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Berta Abrego
Proctored RN Maternal Newborn
1. Infections: Indications for Cesarean Birth- Mothers who are infected with HSV have the possibility of
having a miscarriage, preterm labor or ectopic pregnancy. A cesarean section is recommended for
all women who have active genital herpes lesions or early outbreak.
2. Infections: Treatment for Gonorrhea- Medications used for patients have gonorrhea includes
Ceftriaxone IM and azithromycin PO which are broad spectrum antibiotics. They cause bactericidal
action.
3. Expected Physiological Changes During Pregnancy: Patients go through a lot of different physical
changes during pregnancy. During the first semester changes will not be so obvious. During the third
trimester patient’s abdomen will be enlarged. She will feel back and leg discomfort as well as
lethargic. Skin will change as well, stretch marks will become more noticeable and
hyperpigmentation will be darker in some areas of the body.
4. Labor and Delivery Process- Caring for a patient who is in second stage of labor, usually the patient
will be fully dilated, Intense contractions will be felt every 1 to 2 minutes. Pushing will result in birth
during the second stage.
5. Nursing Care and Discharge Teaching: Complications to report. Patients need to be taught that they
need to report an infected cord. They cannot bathe a newborn with a circumcision. Teach how to
use premoistened towelettes to clean the penis. Teach how to prevent falls, suffocation,
strangulation, and burns. Also report any bleedings right away.
6. Therapeutic Procedures to Assist with Labor and Delivery: Indications for Amniofusion-Patients who
normally get amniofusion will be patients who have oligohydramnios caused by either
uteroplacental insufficiency or premature rupture of membranes. This will be done to supplement
the amount of amniotic fluid.
7. Therapeutic Procedures to Assist with Labor and Delivery: Indications for discontinuing oxytocin-
Discontinue oxytocin if uterine hyperstimulation occurs. This will be contractions more often than
every 2 min or contractions that last 90 seconds. Also if there is no relaxation of uterus between
contractions.
8. Expected Physiological Changes During Pregnancy: Quickening means slight fluttering movements
of the fetus felt by a woman usually between 16 to 20 weeks of gestation.
9. Newborn assessment: Eliciting Newborn Reflexes- Sucking and rooting reflex is tested by stroking
the cheek or the edge of the mouth. Palmar grasp examine finger’s in palm of newborn’s hand.
Plantar grasp place nurses finger at base of newborn’s toes, the newborn responds by curling toes.
Moro reflex position newborn to fall backward in an angle of at least 30 degrees, the newborn will
extend and then abduct his arms. Tonic neck flex newborn turns head to one side then the other
while being in a supine position. Babinski reflex performed by stroking outer edge of the foot moving
up towards the toes. Toes will eventually fan out. Stepping is done by holding baby in an upright
position on a flat surface newborn will respond by stepping.
10. Prenatal Care: Rubella Titer: It determines immunity to rubella. The virus affects the developing
organs and the baby may be born with serious disabilities for instance the congenital rubella
This study source was downloaded by 100000838493518 from CourseHero.com on 01-31-2022 19:47:05 GMT -06:00
https://www.coursehero.com/file/19721696/Ati-Maternal-and-Newborn/
Berta Abrego
Proctored RN Maternal Newborn
1. Infections: Indications for Cesarean Birth- Mothers who are infected with HSV have the possibility of
having a miscarriage, preterm labor or ectopic pregnancy. A cesarean section is recommended for
all women who have active genital herpes lesions or early outbreak.
2. Infections: Treatment for Gonorrhea- Medications used for patients have gonorrhea includes
Ceftriaxone IM and azithromycin PO which are broad spectrum antibiotics. They cause bactericidal
action.
3. Expected Physiological Changes During Pregnancy: Patients go through a lot of different physical
changes during pregnancy. During the first semester changes will not be so obvious. During the third
trimester patient’s abdomen will be enlarged. She will feel back and leg discomfort as well as
lethargic. Skin will change as well, stretch marks will become more noticeable and
hyperpigmentation will be darker in some areas of the body.
4. Labor and Delivery Process- Caring for a patient who is in second stage of labor, usually the patient
will be fully dilated, Intense contractions will be felt every 1 to 2 minutes. Pushing will result in birth
during the second stage.
5. Nursing Care and Discharge Teaching: Complications to report. Patients need to be taught that they
need to report an infected cord. They cannot bathe a newborn with a circumcision. Teach how to
use premoistened towelettes to clean the penis. Teach how to prevent falls, suffocation,
strangulation, and burns. Also report any bleedings right away.
6. Therapeutic Procedures to Assist with Labor and Delivery: Indications for Amniofusion-Patients who
normally get amniofusion will be patients who have oligohydramnios caused by either
uteroplacental insufficiency or premature rupture of membranes. This will be done to supplement
the amount of amniotic fluid.
7. Therapeutic Procedures to Assist with Labor and Delivery: Indications for discontinuing oxytocin-
Discontinue oxytocin if uterine hyperstimulation occurs. This will be contractions more often than
every 2 min or contractions that last 90 seconds. Also if there is no relaxation of uterus between
contractions.
8. Expected Physiological Changes During Pregnancy: Quickening means slight fluttering movements
of the fetus felt by a woman usually between 16 to 20 weeks of gestation.
9. Newborn assessment: Eliciting Newborn Reflexes- Sucking and rooting reflex is tested by stroking
the cheek or the edge of the mouth. Palmar grasp examine finger’s in palm of newborn’s hand.
Plantar grasp place nurses finger at base of newborn’s toes, the newborn responds by curling toes.
Moro reflex position newborn to fall backward in an angle of at least 30 degrees, the newborn will
extend and then abduct his arms. Tonic neck flex newborn turns head to one side then the other
while being in a supine position. Babinski reflex performed by stroking outer edge of the foot moving
up towards the toes. Toes will eventually fan out. Stepping is done by holding baby in an upright
position on a flat surface newborn will respond by stepping.
10. Prenatal Care: Rubella Titer: It determines immunity to rubella. The virus affects the developing
organs and the baby may be born with serious disabilities for instance the congenital rubella
This study source was downloaded by 100000838493518 from CourseHero.com on 01-31-2022 19:47:05 GMT -06:00
https://www.coursehero.com/file/19721696/Ati-Maternal-and-Newborn/
