11/19/23, 4:58 PM ATI Maternal Newborn Proctored Exam Focused Review
ATI Maternal Newborn Proctored Exam Focused Review
Health Promotion and Maintenance
Expected Physiological changes during Pregnancy: Calculating Estimated Date of Delivery
● Subtract 3 months
● Add 7 days
● Add 1 year
Psychosocial Integrity
Grief, Loss, and Palliative Care: Caring for a Client After a Stillbirth
● Fetal death is defined by being death before birth but after 20 weeks gestation
● Provide supportive intervention
● Determine her social support network once she is to return home
Basic Care and Comfort
Pain Management: Nursing Actions to Reduce Pain
● Pharmacological Pain Management 1st Stage: Opioids, epidural, Nitrous Oxide
● Non Pharmacological Pain Management: Education, Lamaze patterned breathing
exercises, Hypnosis, biofeedback
● Pain management is used to reduce pain, anxiety, and discomfort that the patient may
experience
Pharmacological and Parenteral Therapies
Prenatal Care: Immunizations for a Client Who Is at 30 Weeks of Gestation
● NO live vaccines
● Dtap is safe to administer
● Influenza vaccine is safe to administer
Reduction of Risk Potential
Assessment of Fetal Well-Being: Reviewing Results of Nonstress Test
● Reactive if the FHR accelerates at least 15/min for at least 15 seconds and occurs two or
more times during a 20-min period
● Nonreactive NST: does not demonstrate at least two accelerations in a 20-min window
● If non reactive, additional test is needed
Complications Related to the Labor Process: Identifying Prolonged Decelerations
● Prolonged Deceleration indicates prolapse umbilical cord
● Fetal distress also indicated prolonged decelerations
● It is a visually apparent decrease of 15 or more beats per minute below the baseline
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ATI Maternal Newborn Proctored Exam Focused Review
Health Promotion and Maintenance
Expected Physiological changes during Pregnancy: Calculating Estimated Date of Delivery
● Subtract 3 months
● Add 7 days
● Add 1 year
Psychosocial Integrity
Grief, Loss, and Palliative Care: Caring for a Client After a Stillbirth
● Fetal death is defined by being death before birth but after 20 weeks gestation
● Provide supportive intervention
● Determine her social support network once she is to return home
Basic Care and Comfort
Pain Management: Nursing Actions to Reduce Pain
● Pharmacological Pain Management 1st Stage: Opioids, epidural, Nitrous Oxide
● Non Pharmacological Pain Management: Education, Lamaze patterned breathing
exercises, Hypnosis, biofeedback
● Pain management is used to reduce pain, anxiety, and discomfort that the patient may
experience
Pharmacological and Parenteral Therapies
Prenatal Care: Immunizations for a Client Who Is at 30 Weeks of Gestation
● NO live vaccines
● Dtap is safe to administer
● Influenza vaccine is safe to administer
Reduction of Risk Potential
Assessment of Fetal Well-Being: Reviewing Results of Nonstress Test
● Reactive if the FHR accelerates at least 15/min for at least 15 seconds and occurs two or
more times during a 20-min period
● Nonreactive NST: does not demonstrate at least two accelerations in a 20-min window
● If non reactive, additional test is needed
Complications Related to the Labor Process: Identifying Prolonged Decelerations
● Prolonged Deceleration indicates prolapse umbilical cord
● Fetal distress also indicated prolonged decelerations
● It is a visually apparent decrease of 15 or more beats per minute below the baseline
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