1
ATI NURSING MATERNAL NEWBORN KEY POINTS
Table of Contents
Vital Signs/Lab Values .................................................................................................................... 1
Nursing Interventions ..................................................................................................................... 3
Nursing Assessments for Diseases/Labor ...................................................................................... 3
Medications .................................................................................................................................. 10
Surgical Implications..................................................................................................................... 11
Nursing Treatment Modalities ..................................................................................................... 12
Newborn and Mother Vaccines.................................................................................................... 13
Nursing Education......................................................................................................................... 14
Vital Signs/Lab Values
1. Respiratory Rate:
a. Neonate and Infant: 30-60 bpm
b. Toddler: 20-40 bpm
2. APGAR Scores:
a. 0-2
i. 1 is a weak result
,2
ii.
3. Neonate:
a. HR: 100-160
b. RR: 30-60
c. Weight: 2.5-4 kg
d. Glucose: 45+, 40-60
e. Head Size: 32-36.8 cm
i. ↓ may be due to toxoplasmosis, rubella, cytomegalovirus.
4. Newborn:
a. Hgb: 14-24
b. Platelets: 150-300K
c. Bilirubin: 2-6
d. Glucose: 40-60
, 3
Nursing Interventions
1. Place a hat on baby’s head d/t heat loss.
2. Umbilical Cord Bleeding: Check the clamp.
3. Ultrasounds:
a. During the 1st Trimester: Tell Mother to have a FULL bladder for
visualization.
4. Cold Stress: newborn temperature should be kept within normal limits and NOT
cold.
a. ↓ in Neonate Temperature→ Take Glucose Level.
5. Language Barriers:
a. Comfort measures are still good regardless of language barriers.
6. Rotating fetus anteriorly:
a. Squat during contractions.
b. Get on hand and knees during contractions.
c. Lay on the same side as fetal spine.
Nursing Assessments for Diseases/Labor
1. Always ask cultural preferences.
2. Preterm infants have abundant lanugo.
3. Risk for preterm labor, decreased muscle tone, ↓ Progesterone Levels.
4. Hypertonic uterus, assess pain and work on pain management.
5. ↑ Estrogen Levels, assess for nasal stuffiness.
6. Postpartum Depression (PPD) risk factors
a. Gestational Diabetes, Infertility Treatment, Complicated Pregnancy,
Preterm labor, History of Mood Disorders.
ATI NURSING MATERNAL NEWBORN KEY POINTS
Table of Contents
Vital Signs/Lab Values .................................................................................................................... 1
Nursing Interventions ..................................................................................................................... 3
Nursing Assessments for Diseases/Labor ...................................................................................... 3
Medications .................................................................................................................................. 10
Surgical Implications..................................................................................................................... 11
Nursing Treatment Modalities ..................................................................................................... 12
Newborn and Mother Vaccines.................................................................................................... 13
Nursing Education......................................................................................................................... 14
Vital Signs/Lab Values
1. Respiratory Rate:
a. Neonate and Infant: 30-60 bpm
b. Toddler: 20-40 bpm
2. APGAR Scores:
a. 0-2
i. 1 is a weak result
,2
ii.
3. Neonate:
a. HR: 100-160
b. RR: 30-60
c. Weight: 2.5-4 kg
d. Glucose: 45+, 40-60
e. Head Size: 32-36.8 cm
i. ↓ may be due to toxoplasmosis, rubella, cytomegalovirus.
4. Newborn:
a. Hgb: 14-24
b. Platelets: 150-300K
c. Bilirubin: 2-6
d. Glucose: 40-60
, 3
Nursing Interventions
1. Place a hat on baby’s head d/t heat loss.
2. Umbilical Cord Bleeding: Check the clamp.
3. Ultrasounds:
a. During the 1st Trimester: Tell Mother to have a FULL bladder for
visualization.
4. Cold Stress: newborn temperature should be kept within normal limits and NOT
cold.
a. ↓ in Neonate Temperature→ Take Glucose Level.
5. Language Barriers:
a. Comfort measures are still good regardless of language barriers.
6. Rotating fetus anteriorly:
a. Squat during contractions.
b. Get on hand and knees during contractions.
c. Lay on the same side as fetal spine.
Nursing Assessments for Diseases/Labor
1. Always ask cultural preferences.
2. Preterm infants have abundant lanugo.
3. Risk for preterm labor, decreased muscle tone, ↓ Progesterone Levels.
4. Hypertonic uterus, assess pain and work on pain management.
5. ↑ Estrogen Levels, assess for nasal stuffiness.
6. Postpartum Depression (PPD) risk factors
a. Gestational Diabetes, Infertility Treatment, Complicated Pregnancy,
Preterm labor, History of Mood Disorders.
