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Maternal Ati Remediation Newborn Nursing (NUR 253)

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Sandra Watson
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Maternal Ati Remediation Newborn Nursing (NUR 253)

■ Follow protocol
■ Airway, Breathing, Circulation
■ Warm baby(dry off/put hat on) because of Cold stress
■ Post circumcision—check for bleeding every 15 minutes
■ Preterm- cardiac and respiratory support Safety and Infection control: Accident/error/injury prevention:
– Always compare mom/baby bracelets when returning/taking baby  Slats on crib should be less than 2.5” apart
– Keep crib/bassinet away from window/blinds/drapes  Have all visitors wash hands before touching the newborn
– Bracelet should be placed on baby immediately after birth on ankle and wrist, include: name, sex, date, date of birth, mothers hospital number Assessment and management of newborn complications 24 post procedure:
– Substance abuse: CNS increased wakefulness, high pitch constant crying, hyperactive and increased Moro reflex, increased deep tendon reflexes, increased muscle tone, convulsions – Metabolic, vasomotor and respiratory findings- nasal congestion with flaring, frequent yawning, skin mottling, tachypnea greater than 60/min, sweating, temp greater than 37.2(99) – Nursing care: do neonatal abstinence scoring system assessment, elicit and assess reflexes,
monitor ability to feed/digest, monitor fluids/electrolytes, turgor, mucous membranes, fontanels and I/O,
– Phenobarbital (solfoton) anticonvulsant decreases CNS irritability/seizures for alcohol/opiod addiction
– Swaddle to reduce self-stimulation, reduce external stimuli, small frequent feedings of high calorie formula—possibly gavage Ante/intra/postpartum and newborn care: Decelerations:
-Early: FHR gradual decrease in and return to baseline FHR typically indicates compression of fetal
head, it is a normal and benign find. Correspond to uterine contractions in first stage.  – Late decelerations is due to uteroplacental deficiency, gradual decrease in and return to baseline associated with uterine contractions, starts after constration begins, returns to baseline after contraction ends. Repetitive late decels indicate fetal hypoxemia (placental perfusion decreased), ◊ acidosis. – Late decels can be caused by maternal supine hypotensive, reposition mom -Variable- abrupt decrease in FHR, decreases more than 15bpm, lasts 15 seconds or more, returns to
baseline in less than 2 minutes, “U” or “V” shape, occur because of

 

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Maternal Ati Remediation Newborn Nursing (NUR 253)

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