Chamberlain College of Nursing - NR 327 Maternal-Newborn Final Study Guide (Complete A guide) very helpful
Chamberlain College of Nursing - NR 327 Maternal-Newborn Final Study Guide (Complete A guide) very helpful

This is broken up into areas that you may see the questions in. Some of the material you may see

repeated. Coordinate the study guide as you need to.

Please complete this study guide --- find the answers to all the topics, then upload to the

gradebook &

Basic Care and Comfort

Nutrition during pregnancy: iron, folic acid, protein, vitamin & minerals: know values &

why need

 1000mg for iron: helps transfer o2 to baby

 Folic acid: 600g of folic acid a day and prevents neuro tube defects

 Protein: 70-100g a day: good source of iron

Pain management during labor: pharmacological and nonpharmacological

(counterpressure, hypnosis) actions to reduce pain

 Epidural anesthesia for pharmacological

 Distraction, deep breathing exercises, music for non-pharmacological

Postpartum assessment findings physiological adaptations

 Emotion for postpartum depression

 LOCHIA: crucial to see if the fluid is infected or not

 Fundus placement and if firm or boggy

 Make sure the bladder is working, help pt to restroom

Maternal-Newborn Final Study Guide

Client education: lactation suppression (how to prevent lactation) & engorgement (breast

& bottle)

Hyperemesis gravidarum: lab work associated with this

 Urinalysis for ketones and specific gravity

 Wear a firm and supportive bra

 Relieve pain and swelling with cold/gel packs in your bra

 Cabbage leaves can be used as cold compresses

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Pain Control for Heel stick for infant

 Swaddling

 Warm heel using heel warmers

 Skin to skin

Postpartum Physiological Adaptations: Contraindications for Postpartum Medication

Administration

Methergine is contraindicated to high blood pressure

Early Onset of Labor: Laboratory Values During Tocolytic Therapy (Magnesium sulfate)

Magnesium sulfate lab values are 4-8

Medical Conditions: Reportable Findings for Magnesium Sulfate (BURP)

 B: decreased bp

 U: decreased urine output

 R: decreased respirations

 P: patella deep tendon reflexes absent

Medications Affecting Labor and Delivery: Contraindications for Receiving Terbutaline

 Diabetes

 Ketoacidosis

 HBP

Safety and Infection Control

Priority for client having a seizure (safety protocols)

 Padding on bed rails

 If on magnesium keep calcium gluconate near

 Suction at bedside as well as o2

 Never leave patient alone

 Turn on side

Newborn home safety & security within hospital (ex. do not leave infant unattended)

 Make sure baby has band on at all times in hospital

 Never leave baby alone

 No weapons in reach for baby

 Medicine cabinet locked

 Soft edges on furniture and cabinets

 Lay baby on back when sleeping

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Safe medication administration (Rights)

 Make sure right patient 2 patient identifiers

 Check for allergies

 Double check the right medication

 Make sure gag reflex is intact, if needed

Discharge Instructions: Instructions for car seat safety

 Make sure center clip on nipple line

 Place car seat in middle seat of car

 Position newborn in rear facing car seat until 2 years old

 4-7 years keep the child forward facing with a harness



Nursing Care of Newborns: Ensure Identification of newborns, car seat safety

 Identification (using two different identifiers) is applied to the newborn immediately after

birth by the nursing

 Baby, mom, and dad are identified by plastic identification wristband with permanent

locks that must be cut to be removed. Newborns name, sex, date, time of birth, and

mothers health record number.

 Each time the baby is taken to parent always verified mother and baby

 All nurses or staff are required to wear photo identification badges

 The newborn is not to be given to anyone who does not have a photo identification badge

that distinguishes that person as a staff member of the facility maternal newborn unit

 The newborn should have one band placed on the ankle and one on the wrist; the

newborn’s footprints and mothers thumb prints are taken.

 Many facilities have locked maternal newborn units that required staff to permit entrance

or exit. Some have sensor device on the ID band or umbilical cord clamp that alarm if

baby is being removed from the facility.

Assessment & Management of Newborn Complications: Caring for a newborn with NAS

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