Newborn Care
This nursing intervention helps prevent hypothermia in late-preterm infants by reducing their metabolic energy expenditure.
What is clustering care to minimize heat loss?
A client with sudden, severe unilateral abdominal pain and shoulder pain may be experiencing this obstetric emergency.
What is a ruptured ectopic pregnancy?
After an epidural is placed, this maternal vital sign becomes the priority due to risk of fetal compromise.
What is maternal blood pressure?
A postpartum patient who reports unilateral calf pain two weeks after birth must be evaluated immediately for this condition.
What is a deep vein thrombosis?
A preschooler who believes their angry thoughts caused a sibling’s injury is demonstrating this common developmental concept.
What is magical thinking?
A newborn is unusually jittery during the first hours of life. Before taking any other action, the nurse should assess this value.
What is the blood glucose level?
A woman with placenta previa comes in with bleeding. The very first assessment the nurse should perform is related to this.
What is evaluating fetal well-being with external monitoring?
A fetal heart tracing showing repetitive variable decelerations after membrane rupture at a high station suggests this emergency.
What is possible umbilical cord prolapse?
The highest-risk client for postpartum hemorrhage is one with multiple births and this factor during delivery.
What is manual removal of the placenta?
A child with suspected epiglottitis should never undergo this type of exam due to risk of airway occlusion.
What is throat inspection with a tongue depressor?
A nurse notices a newborn with nasal flaring and intercostal retractions at one hour of age. These findings point to this condition.
What is respiratory distress syndrome?
A patient with preeclampsia reports seeing spots and having a severe headache. This intervention must be initiated immediately.
What are seizure precautions?
This position plus counter-pressure often relieves back labor in the presence of an occiput posterior fetus.
What is hands-and-knees with firm sacral pressure?
Parents of a cleft palate repair infant need teaching on this important postoperative safety device.
What are elbow restraints to prevent mouth touching?
A child with bronchitis who is diaphoretic with an O₂ sat of 89% requires this immediate intervention.
What is applying supplemental oxygen?
A newborn whose mother is O+ and whose blood type is A or B should be closely monitored for this complication.
What is hyperbilirubinemia?
A pregnant woman with a history of multiple LGA infants is at greatest risk for this metabolic disorder.
What is gestational diabetes?
When oxytocin causes contractions that are too frequent, this is the nurse’s first action.
What is stopping the oxytocin infusion?
A newborn with a VSD might show this sign of heart failure.
What is poor feeding or inability to finish a bottle?
A sudden fever one week after VP shunt surgery may indicate this dangerous complication.
What is shunt infection?
A newborn exposed to meconium in utero and now exhibiting tachypnea needs immediate evaluation for this respiratory concern.
What is meconium aspiration syndrome?
A 32-week patient with painless bleeding should be placed on bed rest and must avoid any of these vaginal procedures.
What are any internal exams or forms of internal monitoring?
A reactive non-stress test is defined by these fetal heart rate characteristics.
What are two accelerations of 15 bpm for 15 seconds in a 20–30 min window?
A newborn who is small for gestational age has a weak cry, poor feeding, and low temperature despite being swaddled. The nurse recognizes these as early signs of this metabolic complication.
What is neonatal hypoglycemia?
A child with acute post-streptococcal glomerulonephritis who develops crackles in the lungs is experiencing worsening of this type of excess.
What is fluid retention/volume overload?