ATI and Durham-Chapman References Maternal newborn 2022

N 306 Pre-class Assignment

Week 6 Assignment:

 ATI Real Life RN Case Study
o Preeclampsia
 ATI Practice Assessment
o Maternal newborn 2016 B

Reading:
Durham & Chapman, please read:
 Chapters 10-11

ATI Review Chapters:
 Ch 15-16

Pre-class Assignment:

Create a template for the following concepts. Include definition/pathophysiology,
manifestations, immediate interventions, medications and patient teaching for the
following:

 Induction of labor
o Any condition in which augmentation or induction of labor is indicated.
Elective induction for nonmedical indications must meet the criteria of at
least 39 weeks of gestation and a Bishop score of greater than 8 for a
multiparous client and greater than 10 for a nulliparous.
o Client presentation:
 Postterm pregnancy (greater than 42 weeks)
 Dystocia
 Prolonged ROM
 Maternal medical complications
 Fetal demise
o Client preparation
 Prepare the client for cervical ripening,
 Obtain the client’s informed consent form
 If cervical-ripening agents are used, baseline data on fetal
and maternal well-being should be obtained.
 Prepare client for oxytocin.
o Complications: Nonreassuring FHR
 Vacuum assisted delivery
o Involves the use of a cuplike suction device that is attached to the fetal
head. Traction is applied during contractions to assist in the descent and
birth of head, after which, the vacuum cup is released and removed
preceding delivery preceding the fetal body.


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