Obstetric and gynecological sonographers examine the babies being developed in a mother’s womb. When performing an ultrasound on someone there are steps that should be followed. First of all, before starting an ultrasound put some jelly on the woman’s stomach. Secondly, make the woman’s uterus easier to visualize by pushing any loops of her bowl up and out of the way, especially during early pregnancy. The bowel contains air or gas and ultrasound waves do not travel well through air.
Maternal risks of a multi-fetal pregnancy include hypertension, preeclampsia, gestational diabetes, and postpartum hemorrhage (Multifetal Pregnancy Reduction, 2013). Maternal and neonatal morbidity and mortality increase with each fetus. The most common method of fetal reduction is trans-abdominal multi-fetal pregnancy reduction. An ultrasound is used as a guide and a needle containing potassium chloride is inserted through the woman’s abdomen, into the uterus and into the fetal sac causing the heart to stop (www.webmd.com). Following the procedure, the fetal tissue is normally absorbed by the mother’s body.
Infants in the NICU are among the most vulnerable patients. Prematurity, severity of illness, limited compensatory mechanisms, prolonged hospitalization and a challenging environment all increase their risk of exposure to medical errors, especially errors in medication administration (Jennifer B. Lomoine & Helen M. Hurst, 2012). Medication dosing in the NICU is universally weight-based, often requiring complex dosage calculations. A multicenter study reported that
Following an intensive screening and selection process the donor endures a few weeks of invasive medical procedures. First the donor and the woman who will carry the child must coordinate their menstrual cycles. Typically the donor and the recipient take birth-control pills, followed by shots of a synthetic hormone such as Lupron; the combination suppresses ovulation and puts their cycles in sync. After altering her cycle the donor must enhance her egg supply with fertility drugs in the same way an infertile woman does when trying to conceive. Shots of a fertility hormone are administered for seven to eleven days, to stimulate the production of an abnormally large number of egg-containing follicles.
Both figures are significantly higher than for the previous year. The chief medical officer for England, Prof Dame Sally Davies, said: "Whooping cough is highly contagious and newborns are particularly vulnerable. "It's vital that babies are protected from the day they are born - that's why we are offering the vaccine to all pregnant women." The vaccine will be offered during routine antenatal appointments with a nurse, midwife or GP. The vaccination programme is only temporary to deal with the heightened risk of whooping cough infection during this outbreak.
When-I-grow-up-I-want-to-be-a-neonatal-nurse-‘I-like-this-career-because-I-love-babies-and-also- because-I-would-like-to-learn-how-to-treat-and-take-care-of-them’I-am-very-sure-I-want-this-career-on-the-future Neonatal nurse specialists focus on the care of newborn infants. They may care for healthy infants, provide focused care for premature or ill newborns, or work exclusively with seriously ill newborns in a neonatal intensive care unit (NICU). These-are-some-of-the-requirements-I-would-need-to-become-a-Neonatal-Nurse: I must be a registered nurse with a Bachelor of Science in Nursing (BSN). Certification: I must become certified by your State Board of Nursing or receive a national certification from an agency such as the National
The neonatal nurse changes the diapers, feed the baby at appointed times, and give the baby need attention. Neonatal nurses hold the babies and give emotional support to babies. As a neonatal nurse you must with other members of the healthcare team regarding the babies and keep written or electronic charts. Neonatal nurses are often the saving grace for worried parents. They answer questions and console parents during times of uncertainty.
| | Potential for choking injuries due to small diameter airways, immature swallowing pattern and curiosity to put objects in mouth. End of passive immunity put toddler at risks for communicable diseases and infections, vaccinations should be up to date. | Potential for increase in illnesses due to exposure to others during group activities. Preschoolers have fears and anxieties about their bodies and need to be reassured through health promotion. | School aged children might develop self-esteem issues around their rapid growth and slimmer figure and start to show concerns.
There are many tools currently available and being used to assess pain. Nurses should use pain assessment tools that are multidimensional (scoring behavioral as well as physiological parameters), reliable and valid, as well as clinically useful and appropriate for gestational age (Robin Koeppel, 2002). The Neonatal Infant Pain Scale (NIPS) and the Premature Infant Pain Profile (PIPP) can achieve the need of the majority for the instrument/tool. It must be a standard that a pain scale > 4 once assessed must be addressed and treated in a timely manner. The internal consistency and inter-rater reliability of the PIPP scale has been well document according to Badr (Badr, 2010).
Glucosuria is a sign of diabete... (more[->128]) |||Question 17: (see full question)[->129]|When assessing an 18-year-old primipara who gave birth to a viable neonate under epidural anesthesia 24 hours ago, the nurse determines that the fundus is firm but to the right of midline. Based on this finding, the nurse should further assesses for:|You selected:|Perineal hematoma.|Incorrect||Correct response:|Urinary retention.|Explanation:|A full bladder is likely to push the uterus to the right of midline, so the nurse should further assess for symptoms of urinary retention. A full bladder can prevent the uterus fro... (more[->130]) |||Question 18: (see full question)[->131]|A client with a new ileal conduit asks the nurse when he needs to wear his appliance. Which of the following responses by the nurse is correct?|You selected:|"You need to wear your appliance all the time. "|Correct||Explanation:|An ileal conduit is a urinary diversion that requires the client to wear an appliance, or pouch, at all times because urine drains continuously.