Increased appetite B. Fetal heart rate of 110 beats/minute C. Fundus below the xiphoid D. Weight gain of 7 pounds. -Instruct the client to thoroughly wash hands prior to breastfeeding. Part II focuses on assessing extremities, and neurologic function.1. Blood pressure should be 60 A nurse is assisting with the care of a newborn who has hyperbilirubinemia and is receiving phototherapy. A nurse is reinforcing teaching with a client who is pregnant and has iron deficiency anemia. Most caputs resolve within 48 hours. Chp 8 Infections,Active Learning Template: System Disorder) The baby has lost 8% of weight since birth 2. If an infant receives an abnormal result requiring clinical follow-up, our staff will contact the infant's care provider to discuss the abnormal result and fax the information needed to notify the parents and properly follow . Tomas's nurse recognizes that self-medicating with excessive alcohol is common in this disease and can co-occur along with: a. ii. -Avoid wrapping the penis in tight gauze, which can impair circulation to the glans assessment and management of newborn complications findings to report ati. The opinions and assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the U.S. Army Medical Department or the U.S. Army Service at large. The healthcare provider carefully checks each body system for health and normal function. Foods high in protein, such as fish, poultry, meat, eggs, nuts, and dairy products, must be avoided due to high phenylalanine levels. Assessment for all new newborns to see if there are any physical deformities or other complications that are present. tachypnea nasal flaring retractions expiratory grunting A nurse is caring for a client during the postpartum period. transport newborn. A. Baseline date needs to be obtained before cervical-ripening iv. Which of the following findings should the nurse report to the provider? A comprehensive newborn examination involves a systematic inspection. Which of the following outcomes should the nurse expect from this medication? What is the magnitude of the normal force acting on a crate as it slides across a horizontal floor, if the friction force acting on the box is Ffriction=0.49NF_\text{friction}=0.49\text{ N}Ffriction=0.49N and the coefficient of kinetic friction is K=0.25\mu_\text{K}=0.25K=0.25? Although many sources confidently say that . Which of the following medications should the nurse expect the provider to prescribe? If present, be prepared to administer an IV vasopressor such as ephedrine, position the client laterally, increase rate of IV fluid administration, and initiate oxygen, Complications Related to the Labor Process: Nursing Action for Shoulder Dystocia (Active Learning Template - Nursing Skill, RM MN RN 10.0 Chp 16), -Next, deliver the anterior shoulder located under the maternal symphysis pubis: next, the posterior shoulder; and then allow the rest of the fetal body to slip out (prevents shoulder dystocia) -Rubella titer: Determines immunity to rubella -Rubella is capable of crossing the placenta and adversely affecting fetal developmen, Therapeutic Procedures to Assist with Labor and Delivery: Candidates for Induction of Labor (Active Learning Template - Medication, RM MN RN 10.0 Chp 15), -Elective induction for nonmedical indications must meet the criteria of at least 39 weeks of gestation and a Bishop score of greater than 8 for a multiparous client and greater than 10 for a nulliparous However, asymmetry that does not correct with depression of the nose tip indicates a dislocated septum, and the patient should be evaluated by an otolaryngologist.29,30, The maxilla and mandible should fit together well and open at equal angles. which of the following laboratory results should the nurse report to the provider>. Georgia Public Health Laboratory. WebDale Newborn Assessment. a. Concept v. Cardiac dysrhythmias Which action should the nurse implement? reaches the maximum night and weight for the seat. A nurse is reinforcing teaching with a client who is experiencing preterm labor and has a new prescription for nifedipine. Which of the following statements should the nurse include? -Nonreactive NST is a test that does not demonstrate at least two qualifying accelerations in a 20-min window. Summary. This may interfere with breastfeeding or impair articulation, although frenotomy is controversial.3234 Palpating the palate can reveal submucosal and mucosal clefts. Used to rule out Down syndrome (low level) and neural tube defects (high level). The neck should be inspected for full range of motion because congenital torticollis is a common musculoskeletal anomaly of newborns. vii. a. This usually resolves within the first few weeks of life, but further evaluation is warranted if symptoms persist.13. A nurse is caring for a client who is at 32 weeks of gestation and has a prescription for nifedipine. : an American History, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Kami Export - Jacob Wilson - Copy of Independent and Dependent Variables Scenarios - Google Docs, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. W w w, 1-1 Discussion Being Active in Your Development, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. In the past, there was uncertainty about which ear malformations warranted screening renal ultrasonography. 45. Family-Centred Maternity & Newborn Care: National Guidelines 2000 Principles of Examination 1. Newborns with low-set ears should be evaluated for a genetic condition. Physical exam. If ankyloglossia is detected, a frenotomy may be considered if it impacts breastfeeding. ii. Which of the following routes of administration should the nurse plan to use? 2. Medical Conditions: Priority Finding That Requires Further Assessment WebNewborn Assessment: Expected Findings in a Preterm Newborn (Chp 23) The Ballard assessment may show a physical and neurological assessment totaling less than 37 -Postpartum Hemorrhage: firmly massage the uterine fundus For which of the following findings should the nurse intervene? v. young age (common in women under 25) over the apex of the iv. a. If these disorders are not detected and treated soon after birth, they may cause mental retardation, severe illness, or premature death. Elevate client's legs Cleft lip and palate are the most common anomalies of the head and neck. Full Document. - Monitor the client closely. Which of the following information should the nurse include? -Maintain the client on bed rest and encourage side-lying position. iii. Low-risk newborn The red reflex test is performed by using an ophthalmoscope, with the lens power set at 0 and the examiner standing approximately 18 inches away. Laboratory tests are conducted to determine ABO blood type and Rh status if the parent's blood type is "O" or they are Rh-negative. This is part I of a two-part article on the newborn examination. Document the findings. Similar with adults, this reflex serves a . A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. iii. Nursing Care of Newborns: Personal Protective Equipment (RM MN RN Which of the following findings should the nurse report to the provider? After performing hand hygiene and donning gloves, which of the following actions should nurse plan to take next? a. which of the following statements by the client indicates an understanding of the teaching? The opening at the bottom of the pipe allows free passage of the sediment. A nurse in a clinic is assisting with the plan of care for a client who is at 36 weeks of gestation. Light should project onto both eyes simultaneously. Macrocephaly (isolated head enlargement, greater than the 98th percentile or greater than two standard deviations above the mean) may be hereditary or the result of a central nervous system disorder (e.g., hydrocephalus, brain tumor), and imaging may be needed.3,4, After evaluating the overall size and shape of the head for asymmetry or gross structural abnormalities, the fontanelles and sutures should be palpated with the newborn in the upright position. Which of the following information should the nurse include in the teaching? Screening for hypoglycemia should be performed in newborns who are large or small for gestational age, newborns of mothers with diabetes mellitus, and late preterm infants (34 to 36 6/7 weeks gestational age). http://www.ballardscore.com/Pages/videos.aspx, previous article in American Family Physician. Irregular, slow. 30 to 60 breaths/min with This medication might cause your face to be flushed. which of the following information should the nurse include in the teaching? -Complete blood count (CBC): Hct concentration is elevated because inability to retain fluid results in hemoconcentration, Prenatal Care: Teaching About Prenatal Screenings (Active Learning Template - Diagnostic Procedure, RM MN RN 10.0 Chp 4). Monitor FHR and contraction pattern every 15 min and with every According to Nagele's rule, the nurse should calculate the client's estimated date of delivery as which of the following? Management of Newborn Complications,Active Learning Template: ii. A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Cephalohematoma is a risk factor for jaundice and sepsis and may worsen over 48 hours, potentially taking up to three to four months to fully reabsorb. Each year, millions of babies in the U.S. are routinely screened, using a few drops of blood from the newborn's heel . B. Craniosynostosis is caused by premature fusion of the sutures, and 20% of children with this condition have a genetic mutation or syndrome. Confirm that the fetus is engaged in the birth canal at minimum Newborn babies may often lose 5 to 7 percent of their birthweight. 3. Which of the following findings should the nurse report to the provider? Data Sources: A PubMed search was completed using the terms infant, newborn, developmental delay, developmental disturbance, and physical examination. -Assess for orthostatic hypotension. The newborn will symmetrically extend and then abduct the arms at the elbows and fingers spread to form a "C", Expected Physiological Changes During Pregnancy: Quickening (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 3), -slight fluttering movements of the fetus felt by a woman, usually between 16 to 20 weeks of gestation, Contraception: Tubal Ligation (Active Learning Template - Therapeutic Procedure, RM MN RN 10.0 Chp 1), -The cutting, burning, or blocking of the fallopian tubes to prevent the ovum from being fertilized by the sperm, Newborn Assessment: Findings to Report to the Provider (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 23), -Heart murmurs are documented and reported, Baby-Friendly Care: Therapeutic Communication Concerning Role Transition (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 18), -Emphasize verbal and nonverbal communication skills between the client, caregivers, and the infant, Postpartum Infections: Teaching a Client Who Has Mastitis (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 21). Fax: (404) 327-7919. Braxton hicks contractions, supine hypotension. . A midline neck lesion may represent a thyroglossal duct cyst and typically shifts with movement of the tongue. -Fetal demise or Chorioamnionitis, Medical Conditions: Laboratory Values to Report (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 9), -Urinalysis for ketones and acetones (breakdown of protein and fat) is the most important initial laboratory test: Elevated urine specific gravity How are they different? i. It can usually be corrected with physical therapy.36 If not corrected, torticollis can lead to plagiocephaly and ear misalignment. A newborn should have a thorough evaluation performed within 24 hours of birth to identify any abnormality that would alter the normal newborn course or identify a medical condition that should be addressed (eg, anomalies, birth injuries, jaundice, or cardiopulmonary disorders) [ 1 ].