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Maternal/Newborn Nursing (NUR 253) Ati Remediation

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Sandra Watson
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Indiana Wesleyan University

Maternal/Newborn Nursing (NUR 253)

ATI remediation:
Practice A:
Establishing priorities:
 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.

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Maternal/Newborn Nursing (NUR 253) Ati Remediation

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