ATI VATI Maternal Newborn Remediation {2020} | ATI VATI Maternal Newborn Remediation – {GRADE A}

ATI VATI Maternal Newborn Remediation – Chamberlain College of Nursing 1. Complete an ATI Focused Review® and send me a detailed summary (2-3 sentences each) of 4 concepts that you learned from the focused review. Interventions for prolapsed umbilical cord • Call for assistance immediately, notifying the provider • Reposition the client in a knee-chest , Trendelenburg or, side-lying position with a rolled towel under the client’s right or left hip to relieve pressure on the cord • Apply a warm, sterile, saline-soaked towel to the visible cord to prevent drying and maintain blood flow Priority interventions to prevent meconium aspiration • Assess neonate’s respiratory efforts, muscle tone, and heart rate • Suction mouth and nose using a bulb syringe if respiratory efforts are strong, muscle tone , and heart rate greater than 100/min • Suction below vocal cords using an endotracheal tube before spontaneous breath occurs if respirations are depressed, muscle tone decreased, and heart rate less than 100/min Findings of contraction stress test • Negative CST ( normal findings): Indicated if within a 10min period, with three uterine contractions, there are no late decelerations of the FHR • Positive CST ( abnormal finding): indicated with persistent and consistent late decelerations with 50% or more of the contractions; suggestive of uteroplacental insufficiency Fundal height • Immediately after delivery, the fundus should be firm, midline with the umbilicus, and approximately at the level of the umbilicus - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- 15. A pregnant client is newly diagnoses with gestational diabetes. What are four (4) teaching points the nurse should reinforce to the client regarding hypoglycemia? • Blood glucose levels less than 45mg/dL should be followed up with serum glucose level • Check blood glucose before feeding • Feed early • Provide supplementation ( Oral, nasogastric gavage, intravenous) • An asymptomatic at risk newborn who has a blood glucose level 25mg/dL in the first 4hrs, or less than 35 mg/dL from 4 hours to 24 hrs of age should be offered oral feedings to increase levels to greater than 45 mg/dL • Initiate IV dextrose for a symptomatic newborn. Suggested Maternal Newborn Learning Activity: Gestational Diabetes