MATERNAL NEWBORN ATI REMEDIATION

MATERNAL NEWBORN ATI REMEDIATION

Assessment and Management of Newborn Complications

❖     Assessment and management of newborn complications include assessment, risk factors, and collaborative care.

❖     Complications include:

o   Neonatal Substance Withdrawal

o   Hypoglycemia

o   Respiratory Distress

o   Meconium aspiration

o   Preterm size of the newborn

o   Postmature newborn

o   Macrocosmic newborn

o   Congenital abnormalities

Nursing Care of Newborns: Performing Suctioning with a Bulb Syringe

❖     Interventions for stabilization and resuscitation of airway

o   The newborn is able to clear most secretions in air passages by the cough reflex.

Routine suctioning of the mouth, then the nasal passages with a bulb syringe, is done to remove excess mucus in the respiratory tract.

o   Newborns delivered by C-sections are more likely to have more fluid remain in

the lungs than newborns delivered by vaginal birth.

o   If bulb suctioning is unsuccessful, mechanical suctioning and back blows and

chest thrusts can be used.

o   The bulb syringe should be kept with the newborn, and the newborn’s family

should be instructed on how it is to be used.

▪                  Compress bulb before insertion into one side of the mouth.

▪                  Avoid center of the mouth to prevent stimulating the gag reflex.

▪                  Aspirate mouth first, one nostril, then continue to the second nostril.

❖     Client Education and Discharge Teaching: Teaching about Sore Nipples

o   Inquire about patient’s current knowledge regarding self-care.

o   Assess the patient’s home support system and who will be there to assist. Include

support persons in the educational process.

Determine the patient’s readiness for learning and her ability to verbalize or