-old neonate has cyanotic hands and feet. -Promote diversional activities (e.g., TV, visits from family or friends, gentle exercise). Medical Conditions: Priority Finding That Requires Further Assessment Provides an estimation of gestational age and a baseline to assess growth and development. Decatur, GA 30033-4050. A nurse is assisting with the care of a postpartum client and their newborn. A nurse on a postpartum unit is reinforcing teaching with an assistive personnel (AP) about preventing newborn abduction. A nurse is reinforcing dietary teaching with a client who is at 10 weeks of gestation. you will be asked to press a button when you feel your baby move during the test. -Avoid wrapping the penis in tight gauze, which can impair circulation to the glans 2. jitteriness/tremors A nurse in a clinic is assisting with the plan of care for a client who is at 36 weeks of gestation. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. ii. A nurse is assisting with the care of a client who is pregnant and receiving magnesium sulfate via a continuous IV infusion. On assessment of the newborn's head, the nurse notes that the ears are low set. What is the magnitude of the normal force acting on a crate as it slides across a horizontal floor, if the friction force acting on the box is Ffriction=0.49NF_\text{friction}=0.49\text{ N}Ffriction=0.49N and the coefficient of kinetic friction is K=0.25\mu_\text{K}=0.25K=0.25? v. Assessment after oxytocin every 30-60 minutes. If bilateral choanal atresia is present, the infant may have cyanosis that is relieved by crying. _____________________________________________________________________________ REVIEW MODULE CHAPTER__14 i. -Instruct the client to thoroughly wash hands prior to breastfeeding. ii. We aimed to evaluate the role of presentation findings in such infants to predict eventual outcome. which of the following findings should the nurse report to the provider? Newborn assessment, newborn check, newborn screening, NBST, newborn blood spot screening test, ongenital, newborn examination,Queensland Clinical Guidelines . Diagnostic echocardiography should be performed if screening results are positive (Table 6).40,41. Infants with colobomas need a formal ophthalmology evaluation. place the client in a side-lying position. a. Newborn nursing care Assessment of Fetal Well-Being: Complications Associated With an Amniocentesis (Active Learning Template - Diagnostic Procedure, RM MN RN 10.0 Chp 6), -Amniotic fluid emboli, Maternal or fetal hemorrhage, Fetomaternal hemorrhage with Rh iso immunization, Maternal or fetal infection Jaundice is the yellow color of skin and mucous membranes due to accumulation of bile pigments in blood and their deposition in body tissues. A nurse is caring for a client who is at 32 weeks of gestation and has a prescription for nifedipine. Table 5 summarizes important cardiac examination findings.38,39 Because of changes in vasculature immediately after birth, benign murmurs are common in the first hours of life.38,39 Routine screening for congenital heart disease via pulse oximetry is recommended before discharge at 24 hours of life or later, or shortly before discharge if earlier than 24 hours. All Rights Reserved. -Teach the parents to keep the area clean. Always have emergency equiptment ready incase complication with infant is found. Aspartame, which contains phenylalanine, should be avoided by pregnant women who have PKU) Newborns with low-set ears should be evaluated for a genetic condition. i. Preterm complications: i. The opinions and assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the U.S. Army Medical Department or the U.S. Army Service at large. A nurse is reinforcing family planning options with a client who is requesting information about contraceptives. A nurse is reinforcing teaching with a client who is at 8 wks gestation and has chlamydia. which of the following client statements indicates an understanding of the teaching? System Disorder) Fractures can be a result of birth trauma and are typically treated with analgesics for pain.37. A newborn's pulse is normally 120 to 160 beats per minute. Nursing Care and Discharge Teaching: Evaluating Understanding of Car

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