Newborn
nursing discharge instructions for infant bathing
neutral cleanser, cool to warm water and not to submerge the infant, thermal neutral temperature in room.
Moderate lochia Rubra with clots, stable vitals. 4 hours pp. Priority action
evaluate/palpate bladder and void if full.
4200 gram male, term infant 4hrs not moving left arm and RN has felt crepitus on assessment
Possible broken Clavicle- ask about Shoulder dystocia during delivery
Hot painful swollen leg after cesarean section on day 2 pp
Name nursing Action
Call provider, possible DVT- PT will need Doppler U/S
expected vaginal discharge during ovulation
immediate nursing care for newborn after patent airway established
drying and stimulating infant
heavy, full breasts, 2 days pp, with a breastfeeding mother- Nursing intervention
Offer breast pump for comfort. Ensure client is wearing a bra
retractions intercostal muscles
Patient has HELLP- she is also a Jehovah's Witness-
Name the hospital intervention she may likely refuse based on her Religious Affiliations
Blood Products despite risk of death from hemorrhage.
IUD, Nexplanon, Ortho-micronor, Depo Provera
All breastfeeding safe birth control
methods
initiation of early feeding in newborn with A blood type with a mother who is O-
intervention for jaundice prevention
emotional, happy with baby- bonding well, feels up and down with emotions
baby blues
ensuring the baby is warm and has appropriate eye covering
nursing care for baby receiving phototherapy
PP Day #2 s/p cesarean section. Mother has developed fever of 101.3
Name the most probable sources of infection
UTI, Wound infection, Mastitis, Endometritis
Primary, Secondary, Tertiary
Syphilis
Minimal to absent Vernix, well lined soles of feet
Term infant findings
When should I expect to have a bowel movement?
normal return to bowel function is 2-3 days after delivery
32 week preterm infant with rectal temp of 35.2C
lethargic and jittery-
cold stress-
Patient only wants to have hot beverages and boiled chicken for food in the pp period
IS upset when offered cold beverages and ice.
Cultural Awareness for Hmong culture (Southwest Asia)
painful vesicular rash caused by a virus and infected by contact
Herpes Simplex Virus
Evaporation, Convection, Conduction, Radiation
Types of Heat loss
Red localized area on left breast, mother is pumping and breastfeeding she is reporting a fever of 102.2
likely mastitis, will need to be seen and receive antibiotics.
Term male, 4500 grams, now 2 hours after delivery. Baby is exhibiting jittery limbs, poor feeding..
S/S of Hypoglycemia
Postpartum patient with Type 1 diabetes.
What teaching should the RN review with patient regarding her diabetes.
Glucose levels may be lower in the pp period and you may need to check your blood sugar more frequently.
Name the STIs we screen for in the New OB labs and at Delivery
GC/CT HIV, Hep B-C, Syphilis