ATI MATERNAL NEWBORN REMEDIATION T Medical Conditions: Priority Postpartum Client (RN QSEN - Safety, Active Learning Template - Basic Concept, RM MNRN
... [Show More] 10.0 Chap 9) -monitor vitals -provid e 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 Show Less [Show Less]