What Are Various Functions and Uses of Phototheraphy Flashcards

- Place an eye mask over the NB's eyes after they are gently closed to protect the corneas and retinals. Ensure the nares are not covered
- Keep NB undressed except for a durgical mask placed over the genitalia to prevent possivle damage from heat and light waves
- Avoid applying lotions or ointments to NB b/c they absorb heat and can cause burns
- Remove NB from phototherapy q4h and unmask the NB's eyes, checking for signs of inflammation or injury

- Check maternal VS per facility
- Check maternal temp q1-2h if membranes are ruptured
- Apply external monitoring equipment
- Apply the tocodynamometer to the client's abdomen over the fundus to measure uterine activity

- A noninvasive procedure that monitors response of the FHR to fetal movment
- NSTs include a high rate of false nonreactive results with the fetal movement response affected by sleep cycles of the fetus, fetal immaturity, maternal medications, and chronic smoking
- The NST is interpreted as reactive if the FHR is normal baseline rate with moderate variability, FHR accelerates to 15/min for at least 15 secs and occures two or more times during a 20min period
- A nonreactive NST indicates that FHR does not accelerate adequately w/ fetal movement and does not meet the above criteria after 40min. Additional assessment is indicated, such as a CST or BPP

- Bright red trickle of blood from the episiotomy site in the early postpartum period is a normal finding
- Apply ice packs to the client's perineum for the first 24-48hrs to reduce edema and provide anesthetic effect
- Encourage sitz bath
- Administer analgesia such as nonopioids, nonsteroidal anti-inflammatories, and opioids as prescribed for pain and discomfort
- Apply topical anesthetics to the client's perineal area as needed or witch hazel compresses to the rectal area for hemorrhoids

- Nurses should perform postpartum data collection per facility protocols. Clients with stable VS are usually moniotred q15mins x4 for the first hr, q30mins x2 or the second hr, hourly x2 for at least 2hr, then every 4-8hrs

- Check FHR immediately following ROM
- Observe amniotic fluid
- Color should be pale to straw yellow
- Odor should not be foul
- Clarity should appear watery and clear
- Volume is between 500-1200mL
- Use nitrazine paper to test fluid to confirm that it is amniotic

- Have mother perform hand hygiene, get comfortable, and have fluids to drink during breastfeeding
- Offer NB the breast immediately after birth and frequently thereafter
- Show mother the proper latch-on position
- Explain to the mother when her NB is latched on correctly, his nose, cheeks, and chin will be touching her breast
- Demonstrate the four basic breastfeeding positions: football, cradle or modified cradle, across the lap, and side-lying

- Keep the cord dry and keep the top of the diaper folded underneath it
- Avoid submerging NB in water until the cord falls off around 10-14 days after birth. Give sponge baths until the cord falls off
- Report any foul smelling, purulent drainage, or redness at the cord site to the provider

- Inform patents that NB should have 6-8 wet diapers a day w/adequate feedings and may have 3-4 stools per day
- Instruct parents to keep the NB's diaper area clean and dry
- Recommend changing the diaper frequently, and cleaning the perineal area w/warm water or wipes and drying thoroughly to prevent skin breakdown.
- Apply barrier cream if skin becomes irritated

- Obtain VS; respirations (range 30-60/min w/ short periods of apnea), HR (100-160/min), BP (Systolic 60-80 mm Hg and 40-50 mm Hg diastolic), Temp (97.7-98.9 axillary)
- Head to toe exam
- APGAR score

- Take iron supplements as prescribed. Take between meals and with a good source of vitamin C; avoid milk and caffeine intake at the same time
- Eat a diet that includes good source of iron such as beef liver, red meats, fish, poultry, dried peas and beans, and fortified cereals and breads. Take an OTC stool softener if constipation occurs

- Not recommended for clients who have a hx of toxic shock syndorme or frequent, recurrent UTI
- Increased risk of acquiring TSS
- TSS is caused by a bacterial infection. Clinical manifestations include high fever, a faint feeling and a drop in blood pressure, watery diarrhea, headache, and muscle aches
- Proper hand hygiene aids in prevention of TSS as well as removing diaphragm promptly at 6hr following coitus
- Diaphragms made of latex should not be used if either partner is sensitive to or allergic to latex

- APGAR score
- Head to toe exam of NB within 24hr of birth
- Obtain VS in the following sequence: respirations, HR, BP, and temp
- Obtain measurements by measuring the NB's length from crown to heel of foot for length head circumference at greatest diameter
- Physical exam from head to toe

- Adolescence may have poor dietary intake
- Vegetarian diet may be low in protein, calcium, iron, zinc, and vitamins
- Medical disorders: Hyperemesis gravidarum, anemia, eating disorders such as anorexia nervosa or bulimia
- Pica: Craving to eat nonfood substances such as dirt or red clay. This disorder may interfere with adequate nutritional intake
- Excessive wt gain can lead to macrosomia and labor complications
- inability to gain wt may result in low birth wt of the NB
- Financially unable to purchase/access food

- Terbutaline (Brethine): is a beta-adrenergic agonist that relaxes uterine smooth muscle by stimulating beta-2 receptors in the smooth muscle fibers to inhibit uterine activity
- Magnesium Sulfate: relaxes the smooth muscles of the uterus and thus inhibits uterine activity by suppressing contractions
- Indomethacin (indocin): is a NSAID that suppresses preterm labor by blocking the production of prostagladins. This inhibitiion of prostaglandins suppresses uterin contrations. Use for gestational age less than 32 wks
- Betamethasone (Celestone): is a glucocorticoid that is administered IM and requires a 24hr period to be effective. Normally two doses are given 24hr apart. The therapeutic action is to promote fetal lung maturity and surfactant production