Maternal Newborn ATI Proctored LATEST Study Guide 100%

Maternal Newborn ATI Proctored Study GuidePrenatal Lab Tests and Discomforts During PregnancyIMPORTANT: Rh Factor of mother and baby through indirect Coombs test. If mom is Rh negative and baby is Rh positive, causes mom to build up antibodies that may not affect this pregnancy but WILL attack the next baby’s RBC’s causing them to lyse.If mom is Rh negative and baby Rh positive: Repeat Coombs test at 24-28 weeks. Rhogam will be administered at 28 weeks gestation, which prevents the development of antibodies.Group B Streptococcus: will be checked by taking a vaginal and anal culture around 35-37 weeks gestation.One-hour glucose tolerance test done at 24-28 weeks gestation. No fasting required, if results come back over 140, requires a follow-up 3-hour glucose tolerance test: fasting is required.Maternal serum alpha-fetoprotein: Taken at 15-22 weeks gestation, screens for Down Syndrome of neural tube defects. If LOW: could mean down syndrome. If HIGH: Neural tube defect.Other: CBC, Rubella titer, HIV, Hepatitis B, HPV, STI’s (gonorrhea, chlamydia, syphilis), PPV (check for TB), TORCH infections, and urinalysis Expected Discomforts:-N/V: usually in first trimester. Eat dry toast or crackers in the morning before getting up-Urinary frequency: Empty bladder frequently, use Kegel exercises if stress incontinence’-UTI’s: Notify if foul smelling or cloudy urine-Heartburn: Advice to eat small, frequent meals, sit up for at least 30 minutes after eating-Fatigue and difficulty breathing: Take frequent rest periods-Constipation: Increase intake of fluid and fiber-Hemorrhoids: Use warm Sitz baths, witch hazel pads-Varicose veins: elevate legs, were compression hose, walk frequently, and avoid standing-Gingivitis, indigestion, and epistaxis (nose bleed): Good oral hygiene, NS sprayNutrition, Weight Gain, and PKUWeight Gain: -Normal weight: total 25-35 pounds. 1st: 2-4lbs. 2nd and 3rd: 1lb per week-Obese: 15-25lbs. -Underweight: 28-40lbs. MATERNAL NEWBORN ATI PROCTORED LATEST STUDY GUIDE 100% 2Calories: No additional calories needed during first trimester.2nd trimester: extra 340 calories per day3rd trimester: extra 460 calories per dayBreastfeeding: extra 450-500 calories per dayNutrition