Nursing Care in the Community
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essential teaching that must be met before discharge | cord and circumcision care, use of a bulb syringe, maternal perineal hygiene, diet, breast care and breastfeeding, exercise, rest, and follow-up care
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1996 Newborns’ and Mothers’ Health Protection Act | guaranteed a 40-hour hospital stay for normal births and a 96-hour stay after cesarean birth
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professional negligence | when a patient is injured or dies and it is alleged that the nurse or other home health care team member’s conduct was the direct, or proximate, cause of the injury or death
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reducing legal liability | consent forms and documentation are extremely important; health care interventions must be established on a sound scientific basis and backed up by evidence-based practice
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kick counts | 3 kicks per hour is average but report if fewer than 10 movements in 12 hours; they provide reassurance of fetal life, assist in bonding, and help the mother take responsibility for fetal surveillance
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home care for a low-risk pregnancy | obtain health history, vital signs, urine screen, weight, fundal height, dietary intake, hygiene, and physical activity, listen to fetal heart rate and discuss fetal activity; social support services, phone contact; document everything
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what to do if you have a negative pregnancy test, with a missed period | repeat the test in a week
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effective teaching plans for home care of prenatal patients | written material; help or advice telephone lines; health care publications offering timely tips
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warm lines | telephone numbers that can be used to answer questions that may arise
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most common special equipment for home health care of high-risk neonates | apnea monitoring and phototherapy
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hydatidiform mole | can cause a positive pregnancy test
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goals of postpartum home care | assessing, teaching, counseling, and referral
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