ATI Maternal Newborn Proctored Study Guide: This study guide contains 7 pages of the most relevant and highly tested materials needed for a quick read for exam in all the 27 chapters listed here below.

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ATI Maternal Newborn Proctored Study Guide Ch.1 Oral Contraceptives • Chest pain, SOB, leg pain (clot), headache, eye problems • Can cause blood clots Ch.2 Infertility • Inability for ... at least 12 months • Male first (sperm analysis), then the woman (no hx of dye for test or seafood) Ch.3 • Presumptive sign: things that can be explained by other means o Nausea, amenorrhea, N/V, Fatigue Ch. 5 Nutrition During Pregnancy • Normal: 25-30 pounds • Overweight: 15-25 pounds Ch.6 Assessment of Fetal Well being • Ultrasound  want bladder full **non-invasive** • When poking stomach  empty bladder (amniocenteses) • Biophysical profile: 0-10 score, 8-10 is normal Ch. 7 Bleeding During Pregnancy • Ectopic: Unilateral stabbing pain; Lower abdominal quadrant pain • Molar: bleeding that resembles prune juice Ch. 8 Infections • Yeast infection pretty common Ch. 9 Medical Conditions • Incompetent cervix  cervical cerclage (placed at 12-14 weeks & removed at 37 weeks) • Hyperemesis: excessive N/V past 12 weeks; IV fluids, pyridoaxine (B6) administrations, No protein in the urine Ch. 10 Early onset of Labor • Preterm labor: 20-37 weeks o Swab of vaginal secretions (fetal fibronectin) o Administer nifidepine (calcium channel blocker) block calcium to suppress Ch.11 Labor and Delivery Processes • Back ache, weight loss (1-3 lbs), lightening (fetal to pelvis), contractions (Braxton hicks), increased vaginal discharge or bloody show, energy burst, GI changes • Labs: Group B streptococcus, urinalysis Ch. 12 Pain management • Effleurage: light gentle circular stroking of the clients abdomen with fingertips in rhythm with breathing during contractions (cutaneous stimulation) Ch. 13 Fetal Assessment During Labor • 110-160 BPM; want moderate variability (NO LATE DECELERATIONS) **early ones are ok Ch. 16 Complications related to labor process • Prolapsed umbilical cord: displaced preceding the presenting part of the fetus or through Ch.17 Postpartum physiological adaptions • RhoGaM admin 72 hours after giving birth who are RH neg and baby is RH positive to prevent issues with next pregnancy Ch. 18 Baby friendly Care • Phases of maternal role attainment o Dependent (taking in); 24-48 hr o Dependent-independent (taking-hold); 2-3 days o Interdependent (letting-go) Ch. 19 Discharge Teaching • Breast engorgement  cold/warm compresses b/w feedings, warm shower prior to Ch.20 Postpartum Disorders • Deep vein thrombosis: unilateral swelling in legs; postpartum at higher risk Ch. 21 Postpartum infections • Mastitis: infections in breast; painful or tender localized hard mass and reddened area Ch.22 Postpartum depression • Blues: tearfulness, lack of appetite • Depression: within 6 mo of delivery, • Psychosis: hx of bipolar disease, hallucinations, obsessive behavior, paranoia Ch. 23 Newborn assessment • APGAR (0-2) total of 10; 0-3 severe distress; 4-6 moderate difficulty; 7-10 minimal to no difficulty o Heart Rate=- greater than 100/min is 2 o Resp rate o Muscle tone o Reflex- grimace is a 1 o Color- completely pink is 2 Ch. 24 Nursing Care of Newborn • Thermoregulation o Conduction Ch. 25 Newborn nutrition • Lose 5-10% body weight after birth • Breast feeding Ch. 26 Nursing Care and Discharge teaching • Place baby on back (to prevent SIDS) • Newborns sleep 17 hours out of 24 Ch. 27 New born complications • Hypoglycemia (less than 40) [Show More]

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