Proctored RN Maternal Newborn 2016
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 syndrome.
There are many complications of congenital rubella syndrome
including cataracts, deafness, heart, lung and brain abnormalities.
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 syndrome.
There are many complications of congenital rubella syndrome
including cataracts, deafness, heart, lung and brain abnormalities.
