NUR 2633 Maternal Child Health Nursing
Maternal Newborn Exam 2
What causes urinary retention after birth?
- Temporary nerve damage, caused by edema from labor
Common side effects of antibiotics
- Gi effects (nausea, vomiting, diarrhea, bloating, indigestion, abdominal pain,
loss of appetite)
Common sites for infection following birth?
- Reproductive tract
Nursing care for postpartum preeclampsia
- Bedrest, seizures - give mag sulfate and antihypertensive med, assess for
edema, measure i and o
Postpartum preeclampsia
- Headache
sob
blurred vision
nausea
vomiting
edema
seizure, other neuro deficit
epigastric pain
Mastitis
- Infection
common causative factor: organism is the hemolytic staphylococcus aureus,
introduced from the infant's mouth through a fissure in the nipple.
May progress to a breast abscess if not effectively managed.
Mastitis management
- Antibiotic therapy
application of heat or cold to the breast
hydration
analgesics/Nsaids
maintain lactation: empty the breast every 2-4 hours by breastfeeding,
manual expression, or breast pump
Fundal assessment
- @ delivery - midline, midway between umbilicus and symphysis pubis
1 hour - at the level of umbilicus
24 hour - 1 cm below umbilicus
2 days - 2 cm below umbilicus
3 days - 3 cm below umbilicus
7 days - palpable at the symphysis pubis
9-10 days - not palpable
Manifestations of withdrawal in a newborn
- Irritability
disturbed sleep pattern
constant moving, possibly leading to abrasions on the elbows, knees, or nose.
Tremors
frequent sneezing
shill, high-pitched cry
possible hyperreflexia and clonus (neuro irritability)
convulsions
tachypnea (rapid resp) possible leading to hyperventilation and alkalosis
vomiting and diarrhea, leading to large amounts of fluid loss and secondary
dehydration
Newborn vital signs:
- Hr.: 120-160 bpm
RR: 30-60/min
t: 36.5-37.4c
Apgar scale
- A standard measurement system that looks for a variety of indications of
good health in newborns
Appearance
- 0 - blue, pale
1 - pink body, blue extremities
2 - pink
Pulse
- 0 - absent
1 - below 100/min
2 - over 100/min
Grimace (reflex irritability)
- 0 - floppy
1 - minimal response to stimulation
2 - prompt response to stimulation
Activity (muscle tone)
- 0 - absent
1 - flexed arms and legs
2 - active
Respirations
- 0 - absent
1 - slow and irregular
2 - vigorous cry
Category | Exam (elaborations) |
Authors | Qwivy.com |
Pages | 16 |
Language | English |
Tags | NUR 2633 / NUR2633 Exam 2 (Latest 2021 / 2022): Maternal Child Health Nursing - Rasmussen College | Qwivy Qwivy |
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