7
lOMoAR
47 cPSD|
4 28505380
74 74
lOMoAR cPSD| 28505380
RN ATI Maternal Newborn Online Practice 2022-
2023 B
Health74Promotion74and74Maintenance74(174Question)
Ante/Intra/Postpartum74and74Newborn74Care74-74(1)
● Postpartum74Disorders:74Indications74for74Administration74of74Oxytocin
○ Delivery74of74placenta74(postpartum,74miscarriage)
○ Management74of74postpartum74hemorrhage
○ Stress74testing
○ I74know74that74Oxytocin74induces74contractions;74for74that74reason,74we74would7
4want74to74use74them74before74labor74to74promote74the74delivery74of74the74fetu
s,74use74them74to74prevent74hemorrhage74because74the74medication74can74hel
p74alleviate74the74boggy74uterus74postpartum,74and74cause74fetal74movement.
○ Too74much74Oxytocin74is74very74bad74and74can74lead74to74many74complications
74some74being74placenta74abruption74and74fetal74hypoxia
Basic74Care74and74Comfort74(174Question)
Non-pharmacological74Comfort74Interventions74-74(1)
● Pain74Management:74Caring74for74a74Client74Who74is74in74Labor
○ Sacral74counterpressure:74Consistent74pressure74is74applied74by74the74suppo
rt74person74using74the74heel74of74the74hand74or74fist74against74the74client’s74
sacral74area74to74counteract74pain74in74the74lower74back
○ Effleurage:74Light,74gentle74circular74stroking74of74the74client’s74abdome
n74with74the74fingertips74in74rhythm74with74breathing74during74contractio
n
○ Hydrotherapy74(whirlpool74or74shower)74increases74maternal74endorphin74levels)
○ Frequent74maternal74position74changes74to74promote74relaxation74and74pain74relief
○ The74main74one74that74I74have74seen74used74is74breathing74techniques74in74wh
ere74the74patient74takes74deep74breaths74and74exhales74to74alleviate74the74con
traction74and74pressure)
Pharmacological74and74Parenteral74Therapies74(274Questions)
Adverse74Effects/Contraindications/Side74Effects/Interactions74-74(1)
● Contraception:74Contraindication74for74Oral74Contraceptive74Use
○ Clients74who74have74a74history74of74thromboembolic74disorders,74stroke,74hea
, 7
lOMoAR
47 cPSD|
4 28505380
rt74attack,74coronary74artery74disease,74gallbladder74disease,74cirrhosis74or74liv
er74tumor,74headache74with74focal74neurologic74findings,74uncontrolled74hypert
ension,74diabetes74mellitus74with
lOMoAR
47 cPSD|
4 28505380
74 74
lOMoAR cPSD| 28505380
RN ATI Maternal Newborn Online Practice 2022-
2023 B
Health74Promotion74and74Maintenance74(174Question)
Ante/Intra/Postpartum74and74Newborn74Care74-74(1)
● Postpartum74Disorders:74Indications74for74Administration74of74Oxytocin
○ Delivery74of74placenta74(postpartum,74miscarriage)
○ Management74of74postpartum74hemorrhage
○ Stress74testing
○ I74know74that74Oxytocin74induces74contractions;74for74that74reason,74we74would7
4want74to74use74them74before74labor74to74promote74the74delivery74of74the74fetu
s,74use74them74to74prevent74hemorrhage74because74the74medication74can74hel
p74alleviate74the74boggy74uterus74postpartum,74and74cause74fetal74movement.
○ Too74much74Oxytocin74is74very74bad74and74can74lead74to74many74complications
74some74being74placenta74abruption74and74fetal74hypoxia
Basic74Care74and74Comfort74(174Question)
Non-pharmacological74Comfort74Interventions74-74(1)
● Pain74Management:74Caring74for74a74Client74Who74is74in74Labor
○ Sacral74counterpressure:74Consistent74pressure74is74applied74by74the74suppo
rt74person74using74the74heel74of74the74hand74or74fist74against74the74client’s74
sacral74area74to74counteract74pain74in74the74lower74back
○ Effleurage:74Light,74gentle74circular74stroking74of74the74client’s74abdome
n74with74the74fingertips74in74rhythm74with74breathing74during74contractio
n
○ Hydrotherapy74(whirlpool74or74shower)74increases74maternal74endorphin74levels)
○ Frequent74maternal74position74changes74to74promote74relaxation74and74pain74relief
○ The74main74one74that74I74have74seen74used74is74breathing74techniques74in74wh
ere74the74patient74takes74deep74breaths74and74exhales74to74alleviate74the74con
traction74and74pressure)
Pharmacological74and74Parenteral74Therapies74(274Questions)
Adverse74Effects/Contraindications/Side74Effects/Interactions74-74(1)
● Contraception:74Contraindication74for74Oral74Contraceptive74Use
○ Clients74who74have74a74history74of74thromboembolic74disorders,74stroke,74hea
, 7
lOMoAR
47 cPSD|
4 28505380
rt74attack,74coronary74artery74disease,74gallbladder74disease,74cirrhosis74or74liv
er74tumor,74headache74with74focal74neurologic74findings,74uncontrolled74hypert
ension,74diabetes74mellitus74with