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Promote rooming-in as a quiet and private environment that enhances the family bonding process.Promote early initiation of breastfeeding, and encourage the client to recognize infant readinesscues. Offer assistance as needed.Teaching the client about infant care facilitates bonding as the client's confidence improves.Encourage the parents to bond with their infant through cuddling, bathing, feeding,diapering,
and inspection.Provide frequent praise, support, and reassurance to the client as she moves towardindependencein caring for her infant and adjusting to her maternal role.Encourage the client/parents to express their feelings, fears, and anxieties about caring fortheir infantCombination Oral Contraceptives Contradictions1. Are smokers and over the age of 35.2. Have a history of thrombophlebitis and cardiovascular events.3. Have a family history or risk factors for breast cancer.4. Are experiencing abnormal vaginal bleeding.5. Use cautiously in clients who have hypertension, diabetes mellitus, gall bladder disease, uterineleiomyoma, seizures, and migraine headachesLeft Sided Heart FailureDyspnea, orthopnea (shortness of breath while lying down), nocturnal dyspneaFatigueDisplaced apical pulse (hypertrophy)S3 heart sound (gallop)Pulmonary congestion (dyspnea, cough, bibasilar crackles)Frothy sputum (can be blood-tinged)Altered mental statusManifestations of organ failure, such as oliguria (decrease in urine outputRight Sided Heart FailureJugular vein distentionAscending dependent edema (legs, ankles, sacrum)Abdominal distention, ascitesFatigue, weaknessNausea and anorexiaPolyuria at rest (nocturnal)Liver enlargement (hepatomegaly) and tendernessWeight gainCardiomyopathy (leading to heart failure)
Compartment Syndrome1. Compartment syndrome (ACS) is assessed by using the five P's (pain, paralysis, paresthesia, pallor, and pulselessness).2. Increased pain unrelieved with elevation or by pain medication.3. Intense pain when passively moved.4. Paresthesia or numbness, burning, and tingling are early signs.5. Paralysis, motor weakness, or inability to move the extremity indicate major nerve damage andare late signs.6. Color of tissue is pale (pallor), and nail beds are cyanotic.7. Pulselessness is a late sign of compartment syndrome.8. Palpated muscles are hard and swollen from edema.9. If untreated, tissue necrosis can result. Neuromuscular damage occurs within 4 to 6 hr.Surgical treatment is a fasciotomy.Vitamin to prevent neural defectsFolate is a B-vitamin found in spinach and leafy green vegetables, dried beans, liver, and citrus fruits. Invitamin supplements and fortified foods such as breakfast cereal, it is usually foundin the form "folic acid."Disposing of insulin syringes at homeCoffee container on a high shelfStatus Epilepticus MedsLorazepam (Ativan) Drug of choiceDiazepam (Valium)Phenytoin (Dilantin) (IV Slowly)Fosphenytoin (Cerebyx)Brachytherapy (Radiation)Radiation source is within the client who emits radiation and is a hazard to those around for a period of time.