Podcast
Questions and Answers
What is a common side effect at the injection site for neonates?
What is a common side effect at the injection site for neonates?
- Increased appetite
- Soreness with edema (correct)
- Rapid heartbeat
- Nausea
What was the method of delivery for TA's baby?
What was the method of delivery for TA's baby?
- C-section
- Forceps delivery
- Natural delivery
- Vacuum extraction (correct)
What was TA's intent regarding breastfeeding?
What was TA's intent regarding breastfeeding?
- To start breastfeeding immediately
- To breastfeed for at least 3 months (correct)
- To breastfeed for only 1 month
- To exclusively formula feed
At what stage of labor was TA when her mother arrived at the hospital?
At what stage of labor was TA when her mother arrived at the hospital?
What complication occurred during TA's delivery?
What complication occurred during TA's delivery?
What is a potential concern given TA's living situation?
What is a potential concern given TA's living situation?
What should be ensured during infant breastfeeding to avoid complications?
What should be ensured during infant breastfeeding to avoid complications?
Which medication is commonly used for postpartum systemic analgesia?
Which medication is commonly used for postpartum systemic analgesia?
What is the primary focus of nursing in the first few days postpartum?
What is the primary focus of nursing in the first few days postpartum?
What condition might increase afterbirth pains particularly in multiparous patients?
What condition might increase afterbirth pains particularly in multiparous patients?
What is the purpose of an episiotomy during childbirth?
What is the purpose of an episiotomy during childbirth?
What acronym is used to assess the condition of the perineum after delivery?
What acronym is used to assess the condition of the perineum after delivery?
Which analgesic is reserved for severe postpartum pain such as after cesarean delivery?
Which analgesic is reserved for severe postpartum pain such as after cesarean delivery?
What type of pain relief is recommended for perineal wounds and hemorrhoids after delivery?
What type of pain relief is recommended for perineal wounds and hemorrhoids after delivery?
What should be avoided to ensure that milk ducts are emptied during breastfeeding?
What should be avoided to ensure that milk ducts are emptied during breastfeeding?
Which medication is NOT typically used for postpartum pain relief?
Which medication is NOT typically used for postpartum pain relief?
What is the recommendation from the American Academy of Pediatrics regarding hepatitis B immunization?
What is the recommendation from the American Academy of Pediatrics regarding hepatitis B immunization?
What is the primary use of the hepatitis B vaccine in newborns?
What is the primary use of the hepatitis B vaccine in newborns?
What route is used for administering the hepatitis B vaccine to newborns?
What route is used for administering the hepatitis B vaccine to newborns?
What is the appropriate dosage for the hepatitis B vaccine in newborns?
What is the appropriate dosage for the hepatitis B vaccine in newborns?
What is the expected outcome after three doses of the hepatitis B vaccine?
What is the expected outcome after three doses of the hepatitis B vaccine?
How long does protection last for those who seroconvert after the hepatitis B vaccination?
How long does protection last for those who seroconvert after the hepatitis B vaccination?
What is a contraindication for the hepatitis B vaccine?
What is a contraindication for the hepatitis B vaccine?
What is the vaccine category for hepatitis B regarding pregnancy?
What is the vaccine category for hepatitis B regarding pregnancy?
What is the safest way to administer the hepatitis B vaccine to infants?
What is the safest way to administer the hepatitis B vaccine to infants?
Which of the following statements is true regarding hepatitis B vaccination?
Which of the following statements is true regarding hepatitis B vaccination?
What is the primary purpose of administering erythromycin ophthalmic ointment to newborns immediately after delivery?
What is the primary purpose of administering erythromycin ophthalmic ointment to newborns immediately after delivery?
Which of the following side effects may occur from the use of erythromycin ophthalmic ointment?
Which of the following side effects may occur from the use of erythromycin ophthalmic ointment?
What is the administration route for Vitamin K1 in newborns?
What is the administration route for Vitamin K1 in newborns?
What is the recommended dosage of Vitamin K1 for newborns?
What is the recommended dosage of Vitamin K1 for newborns?
Which condition does Vitamin K1 specifically help to prevent in newborns?
Which condition does Vitamin K1 specifically help to prevent in newborns?
How soon should erythromycin ophthalmic ointment be administered to a newborn after delivery?
How soon should erythromycin ophthalmic ointment be administered to a newborn after delivery?
What is the main action mechanism of erythromycin in the ointment?
What is the main action mechanism of erythromycin in the ointment?
What specific bacterial infections does erythromycin ophthalmic ointment target?
What specific bacterial infections does erythromycin ophthalmic ointment target?
What can result from untreated gonococcal conjunctivitis in newborns?
What can result from untreated gonococcal conjunctivitis in newborns?
Why might some newborns specifically require Vitamin K1 supplementation?
Why might some newborns specifically require Vitamin K1 supplementation?
What is the primary goal of the NCM 106 module in pharmacology?
What is the primary goal of the NCM 106 module in pharmacology?
Which outcome focuses on the client’s relationship with medication?
Which outcome focuses on the client’s relationship with medication?
Which of the following is NOT an objective of the NCM 106 module?
Which of the following is NOT an objective of the NCM 106 module?
What type of collaboration is emphasized in medication administration?
What type of collaboration is emphasized in medication administration?
Which aspect does this module aim to integrate into nursing pharmacology?
Which aspect does this module aim to integrate into nursing pharmacology?
What is a key focus when documenting a client's response to drug therapy?
What is a key focus when documenting a client's response to drug therapy?
Which technique is crucial for ensuring effective medication administration?
Which technique is crucial for ensuring effective medication administration?
Which organization produced the NCM 106 module?
Which organization produced the NCM 106 module?
What is emphasized in managing resources for drug administration?
What is emphasized in managing resources for drug administration?
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Study Notes
Module Overview
- Focuses on Pharmacology within nursing education.
- Integrates concepts from various sciences and humanities relevant to medication use.
Module Outcomes
- Educate clients on drug therapy effectively.
- Assess client compliance and medication response.
- Ensure safe administration of medications using clinical evidence.
- Document outcomes related to drug therapy clearly.
- Efficient resource management in drug administration (human, physical, financial, time).
- Promote effective communication with clients and support systems.
- Facilitate collaboration across agencies and disciplines for medication administration.
Nursing Care for Postpartum Patients
- Avoid restricting infant nursing time to prevent milk duct issues.
- Ensure proper feeding positions to minimize nipple soreness.
- Use a finger to break suction gently after feeding to protect the nipple.
Pain Management in Postpartum
- Expect "afterbirth pains" during early postpartum period due to uterine contractions.
- Nonsteroidal agents may relieve discomfort; narcotics are for severe pain (e.g., after a cesarean).
- Common analgesics include:
- Acetaminophen (Tylenol)
- Ibuprofen (Motrin)
- Meperidine (Demerol)
- Morphine sulfate
- Nalbuphine
Managing Pain from Perineal Wounds
- Delivery may cause pressure injuries to the perineal area, leading to pain and swelling.
- Assess perineum using the REEDA method (Redness, Ecchymosis, Edema, Discharge, Approximation).
Immediate Newborn Drug Administration
- Erythromycin ophthalmic ointment: Prevents gonococcal and chlamydial conjunctivitis; may cause mild conjunctival irritation.
- Vitamin K1 (Phytonadione): Administered IM to prevent hemorrhagic disease in newborns.
Immunization Protocols
- Hepatitis B Vaccine: Essential for all newborns; given IM within 12 hours of birth, followed by two additional doses.
- Provides long-term protection against hepatitis B virus, associated with severe liver disease and cancer.
- Side effects may include injection site soreness.
Case Analysis Activity
- An exercise for nursing students on prioritization and diagnosing for both mother and newborn post-delivery.
- Emphasizes critical thinking and application of pharmacological knowledge to real-life scenarios.
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