ATI NEWBORN Flashcards
What’s the WBC count for newborns
9,000- 30,000
What normal HCT levels for a newborn
48%- 69%
What’s the normal blood glucose for newborns
40-60
26 weeks gestation is considered what trimester
2nd
What is a clinical manifestation of preeclampsia
Pitting edema
What steps must be performed to a woman 9 weeks gestation presenting with a HR of 110, and cool clammy skin
- Check blood glucose
- Offer 4 oz of OJ or 15g simple carbohydrates
- Allow 15 min rest
- Document findings
What assessment findings indicates a potential complication to a newborn who has hyperbilirubinemia and is receiving phototherapy
Irritability
For a client with severe preeclampsia, what findings is expected
Blurred vision
Urine protein greater than 3
3+ deep tendon reflexes
What is the range for newborn weight
2.5-4kg
When caring for a Hispanic woman, what are cultural beliefs to consider after delivery
Protect clients head and feet from cold air
Delay bath for 14 days following delivery
Bed rest for 3 days following delivery
Offer warm beverages following birth
What are signs of respiratory distress in the newborn
Substernal retractions
Meperidine
Relief of severe persistent pain
Butorphanol
Relief of labor pain and severe post op pain after a c section
Fentanyl
Relief of severe recurrent or persistent pain during labor
For a breast feeding client who has engorgement, what is recommended
Apply cold compress after feedings
What is a contradiction to receiving nalbuphine
Opioid dependency because the antagonist activity of this med can cause withdrawal symptoms
What technique should be provided to the client who is in early labor and tenses at the onset of contractions
Cleansing breaths
It allows the client to focus on the contraction
What is an expected side effect during the administration of the initial bolus of magnesium sulfate
Facial flushing
What is the correct technique for Leopold maneuvers
- Palate fundus to identify fetal part
- determine location of fetal back
- Palate for the fetal part presenting the inlet
- Palate the cephalic prominence to identify the attitude of the head
Why should newborns be dried immediately following delivery
To avoid cold stress
A client who received a epidural becomes hypotensive, after positioning her on her left side, what is a priority
Increase infusion rate to stabilize BP
A client just delivered a newborn, the nurse is preparing to administer oxytocin; what indicates the need for this drug
Flaccid uterus
Excessive vaginal bleeding which contracts the uterus and prevents bleeding
How often should a pregnant woman check her pulse
Q 10-15 min
If it’s above 140, slow down until it returns to a max of 90 bpm
What promotes circulation and blood flow to the placenta and fetus after excercising
Lying on the side for 10 min
After the HEP B vaccination, when is the babies next scheduled vaccinations
2 months of age
What temp should a newborns bath be kept at
36.6-37.2 degrees Celsius
98-99 degrees Fahrenheit
For a client hospitalized at 8 weeks gestation for hyperemisis gravidarum, what action should the nurse take
Start IV fluids
A newborn who has a total serum bilirubin of 8 or greater should receive what
Phototherapy
What is clindamycin
An antibiotic used for bacterial infections
It is used for endometritis
