Maternal Newborn Post Assignment PDF

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The nurse is assessing the fetus during labor and notes recurrent variable decelerations within minimal baseline variability. What is the priority nursing intervention for recurrent variable decelerations within minimal baseline variability? The priority nursing intervention for recurrent variable decelerations within minimal baseline variability is turning mom to the side because that could help fix the problem of umbilical cord compression. A nurse is caring for a client who is considering use of a hormonal intrauterine system. What information regarding the advantages of an intrauterine device should the nurse provide? The hormonal IUD can last for approximately 5 years and is more than 99% effective at preventing pregnancy. Once put in, all you don’t need to do much other than checking the thread if it is in place each month after your period. If at any time a woman wants to remove the device, it can be taken out at an appointment with the trained doctor or nurse. When it’s removed, the chances of getting pregnancy go back to normal. A nurse is providing community education regarding risk factors for ovarian cancer. Identify five risk factors associated with the development of ovarian cancer. 1. Being over 40 years old 2. Having a family history of ovarian cancer, colorectal cancer, and breast cancer 3. First pregnancy after 35 years old 4. Being overweight or obese 5. Taking hormone therapy after menopause What is the indication for taking tamoxifen? It is indicated for treating metastatic breast cancer, ductal carcinoma in situ, and breast cancer prevention. A nurse is administering oxytocin to a client in labor. What are symptoms of uterine hyperstimulation warranted that warranted stopping the medication. Symptoms of uterine hyperstimulation include single contractions that last 2 minutes of more, or five or more contractions that are in a 10 minute period. There is also a decrease in the amount of oxygen that reaches the fetus, and it results in fetal distress. The nurse is teaching a group of pregnant clients about nutrition during pregnancy. What nutrients need to be increased during pregnancy? Key nutrients that need to be increased during pregnancy is iron, calcium, vitamin A, C, D, vitamin B6 & B12, and folate (during the first 12 weeks) The nurse is assessing a newborn infant 36 hours after birth and notices some swelling of the infant ‘s head. Differentiate between Caput succedaneum and Cephalohematoma. Caput succedaneum is edema of the scalp that crosses suture lines. Some causes include prolonged/difficulty delivery and using a vacuum extraction. This does not need treatment and the swelling will gradually dissipate in a matter of about three days. Cephalohematoma is a collection of blood that does not cross the suture lines. Some causes include rupturing of the

periosteal capillary and a delivery that utilized instruments to deliver the baby. The cephalohematoma takes a few weeks to months to be completely absorbed. The nurse has received total bilirubin report of 7 mg/dL on a newborn who is 24 hours old. What action, if any, should the nurse take? The newborn has a bilirubin level of 7 mg/dL in the first 24 hours, which is considered pathological jaundice. The nurse should report this to the provider and recommend that the newborn has an order for phototherapy in order to eliminate the high level of bilirubin in the blood, and return it back to the expected range. A 33 week client has presented to the labor and delivery unit with a rigid abdomen, vaginal bleeding, and sharp abdominal pain. What clinical manifestations would indicate maternal hypovolemic shock? Clinical manifestations that would indicate hypovolemic shock in the mother is headache, fatigue, nausea, cold or clammy skin, pale skin, tachycardia, confusion, rapid/shallow breathing, as well as fetal hypoxia and bradycardia. A 27 week term newborn is receiving phototherapy. What nursing interventions would be expected to minimize complications from phototherapy treatment? Interventions expected to minimize complications is covering the newborns eyes to protect from the light, monitoring hydration status (urine output and weight), assessing skin color, providing feedings (breastfeeding or formula)....