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ATI Maternal Newborn Proctored Study Guide 2020/2021
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ATI Maternal Newborn Proctored Study Guide 2020/2021
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Ch.1 Oral Contraceptives Chest pain, SOB, leg pain (clot), headache, eye problems
Can cause blood clots
Hypertension
Do not use with smokers
Hx of blood clots, stroke, cardiac, breast or estrogen
Depro-provera calcium and vitamin D
IUD= increased risk of pelvic inflammatory disease, ectopic pregnancy
o Change in string length, foul smell, fever/chills, pain with intercourse notify
provider
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
Probable signs
o Abdominal enlargements, Hagar sign, chad wicks sign, goodwill sign,
ballottement, Braxton hick contractions, positive pregnancy test, fetal outline
Positive sign
o FHR
Nagele’s rule: add 9 months and a week
GTPAl: Gravidity (# of times of pregnancy), Term births (38 weeks or more), Preterm
births, Abortions/miscarriages, Living children
Ch. 5 Nutrition During Pregnancy
Normal: 25-30 pounds
Overweight: 15-25 pounds
Underweight: 28-40 pounds
First trimester: no more than 2-4 pounds for entire trimesters.. then 1 lb/week
340 calories/day for second trimester…450 for third trimester (even during
breastfeeding)
Folic acid (dark leafy green veggies) fetal neuro tube defects
2-3 L of water, limit amount of caffeine
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
o Reactive HR (0-2)
o Breathing
o Body movement
, o Fetal tone
o Amniotic fluid volume
Nonstress test: measures fetal well-being in last trimester, response to FHR to fetal
movement; reactive if FHR accelerates; non reactive if no FHR acceleration
o YOU WANT REACTIVE
Contraction stress test
o Want a contraction to occur ocycotcin, nipple stimulation; monitor FHR to see
if decelerations occur
o You want late decelerations
Amniocentesis
o You want an empty bladder
o AT 14 WEEKS
o Levels of AFP (high nuero tube defects; low down syndrome)
o L/S ratio: 2:1 ratio is fetal lung maturity (2:5:1 or 3:1 for a client who has
diabetes mellitus)
o Complications: amniotic fluid emboli, hemorrhage, infection
Chorionic callus sampling
o Taking a piece of placenta
o Can be done earlier to identify abnormalities ( 11 WEEKS)
Ch. 7 Bleeding During Pregnancy
Ectopic: Unilateral stabbing pain; Lower abdominal quadrant pain
Molar: bleeding that resembles prune juice
Placenta previa: lower segment of uterus instead of fundus; PAINLESS bright red during
2nd or 3rd trimester may hemorrhage
o Complete: cervical is completely covered by placental attachment
o Partial
o Incomplete
Abruptio placentae: sudden onset of intense localized pain with dark red vaginal
bleeding
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,
antiemetic meds (Zofran)
Iron deficiency anemia: iron supplements with food rick in vitamin C (orange juice)
Gestational diabetes: higher risk for developing diabetes after pregnancy, (will likely do
biophysiol profile and non-stress test)
o Insulin to control sugar levels
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