1) how does the current state of the economy impact completing an environmental scan in todays world? Some examples are what? 2) What follow-up care will you anticipate performing during the remainder of your shift? Was the pregnancy planned? Is the pregnancy unwanted? Before this pregnancy, have you ever been depressed? If yes, when did you experience this depression? If yes, have you been under a physician’s care for this past depression? If yes, did the physician prescribe any medication for your depression? 3) Develop a nursing care plan that reflects the etiology, pathophysiology, current clinical therapy, nursing management, and preventive management for the woman with reproductive tract infection, urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder

1) how does the current state of the economy impact completing an environmental scan in todays world? Some examples are what?

2) What follow-up care will you anticipate performing during the remainder of your shift? Was the pregnancy planned? Is the pregnancy unwanted? Before this pregnancy, have you ever been depressed? If yes, when did you experience this depression? If yes, have you been under a physician’s care for this past depression? If yes, did the physician prescribe any medication for your depression?

3) Develop a nursing care plan that reflects the etiology, pathophysiology, current clinical therapy, nursing management, and preventive management for the woman with reproductive tract infection, urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder. Explain how to evaluate the mother’s knowledge of health promotion measures.

4) Discuss behaviors that inhibit paternal attachment. . Identify the nurse’s impact in both the hospital and community-based settings in assessing predisposing factors of postpartum complications, implementing preventive care, and teaching for self-help. Explain the causes, contributing factors, signs and symptoms, clinical therapy and nursing interventions for early and late postpartum hemorrhage.

5) What are the elements of a support system for teens who want to breastfeed? How can the nurse help adolescents access and use these supports in a timely way? How would you discuss with Wendy the need for frequent assessments after birth? Explain maternity or baby blues.  Explore activities to minimize maternity blues. Discuss concerns of a woman experiencing her second pregnancy.

6) Delineate interventions to address the common concerns of breastfeeding mothers following discharge. Describe the assessment and care of the newborn during postpartum home care. What therapeutic nursing questions would you ask Dana to assess her reluctance to go home? How can adolescent mothers be encouraged to continue breastfeeding at home?

7) When the nurse has addressed these questions and assembled the facts, the nurse’s intuition and knowledge should combine to answer three more questions: Is there a problem in attachment? What is the problem? What is its source? What nursing assessment is of immediate concern? Discuss care of her episiotomy and perineum. What other self-care measures could you advise?

8) How quickly does she interpret her infant’s behavior and react to cues? Does she seem happy and satisfied with the infant’s responses to her efforts? Is she pleased with feeding behaviors? How much of this ability and willingness to respond is related to the baby’s nature and how much to her own? l Does she seem pleased with her baby’s appearance and sex?

9) Has she progressed from fingertip touch, to palmar contact, to enfolding the infant close to her own body? Is attraction increasing or decreasing?  If the mother does not exhibit increasing attraction, why not? Do the reasons lie primarily within her, in the baby, or in the environment? l Is the mother inclined to nurture her infant? Is she progressing in her interactions with her infant?

10) Explain the purpose of and the procedure for assessing the perineum during the postpartum period.  Complete the assessment of fundal height and lochia as described in Clinical Skill: Assessing the Status of the Uterine Fundus After Vaginal or Cesarean Birth. Is the mother attracted to her newborn? To what extent does she seek face-to-face contact and eye contact?

11) What risk factors and clinical findings does this infant have that predispose him to hyperbilirubinemia? How would the nurse explain Baby Martin’s hyperbilirubinemia and subsequent treatment and nursing care to his mother? How would you explain the purpose of phototherapy with the mother? Describe the care the mother can give to the newborn.

12) Describe interventions to facilitate parental attachment and meet the special initial and long-term needs of parents of at-risk infants. What is the gestational age? l Is the fluid clear? How many babies are expected? l Are there any additional risk factors? Does the use of transcutaneous bilirubinometry enhance early detection and lower the rates of severe hyperbilirubinemia?

13) Differentiate between physiologic and pathologic jaundice according to timing of onset (in hours), cause, possible sequelae, and specific management. Explain how Rh incompatibility or ABO incompatibility can lead to the development of hyperbilirubinemia. Identify nursing responsibilities and rationales in caring for the newborn receiving phototherapy.

14) Identify physical examination findings during the early newborn period that would make the nurse suspect a congenital cardiac defect or congestive heart failure. Explain the special care needed by a newborn with an inborn error of metabolism. What can you do to facilitate mother-infant attachment? Discuss the emotional response of parents to the birth of an ill or at risk infant.

15) Summarize the nursing assessments and initial interventions for a newborn born with selected congenital anomalies. Explain the special care needed by an alcohol- or drug-exposed newborn. Relate the consequence of maternal HIV/AIDS to the management of and issues for caregivers of infants at risk for HIV/AIDS in the neonatal period. What should you tell the mother?

16) Explain the factors present at birth that indicate an at-risk newborn. Compare the underlying etiologies of the physiologic complications of small-forgestational-age (SGA) newborns and preterm appropriate-for-gestational-age (Pr AGA) newborns and the nursing care management for each. Explain the impact of maternal diabetes mellitus on the newborn.