Maternal Newborn

Cervical manipulation of any kind

Relaxes the smooth muscles and inhibits uterine activity

Subcutaneously every 4 hours for preterm labor

No, daily use of docusate can lead to dependence and electrolyte imbalances. Stool softeners should only be used intermittently.

The client should drink 2L of water a day to decrease reabsorption of fluid and prevent drying of stool, which causes constipation

To help prevent neural tube defects

-The client will need to receive the hepatitis immune globulin to decrease the risk of transmission to the fetus
-The client should be instructed to inform all sexual partners and members of the client's household should see their providers to begin prophylactic treatment

Down syndrome
-genetic disorder where individuals have an extra copy of chromosome 21

-High-pitched cry and does not respond to consoling efforts
-Restlessness
-Tremors
-Increased muscle tone
-Exaggerated Moro reflex

-Place client in a side-lying position or lying with the right hip elevated. Lets should be elevated to at lease a 30 degree angle to increase venous return
-Administer an oxytocic medication such as oxytocin or methylergonovine to increase uterine contraction
-Apply oxygen at 10 L/min via a nonrebreather mask to improve oxygenation
-Insert an indwelling urinary catheter to monitor output closely. Decreased kidney perfusion caused by shock can lead to oliguria

Every 3-4 hours (6-8 feedings in a 24-hour period)

Burping the newborn several times throughout the feedings can decrease episodes of regurgitation after the feeding

-Keeping the newborn wrapped while washing their hair helps prevent heat loss
-Do not rinse the newborn under running water as it can result in a scalding injury or hypothermia because the water temperature could change
-Use moistened cotton or a washcloth to wipe the newborn's ears
-Avoid shaking powder onto the newborn's skin due to the possible risk of inhalation

-Dried green split peas

Man-made form of vitamin K administered intramuscularly to newborns to prevent hemorrhage

Uterotonic medication used to treat postpartum hemorrhage that can cause significant hypertension

-Diaphoresis
-Heat intolerance
-Tachycardia

-Lethargy
-Hoarseness
-Cold intolerance

A bluish discoloration of the hands and feet of the newborn and is an expected finding during the first 48 hours after birth

10-14 days

Frequent application of cold cabbage leaves to the breasts
-Can also apply ice packs or cold compresses, take mild analgesics, and wear a well-fitting and supportive bra

IM into the vastus lateralis and a second dose 24 hour later

A white or gray vaginal discharge that occurs in response to increased estrogen and progesterone, throughout the entire pregnancy

Occurs when the neural tube fails to close, and the meninges and spinal cord herniate. This defect most often occurs in the lumbar area and may be covered by a thin membranous sac

Occurs when the abdominal organs herniate through the umbilical ring at the base of the umbilical cord. The organs are covered by a peritoneal sac and require surgical intervention soon after birth

Occurs from abnormal development of the abdominal wall, symphysis pubis, and bladder. The bladder is visible in the suprapubic area and requires surgical intervention soon after birth.

A collection of blood between the skull bone and its covering, the periosteum. It does not cross suture lines and will spontaneously resolve in two to eight weeks.

Swaddle with the newborn's legs slightly flexed and abducted. The newborn should be able to move their legs within the swaddle to decrease the risk for dislocation of the hips.

An oxytocic agent that stimulates uterine contractions and is used for postpartum hemorrhage. It can cause nausea, vomiting, cramping, headache, and dizziness. The nurse should report changes in blood pressure to the provider because methylergonovine can cause both hypertension and hypotension.

A prenatal test that assesses the health of the fetus by monitoring its heart rate during uterine contractions. A positive contraction stress test is associated with fetal complications such as intrauterine growth restriction.

A prenatal test that monitors the fetal heart rate in response to the baby's movements
-A reactive nonstress test indicates fetal well-being and is a desirable outcome

A prenatal ultrasound test used to assess the well-being of the fetus. It consists of five components, each scored as 0 or 2, for a total possible score of 10.
-A score of 8-10 indicates good fetal well-being
-A score of 4 or less is abnormal and may indicate potential fetal distress

Elevated HR, chills, fever, nausea, anorexia, fatigue, pelvic pain, and lochia that has a foul odor

38-40 degrees C (100.4-104 degrees F) to prevent heat loss