ATI: RN Maternal Newborn 2019 Remediation

ATI: RN Maternal Newborn 2019 Remediation

1.    Infections: Treatment for Gonorrhea.

-       Maternal infections during pregnancy require prompt identification and treatment by a provider.

-       Lab tests done for Gonorrhea:

●          Urethral and vaginal cultures

●          Urine culture

-       Medications prescribed for Gonorrhea:

●          Ceftriaxone (Rocephin) IM

●          Azithromycin (Zithromax) PO

-       One dose prescription

-       Broad-spectrum antibiotic

-       Bactericidal action

2.    Pain Management: Nursing Actions to Reduce Pain.

-       With pain, it is important to attempt nonpharmacological treatments to relieve pain. These treatments could be effleurage, music therapy, hydrotherapy, massage, position changes, hypnosis, biofeedback.

-       If these don't work, pharmacological pain management may be used this includes: sedatives, opioid analgesics, epidural and spinal analgesia, regional blocks, or general anesthesia.

3.    Sources of Nutrition: Teaching a Client About High-Calcium Food. (see TEMPLATE as well)

-       Calcium is important due to its involvement of bone and teeth formation. Sources include milk, fortified soy milk, fortified orange juice, nuts, legumes, dark leafy vegetables. Daily recommendation is 1,000 mg for pregnant and non-pregnant women over the age of 19 and 1,300 mg for those under 19.

4.    Early Onset of Labor: Laboratory Values During Tocolytic Therapy.

-       Fetal fibronectin (can be related to inflammation of the placenta that can lead to preterm birth), cervical cultures (test for presence of infectious organisms), CBC, and urinalysis are assessed during preterm labor.

●          1. Monitor for magnesium sulfate toxicity- loss of deep tendon reflexes, urinary output less than 30 mL/hour, respiratory depression.

●          2. Positive nitrazine paper test or positive ferning test is conducted on amniotic fluid to verify rupture of membranes.

●          3. After PROM, obtain CBC test.