By Jamille Nagtalon-Ramos MSN CRNP
AJN Book-of-the-Year Award-Winner!
A finished women’s well-being reference consultant, this “pocket mind” supplies the entire useful, evidence-based scientific details you want to deal with general and high-risk pregnant moms, newborns, and their households in diversified health center and group settings. This booklet delves into different women’s future health matters that can impression the care of the mother-baby dyad, resembling tradition, substance abuse, relatives making plans, violence opposed to girls and sexually transmitted infections.
Perfect for college students, new-to-practice, or professional practitioners, this consultant offers concise, complete exams, easy-to-understand tables of lab work-ups and values, universal remedy directions and the stairs to enforce and overview nursing care. As a distinct function to help with studying tips on how to payment a cervix, you could perform utilizing the dilation milestone minimize outs contained in the book!
Read Online or Download Maternal-Newborn Nursing Care: Best Evidence-Based Practices PDF
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Extra info for Maternal-Newborn Nursing Care: Best Evidence-Based Practices
Example text
5. Glucose challenge test (GCT) or glucose tolerance test (GTT) • How to perform 1-hour screening test: Test is to be done between 24 and 28 weeks. No fasting is necessary. Administer a 50-g load of oral glucose. Patient is not allowed to eat, drink, smoke cigarettes, or chew gum while awaiting blood draw. After an hour, obtain a serum glucose sample. • Normal: <130 to 140 mg/dL • If >140 mg/dL, proceed to 3-hour test • How to perform a 3-hour screening test: Patient needs to fast for 12 hours before test.
Abdomen: Inspect and palpate. Measure the fundus. See Figure 1–1 for uterine growth pattern in pregnancy and Figure 1–2 for measurement of the fundal height. Obtain fetal heartbeat. Remember, fetal heartbeats can be detected by the 12th week, and sometimes the 11th week, using an electronic Doppler device, and by 20 weeks using a DeLee-Hillis fetoscope. Normal fetal heart rate is between 110 and 160 bpm. • Extremities: Assess upper and lower extremities for edema. Ascertain for any tenderness in the calf.
3. Urinalysis: Dip urine at each visit to determine presence of the following: • Protein: Presence in urine may be sign of a urinary tract infection (UTI), kidney damage, or pre-eclampsia. • Ketones: Produced when the body starts breaking down fat for energy. May be seen in patients who have nausea and vomiting or uncontrolled diabetes. • Glucose: Presence of glucose in the urine may be normal in pregnancy, but may be indicative of gestational diabetes. • Nitrites: Presence is a strong indication of a UTI.