ATI VATI maternal newborn remediation
1. Complete an ATI Focused Review® and send me a detailed summary (2-3 sentences each) of 4
concepts that you learned from the focused review.
Interventions for prolapsed umbilical cord
Call for assistance immediately, notifying the provider
Reposition the client in a knee-chest , Trendelenburg or, side-lying position with a rolled
towel under the client’s right or left hip to relieve pressure on the cord
Apply a warm, sterile, saline-soaked towel to the visible cord to prevent drying and maintain
blood flow
Priority interventions to prevent meconium aspiration
Assess neonate’s respiratory efforts, muscle tone, and heart rate
Suction mouth and nose using a bulb syringe if respiratory efforts are strong, muscle tone ,
and heart rate greater than 100/min
Suction below vocal cords using an endotracheal tube before spontaneous breath occurs if
respirations are depressed, muscle tone decreased, and heart rate less than 100/min
Findings of contraction stress test
Negative CST ( normal findings): Indicated if within a 10min period, with three uterine
contractions, there are no late decelerations of the FHR
Positive CST ( abnormal finding): indicated with persistent and consistent late decelerations
with 50% or more of the contractions; suggestive of uteroplacental insufficiency
Fundal height
Immediately after delivery, the fundus should be firm, midline with the umbilicus, and
approximately at the level of the umbilicus
At 12 hours postpartum, the fundus May be palpated at 1 cm above the umbilicus
Every 24 hrs , the fundus should descent approximately 1 to 2 cm
Answer the following questions and review the suggested learning activities. Send me your
answers here.
1. How can the nurse prevent infant abduction?
Identification is applied to the newborn by the nurse immediately after birth. The nurse should
ensure the information on the infant’s and parent’s bracelets matches exactly. It is an important
safety measure to prevent the newborn from being given to the wrong parents, switched, or
abducted. The newborn, client, and client’s partner are identified by plastic identification
wristbands with permanent locks that must be cut to be removed. Identification bands should
include the newborn’s name, sex, date, and time of birth, and client’s medical record number. The
newborn should have one band placed on the ankle and one on the wrist. In addition, the
newborn’s footprints and client’s finger print are taken. The above information is also included
with the footprint sheet
2. A nurse is caring for a client during a nonstress test. What is the nurse's responsibility
during the test and what teaching should be reinforced?
Obtaining information regarding the patient most current health status to identify any
contraindications for implementing the stress testing.
Obtain informed consent as indicated as indicated.
Obtain an EKG.
1. Complete an ATI Focused Review® and send me a detailed summary (2-3 sentences each) of 4
concepts that you learned from the focused review.
Interventions for prolapsed umbilical cord
Call for assistance immediately, notifying the provider
Reposition the client in a knee-chest , Trendelenburg or, side-lying position with a rolled
towel under the client’s right or left hip to relieve pressure on the cord
Apply a warm, sterile, saline-soaked towel to the visible cord to prevent drying and maintain
blood flow
Priority interventions to prevent meconium aspiration
Assess neonate’s respiratory efforts, muscle tone, and heart rate
Suction mouth and nose using a bulb syringe if respiratory efforts are strong, muscle tone ,
and heart rate greater than 100/min
Suction below vocal cords using an endotracheal tube before spontaneous breath occurs if
respirations are depressed, muscle tone decreased, and heart rate less than 100/min
Findings of contraction stress test
Negative CST ( normal findings): Indicated if within a 10min period, with three uterine
contractions, there are no late decelerations of the FHR
Positive CST ( abnormal finding): indicated with persistent and consistent late decelerations
with 50% or more of the contractions; suggestive of uteroplacental insufficiency
Fundal height
Immediately after delivery, the fundus should be firm, midline with the umbilicus, and
approximately at the level of the umbilicus
At 12 hours postpartum, the fundus May be palpated at 1 cm above the umbilicus
Every 24 hrs , the fundus should descent approximately 1 to 2 cm
Answer the following questions and review the suggested learning activities. Send me your
answers here.
1. How can the nurse prevent infant abduction?
Identification is applied to the newborn by the nurse immediately after birth. The nurse should
ensure the information on the infant’s and parent’s bracelets matches exactly. It is an important
safety measure to prevent the newborn from being given to the wrong parents, switched, or
abducted. The newborn, client, and client’s partner are identified by plastic identification
wristbands with permanent locks that must be cut to be removed. Identification bands should
include the newborn’s name, sex, date, and time of birth, and client’s medical record number. The
newborn should have one band placed on the ankle and one on the wrist. In addition, the
newborn’s footprints and client’s finger print are taken. The above information is also included
with the footprint sheet
2. A nurse is caring for a client during a nonstress test. What is the nurse's responsibility
during the test and what teaching should be reinforced?
Obtaining information regarding the patient most current health status to identify any
contraindications for implementing the stress testing.
Obtain informed consent as indicated as indicated.
Obtain an EKG.
