NCLEX-PN
● Planning : The LPN can collaborate in the planning phase; care plans provide a course of direction for personalized care tailored to an individual’s unique needs, subject to the review and approval of the RN. ● Implementation : During the implementation phase, the LPN is expected to deliver the determined interventions per the client's care plan, which the RN must determine. The LPN/LVN applies communication skills for educating clients and addressing client and family concerns. ● Evaluation : The LPN contributes to the evaluation of individualized interventions related to the care plan or treatment plan. The RN evaluates the progress toward the goals/outcomes identified in the previous phases together with the LPN/LVN, who can provide observations and suggestions for the accomplishment of the plan of care. The Association of Women’s Health, Obstetrics and Neonatal Nursing recommends that the roles and responsibilities of the LPN be consistent with the state nurse practice act governing the location where the LPN practices as well as consistent with organizational policies and individual training and experience. Depending on those factors, appropriate tasks may include but are not limited to the following: ● Newborn care : collecting vital signs, performing glucose testing, conducting phlebotomy and newborn screening, facilitating skin-to-skin, providing parent/family education, bathing the newborn, assisting with newborn feeding, and introducing newborn education classes. ● Postpartum care : performing dressing changes, collecting vital signs, performing glucose testing, removing or inserting indwelling urinary catheters, using a bladder scanner, assisting with ambulation/fall prevention, activities of daily living and prevention of infant drops, conducting phlebotomy, providing perineal care, educating client/family, providing lactation and feeding education, and discharge education. ● Labor, delivery, and recovery : collecting maternal vital signs of a laboring client, chaperoning during sensitive examinations and treatments, performing glucose testing, removing or inserting indwelling urinary catheters, facilitating skin-to-skin during the golden hour, offering assistive support during delivery, providing client/family education, assisting during emergency events, taking client histories, conducting phlebotomy, perineal care, and assistance with ambulation. A. Antepartum Care: Monitoring the Health of Mother and Baby Antepartum care, also known as prenatal care , is crucial to ensuring the health and well-being of both the expectant mother and their baby. This comprehensive care begins the moment a client discovers she is pregnant and continues for several weeks after the baby is born. This section will explore the key components of antepartum care and emphasize the importance of monitoring various aspects of the mother's health and the developing fetus. ● Calculating the Expected Delivery Date and Monitoring Fetal Development : One of the priorities in antepartum care is calculating the expected delivery date. Calculation of the expected delivery date is done by adding seven days and nine months to the first day of the last
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