AATI MTERNAL NEWBORN PRACTICE A
REMEDIATION
Priority interventions post amniocentesis
- Monitor FHR; greatest risk to client and fetus = fetal death
- If client Rh (-) nurse will also admin rhogam to prevent Rh sensitization.
- Nurse will also observe for uterine contractions to identify preterm labor
- Nurse will check clients temp to monitor for infection
Specimen collection (universal newborn screening)
- Ensure newborn has been receiving regular feedings for at least 24 hr prior
- Screening mandated by law for all newborns (consent not needed)
- Collect capillary blood sample via heel stick
- Premature newborns have delayed dev. of liver enzymes = false positive result
Magnesium toxicity antidote
- CALCIUM GLUCONATE*
Antihypertensive for pregnancy
- Hydralazine
Injectable contraceptive hormone
- Medroxyprogesterone acetate
Treatment of postpartum hemorrhage
- Methylergonovine
Non-pharmacologic pain relief for breast engorgement (breastfeeding)
- Fresh, raw, cold cabbage leaves 15-20 min application 2-3 times. (more frequent could
decrease milk supply
Treatment of sore nipples
- Lanolin cream
Suppress lactation
- Snug fitting support bra (prevents strain on breast muscles and places breasts in proper
alignment to decrease engorgement)
Breast shells
- Treatment of sore nipples; barrier to keep clothing away from nipples/allow air to circulate
Visual disturbances at 36 wks
- Possible hypertension
Brachial plexus traction syndrome
,
REMEDIATION
Priority interventions post amniocentesis
- Monitor FHR; greatest risk to client and fetus = fetal death
- If client Rh (-) nurse will also admin rhogam to prevent Rh sensitization.
- Nurse will also observe for uterine contractions to identify preterm labor
- Nurse will check clients temp to monitor for infection
Specimen collection (universal newborn screening)
- Ensure newborn has been receiving regular feedings for at least 24 hr prior
- Screening mandated by law for all newborns (consent not needed)
- Collect capillary blood sample via heel stick
- Premature newborns have delayed dev. of liver enzymes = false positive result
Magnesium toxicity antidote
- CALCIUM GLUCONATE*
Antihypertensive for pregnancy
- Hydralazine
Injectable contraceptive hormone
- Medroxyprogesterone acetate
Treatment of postpartum hemorrhage
- Methylergonovine
Non-pharmacologic pain relief for breast engorgement (breastfeeding)
- Fresh, raw, cold cabbage leaves 15-20 min application 2-3 times. (more frequent could
decrease milk supply
Treatment of sore nipples
- Lanolin cream
Suppress lactation
- Snug fitting support bra (prevents strain on breast muscles and places breasts in proper
alignment to decrease engorgement)
Breast shells
- Treatment of sore nipples; barrier to keep clothing away from nipples/allow air to circulate
Visual disturbances at 36 wks
- Possible hypertension
Brachial plexus traction syndrome
,
