If this is so, a further assessment, such as a contraction stress test (CST) or BPP, is indicated A nurse is caring for a client who is in labor. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. B. Which of the following should the nurse expect in a term newborn who has Down syndrome? - Apical pulse rate is counted for 1 full minute, preferanly when the newborn is sleeping. A client who is receiving continuous IV lidocaine and has a respiratory rate of 10min 32-Maternal Newborn Assessment 1. Vital signs: It is caused by retained fluid in the lungs, which can result in alveolar hypoventilation.42 Treatment includes supportive respiratory care because the condition resolves within 48 hours. A nurse is reviewing the laboratory results of a client who is at weeks of gestation. -Fetal demise or Chorioamnionitis, Medical Conditions: Laboratory Values to Report (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 9), -Urinalysis for ketones and acetones (breakdown of protein and fat) is the most important initial laboratory test: Elevated urine specific gravity The search included meta-analyses, randomized controlled trials, clinical trials, and reviews. Which of the following routes of administration should the nurse plan to use? Assessment and Management of Newborn Complications: Teaching being average. Renal ultrasonography should be performed only in patients with isolated ear anomalies, such as preauricular pits or cup ears, if they are accompanied by other malformations or significant family history. A newborn is considered small for gestational age if birth weight is below the 10th percentile. maternal vital signs, weight initially and daily, any evidence of Which of the following conditions places the client at an increased risk for developing this condition? Jaundice is the yellow color of skin and mucous membranes due to accumulation of bile pigments in blood and their deposition in body tissues. the nurse should notify the provider of which of the following findings? Results: 4 of the 7 newborns were late preterm with gestational age between 36 weeks and 37 weeks, and . Youtube page for Newborn Screening Program. Chp 23 Newborn Assessment,Active Learning Template: Growth and Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with: a. Assessment of Fetal Well-Being: Complications Associated With an A nurse is assisting with the data collection of a newborn who is 1 hr old. -One-hour glucose tolerance (oral ingestion or IV administration of concentrated glucose with venous sample taken 1 hr later [fasting not necessary]): Identifies hyperglycemia; done at initial visit for at-risk clients and at 24 to 28 weeks of gestation for all pregnant women (greater than 140 mg/dL requires follow up) i. i. View a. The baby has lost 8% of weight since birth 2. becomes chilled, oxygen Which of the following findings should prompt the nurse to reassess the client. We aimed to evaluate the role of presentation findings in such infants to predict eventual outcome. which of the following interventions should the nurse include in the plan of care? Using the method of Sec. The screening programs are headed by each state department of health and available to all infants in the United States. Micrognathia (a small mandible) occurs with Pierre Robin syndrome. most frequently during the Which of the following findings should the nurse expect? Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! -Encourage upright positions, application of warm/cold packs, ambulation, or hydrotherapy if not contraindicated to promote comfort, Labor and Delivery Processes: Indications of True Labor (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 11), -Contractions: can begin irregularly but become regular, stronger, longer, more frequent, felt in lower back, walking can increase contraction intensity, continue despite comfort measure Preeclampsia (RM MN RN 11 Chp 9 Medical Conditions,Active Which of the following actions should the nurse take? Midline clefts warrant investigation for a midline defect in the brain or other abnormalities.35. A nurse is assisting with a discharge teaching about pain management to a client who had a cesarean birth and is experiencing gas pains. Routine screening for congenital heart disease via pulse oximetry is recommended before discharge at 24 hours of life or later. WHY? over the apex of the The baby weight 3000 grams at birth 4. (RM MN RN 11 Chp 9 Medical Conditions,Active Learning Template: A previous article in American Family Physician includes a detailed review of respiratory distress in the newborn.43. Maintenance: The nurse should monitor the client for which of the following adverse effects of this medication? Urine output 22 mL/hr Which of the following laboratory results should the nurse report to the provider? Once the child's gestational age is established, weight, length, and head circumference should be plotted on a nomogram to determine percentiles. Microtia (small and underdeveloped pinnae) is commonly associated with another defect, such as CHARGE syndrome.21 Because preauricular skin tags and ear pits are associated with permanent hearing impairment in newborns, screening and close monitoring are warranted.22 There is a known association between ear and renal abnormalities, and a variety of syndromes demonstrate both ear and renal defects.2325. D. Health Screening (1 item) -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 Diagnostic echocardiography should be performed if screening results are positive (Table 6).40,41. which of the following statements by the client indicates an understanding of the instructions? 1. Newborn -Respiratory distress symptoms Daughter Of Shango, which of the following information should the nurse include in the teaching? Expected heart rate ranges v. Cardiac dysrhythmias Maternal Newborn ATI Remediation - Management of Care 50 -Blood glucose levels less than 45, indicates hypoglycemia, Nursing Care and Discharge Teaching: Client Teaching About Circumcision Site Care (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 26), -Bathing by immersion is not done until circumcision is healed, trickle warm water Which of the following findings should the nurse report to the provider? -Venereal disease research laboratory (VDRL): Syphilis screening mandated by law 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. Macrocephaly (isolated head enlargement, greater than the 98th percentile or greater than two standard deviations above the mean) may be hereditary or the result of a central nervous system disorder (e.g., hydrocephalus, brain tumor), and imaging may be needed.3,4, After evaluating the overall size and shape of the head for asymmetry or gross structural abnormalities, the fontanelles and sutures should be palpated with the newborn in the upright position. Pulse oximetry should be performed in a systematic fashion before discharge. Change the newborn's diaper at least every 4 hr, and clean the penis with warm water with each diaper change. Late Decelerations: assessment and management of newborn complications findings to report ati. : 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. Rust-stained urine, overlapping cranial sutures, periodic breathing. Which of the following statements should the nurse make? Diagnostic Tests (1 item) Abnormal findings require the attention of the phyisican in case there is a need for intervention. the client reports using heroin 6 hr ago. R espiration. A Ballard score uses physical and neurologic characteristics to assess gestational age. When a newborn takes the first breath, subsequent decreases in resistance in the pulmonary vasculature and increases in oxygen concentration result in eventual closure of the shunts, which allow the newborn to transition to adult circulation.
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