Maternal Proctored Remediation

Nursing Care of newborns: PPE

The type of PPE used for a newborn can depend on the situation. You should you standardized PPE and wear a mask at this time. Having good hand hygiene is super important to follow.

Nursing action for maternal hypotension following epidural

If a mother becomes hypotensive you can do multiple things. The first thing to try is repositioning her to her side and see if that spikes it, increase flow of NS, and provide oxygen. Monitor her vital signs and FHR.

Nursing actions for late decelerations

Place client side-lying, insert an IV and increase rate of IV fluid, discontinue oxytocin, administer oxygen, elevate legs, notify provider, prepare for an assisted vaginal birth or C-section

Planning care for a client with HIV

Routine lab testing in early prenatal period, avoid amniocentesis and episiotomy, use of internal fetal monitors, vacuum extractions, and forceps should be avoided, do not give baby injection or test blood till after bath, make sure client is taking antiviral medications, and educate that they can transmit infection to neonate

actions to take for phototherapy

maintain eye mask over newborn's eyes for protection, keep the newborn undressed and a surgical mask should be place over the genitalia, avoid applying lotions or ointments to the skin, remove the newborn from phototherapy every 4 hours, reposition the newborn every 2hrs, and check the lamp energy photometer,

performing suctioning with a bulb syringe

routine suctioning of the mouth and then the nasal passage with a bulb syringe removes excess mucus, have the bulb next to newborn and teach family how to use it, compress bulb before insertion in one side of mouth, switch, avoid center, and then one nostril and the second nostril

Priority finding in assessment

knowing your patients history and risk factors can help you make a care of plan that is necessary and important to the newborn and mom

Hypnosis

state of consciousness in which the person is especially susceptible to suggestion

High calcium foods

milk and milk products, beans, lentils, dried fruits, canned or smoked fish(not tuna), flour, chocolate, cocoa..

second stage of labor

the stage during which the baby moves out through the vagina and is delivered

Auscultating Fetal Heart Rate

FHR can be detected at early appointments by an ultrasound, it can be heard by the doppler late in first trimester. Listen at the midline, right above pubic symphysis, hold doppler firmly on abdomen,

newborn assessment

Temp 97.9-99.7, HR 110-160 BP 50-75 RR 30-60 glucose 40-60 bilirubin elevated:10 (preterm) 15 (full term)

1st void and stool within 24 hrs

tubal ligation

blocking the fallopian tubes to prevent fertilization from occurring

Newborn Hypothermia

A newborns thermoregulation system need to stablize. If the newborn becomes cold oxygen demands can increase causing acidosis. Keep baby in baby warmer and take temperature

gestational diabetes

a form of diabetes mellitus that occurs during some pregnancies. treat hypoglycemia for mom and baby during birth. be prepared for any risk factors

Nonstress test

Test to identify fetal compromise in conditions with poor placenta function. Instruct client to press the button on the handheld marker each time they feel the fetus move, it is completed within twenty to thirty minutes

Complications of amniocentesis

Spontaneous abortion, fetal injury, infection. Tell client to report to provider if they experience a fever, leakage of fluid, bleeding from insertion site, decreased fetal movement, uterine contraction

Newborn expected findings

--Breast nodule <10mm apart

--Posterior fontanel smaller than anterior

--overlapping suture lines

--Lanugo over the shoulders

--No yellow on skin

Lab findings in preeclampsia

proteinuria, elevated blood creatinine greater than 1.1, thrombocytopenia

lab testing for 24 weeks gestation

Blood type, RH factor, and presence of irregular antibodies, CBC, Rubella, GBS, Hep B screening, UA, 1 hr glucose test, Pap test, vaginal culture, PPD, HIV, MSAFP

Clomiphene citrate

Medication used to induce ovulation.

Epidural Adverse Effects

maternal hypotension, fetal bradycardia, inability to feel the urge to void, loss of the bearing down reflex

Trebutaline

prevention of management of preterm labor

Oxytocin (Pitocin)

Stimulates smooth muscle to contract. Helps in birthing process/ expel placenta. Uterus for sperm movement cranially. Udder for milk letdown.

scholarship for evidence based practice

The need for nurses to be able to understand the research process and base practice and clinical judgments upon fact-based evidence to enhance patient outcomes.

Clinical Prevention and Population Health

Health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components of baccalaureate generalist nursing practice

Baccalaureate Generalist Nursing Practice

The need for nurses to be able to practice as a generalist using clinical reasoning to provide care to patients across the lifespan and healthcare continuum and to individuals, families, groups, communities, and populations.

foundational thinking in nursing

the ability to recall and comprehend information and concepts foundational to quality nursing practice

clinical judgement/critical thinking in nursing

Ability to use critical thinking skills (interpretation, analysis, evaluation, inference, and explanation) to make a clinical judgment regarding a posed clinical problem. Includes cognitive abilities of application and analysis.

RN management of care

The nurse coordinates, supervises and/or collaborates with members of the health care to provide an environment that is cost-effective and safe for clients.

Safety and infection control

The nurse uses preventive safety measures to promote the health and well-being of clients, significant others, and members of the health care team.

health promotion and maintenance

The nurse directs nursing care to promote prevention and detection of illness and support optimal health.

Basic Care and Comfort

providing comfort and assistance in the performance of activities of daily living

Pharmacological and parenteral therapies

The nurse administers, monitors and evaluates pharmacological and parenteral therapy.

Reduction of Risk Potential

reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.

physiological adaptation

The nurse manages and provides nursing care for clients with an acute, chronic or life threatening illness.

Human Flourishing

Human flourishing is reflected in patient care that demonstrates respect for diversity, approaches patients in a holistic and patient-centered manner, and uses advocacy to enhance their health and well-being.

nursing judgement

Knowledge, experience, critical thinking, and clinical reasoning

Professional Identity

a sense of oneself that is influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting, and feeling like a nurse.

Spirit of Inquiry

An ongoing curiosity about the best evidence to guide clinical decision making

RN assessment

The assessment step of the nursing process involves application of nursing knowledge to the collection, organization, validation and documentation of data about a client's health status. The nurse focuses on the client's response to a specific health problem including the client's health beliefs and practices. The nurse thinks critically to perform a comprehensive assessment of subjective and objective information. Nurses must have excellent communication and assessment skills in order to plan client care.

RN analysis and diagnosis

The analysis step of the nursing process involves the nurse's ability to analyze assessment data to identify health problems/risks and a client's needs for health intervention. The nurse identifies patterns or trends, compares the data with expected standards or reference ranges and draws conclusions to direct nursing care. The nurse then frames nursing diagnoses in order to direct client care.

RN Planning

The planning step of the nursing process involves the nurse's ability to make decisions and problem solve. The nurse uses a client's assessment data and nursing diagnoses to develop measurable client goals/outcomes and identify nursing interventions. The nurse uses evidenced based practice to set client goals, establish priorities of care, and identify nursing interventions to assist the client to achieve his goals.

RN implantation and therapeutic nursing interventions

The implementation step of the nursing process involves the nurse's ability to apply nursing knowledge to implement interventions to assist a client to promote, maintain, or restore his health. The nurse uses problem-solving skills, clinical judgment, and critical thinking when using interpersonal and technical skills to provide client care. During this step the nurse will also delegate and supervise care and document the care and the client's response.

RN Evaluation

The evaluation step of the nursing process involves the nurse's ability to evaluate a client's response to nursing interventions and to reach a nursing judgment regarding the extent to which the client has met the goals and outcomes. During this step the nurse will also assess client/staff understanding of instruction, the effectiveness of interventions, and identify the need for further intervention or the need to alter the plan.

Priority setting

The ordering of nursing diagnoses or patient problems using determinations of urgency and/or importance to establish a preferential order for nursing actions.

safety

Freedom from danger, risk, or injury.

patient centered care

providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions

evidence-based practice

clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences