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Exam (elaborations)

ENCLEX FOCUS REVIEW WK 4 MARTERNAL NEW BORN

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ENCLEX FOCUS REVIEW WK 4 MARTERNAL NEW BORN Complete an ATI Focused Review® and send me a detailed summary (2-3 sentences each) of 4 concepts that you learned from the focused review. Focus Review for Maternal and new born module Time spend: 3 hours 21 min. Health Promotion and Maintenance Ante/Intra/Postpartum and Newborn Care - (5) a) Client education and discharge teaching: Breast care. b) Developmental stages and transitions: New born - assessment: Care for a 2 day-old new born. c) Aging process: New born nutrition: Evaluating parent understanding of nutritional needs. d) Therapeutic Procedures to Assist with Labor and Delivery: Amniotomy (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 15) Psychosocial Integrity/ Family Dynamics - (1) a) Baby-Friendly Care: Facilitating Sibling Acceptance of the Newborn (Active Learning Template Basic Concept, RM MN RN 10.0 Chp 18) Basic Care and Comfort/ Non-Pharmacological Comfort Interventions - (2) a) Pain Management: Labor Pains (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 12) b) Pain Management: Managing Pain during the Latent Phase of Labor (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 12) Nutrition and Oral Hydration - (1) a) Assessment and Management of Newborn Complications: Management of Hypoglycemia for SGA (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 27) Pharmacological and Parenteral Therapies/ Medication Administration - (1) a) Infections: Management of Group B Streptococcus (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 8) Reduction of Risk Potential/ Changes/Abnormalities in Vital Signs - (1) a) Pain Management: Priority Action for Respiratory Depression (Active Learning Template - Medication, RM MN RN 10.0 Chp 12) Diagnostic Tests - (1) a) Assessment of Fetal Well-Being: Contraction Stress Test (Active Learning Template - Diagnostic Procedure, RM MN RN 10.0 Chp 6) 2. Answer the following questions and review the suggested learning activities. Send me your answers here. What are indications for amniotomy? Identify post-nursing interventions after this procedure. The indications are that labor progression is too slow and augmentation or induction of labor is indicated. An amnioinfusion is indicated for cord compression The nurse is reviewing the postpartum mother’s CBC at 24 hours after delivery, and notes a WBC count of 15,000 mm3. What action should the nurse take? The action that the nurse should take is to note it in the records and observe changes. A nurse is caring for a newborn. One complication that the nurse monitors for is hypoglycemia. Identify the criteria for hypoglycemia in the newborn. A simple blood test for blood glucose levels can diagnose the problem. Treatment includes giving the baby a fast-acting source of glucose. This may be as simple as a glucose and water mixture or formula as an early feeding. Or your baby may need glucose given through an IV. The baby's blood glucose levels are checked after treatment to see if the hypoglycemia occurs again. Suggested Maternal Newborn Learning Activity: Hypoglycemia in Newborn A nurse is caring for a client being discharged following admission for hyperemesis gravidarum. What dietary instructions should the nurse provide to the client? The nurse should provide the following dietary instructions to the client. Low-fat foods and easily digested carbohydrates such as fruit, breads, cereals, rice, and pasta provide important nutrients and help prevent a low blood glucose level, which can cause nausea. Soups and other liquids should be taken between meals to avoid distending the stomach and triggering nausea. Sitting upright after meals reduces gastric reflux. Food portions should be small Foods with strong odors should be eliminated from the diet, because food smells often incite nausea. Suggested Maternal Newborn Learning Activity: Hyperemesis Gravidarum What is the priority intervention for respiratory depression for the newborn delivered 1 hour after the mother

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Uploaded on
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