Study Guide ATI maternity
1. Contraception: Tubal Ligation
Surgical ligation
Severance, courting or burning of the fallopian tube to prevent fertilization.
Advgg permanent, can be done after childbirth 24-48 hr, sexual function same
Disantg: Carry risk for anesthesia complication, infection and hemorrhage. Irreversible. Not protect
against STI
Risk for ectopic pregnancy Your text here 1
2. Caring for a Client After a Stillbirth (Active Learning Template - Basic Concept, RM FUND 10.0 Chp 36)
Should be something about baby death the baby what the nurse said.
3. Nonpharmacological Comfort Measures During Labor (Active Learning Template -
Basic Concept, RM MN RN 11.0 Chp 12)
• Back rubs and massage the sacral to counteract
• Walking and rocking pain on the lower back.
• Effleurage: light gentle • Application Heat and
circular stroking of the Cold.
client abdomen with • TENTS
the fingertips in rhythm • Hydrotherapy to
during contraction. increase maternal
• Sacral contra pressure: endorphin.
Pressure apply by the • Acupressure
support person using • Frequent positioning
the heel of the hand on changes.
4. Pain Management: Teaching About Hypnosis (Active Learning Template -
Therapeutic Procedure, RM MN RN 11.0 Chp 12)
5. Sources of Nutrition: Teaching a Client About High-Calcium Food (Active
Learning Template - Basic Concept, RM Nutrition 7.0 Chp 1)
High in Calcium: Dairy, broccoli, Kale, Grains, Egg yolks. ( stef banana)
B12 Cobalamin: meats, Clams, oysters, egg and dairy products. (raw carrot)
Fiber: Grains, legumes, Fiber whole grains, fruits, vegetables. (oatmeal)
6. Infertility: Teaching About Adverse Effects of Clomiphene Citrate (Active Learning
Template - Medication, RM MN RN 11.0 Chp 2)
Stimulated hormone for ovulation.
Increase incidence of multiple gestation
S/E: headaches, Bloating, N/V, weight gain, blurred vision,.
7. Postpartum Disorders: Contraindications to Methylergonovine (Active Learning
Template - Medication, RM MN RN 11.0 Chp 20)
Uterine stimulant: controls post partum hemorrhages.
Assess uterine tone, vaginal bleeding, not for hypertensive client. 140/90
8. Therapeutic Procedures to Assist with Labor and Delivery: Candidates for Induction of
Labor
Oxytocin.
9. Assessment of Fetal Well-Being: Teaching About a Nonstress Test (Active Learning
Template - Diagnostic Procedure, RM MN RN 11.0 Chp 6)
FHR answers. Mon with 40-41 weeks.
Ruling out risk for fetal death example a diabetes mother, hypertensive,
isoimmunization, decrease FHR
INTERPRETATION:
This study source was downloaded by 100000832361371 from CourseHero.com on 01-21-2022 01:24:52 GMT -06:00
https://www.coursehero.com/file/83431965/Study-Guide-ATI-maternity-pdf/
, a. Reactive: Normal Finding. HR is normal, moderate variability and accelerated at least 2 times
in a 20min time period
b. Nonreactive: FHR does not accelerate sufficiently with fetal movement and further assessment
is needed. The nurse will determine a nonstress test to be nonreactive after 40 min of
continuous monitoring without accelerations in the FHR despite vibroacoustic stimulation.
• The exam takes about 20 mint, a dropper transducer is used first to monitor FHR and
toco-transducer.
• Touch bottoms every time baby move. If not baby sleeping use vibroacoustic
stimulation for 3s.
• Sit semi flower passion or left lateral.
10. Fetal Assessment During Labor: Findings to Report to the Provider (Active Learning
Template - Diagnostic Procedure, RM MN RN 11.0 Chp 13)
Leopold Manuever
• Empty bladder, supine.
• Identify fetal part
• Located and palpated the smooth contour of the fetal back using palm of
the hand.
• Determine is this part is present ver tru pelvic inletby grasping the lower
uterus side
Face pt feet and outline the head using the palmar of the surface of
finger.
Early deceleration: Contraction slow with start with return or FHR.
Compression of fetal head, vaginal exam, fundal pressure
Not intervention continue monitoring
Late deceleration: Slowing the FHR after a contraction when contraction end.
Causes maternal hypotension, Uroplacental insufficient, preeclampsia.
Intervention:
• Place patient to the side,
• Insert IV,
• Increase rate of the IV fluids.
• Discontinue oxytocin if being infusing.
• Oxygen nonbreathier mask
• Elevate legs
• Call doctor
• Prepared for vaginal or c-section
Variable deceleration: transitory abrupt slowing of FHR less 110.
Umbilical cord compression, short cord, prolapse call.
Intervention:
• Reposition pt to the side or knee to chest.
• Discontinue oxytocin
• Perform or assist with vaginal exam
• Assist with amnioinfusion
11. Prenatal Care: Laboratory Testing for Client Who Is at 24 Weeks of Gestation
One-hour glucose tolerance: to identified hyperglycemia. Not fasting, done at 24-28
week for all pregnant female.
Greater than 140 required follow up
Stef: What lab expect to increase in pregnancy: RBC
12. Assessment of Fetal Well-Being: Amniocentesis Complications (Active Learning
Template - Diagnostic Procedure, RM MN RN 11.0 Chp 6)
Complication:
• Amniotic fluid emboli
This study source was Maternal
• downloaded or fetal hemorrhage
by 100000832361371 from CourseHero.com on 01-21-2022 01:24:52 GMT -06:00
• Infection look the WBC
https://www.coursehero.com/file/83431965/Study-Guide-ATI-maternity-pdf/
1. Contraception: Tubal Ligation
Surgical ligation
Severance, courting or burning of the fallopian tube to prevent fertilization.
Advgg permanent, can be done after childbirth 24-48 hr, sexual function same
Disantg: Carry risk for anesthesia complication, infection and hemorrhage. Irreversible. Not protect
against STI
Risk for ectopic pregnancy Your text here 1
2. Caring for a Client After a Stillbirth (Active Learning Template - Basic Concept, RM FUND 10.0 Chp 36)
Should be something about baby death the baby what the nurse said.
3. Nonpharmacological Comfort Measures During Labor (Active Learning Template -
Basic Concept, RM MN RN 11.0 Chp 12)
• Back rubs and massage the sacral to counteract
• Walking and rocking pain on the lower back.
• Effleurage: light gentle • Application Heat and
circular stroking of the Cold.
client abdomen with • TENTS
the fingertips in rhythm • Hydrotherapy to
during contraction. increase maternal
• Sacral contra pressure: endorphin.
Pressure apply by the • Acupressure
support person using • Frequent positioning
the heel of the hand on changes.
4. Pain Management: Teaching About Hypnosis (Active Learning Template -
Therapeutic Procedure, RM MN RN 11.0 Chp 12)
5. Sources of Nutrition: Teaching a Client About High-Calcium Food (Active
Learning Template - Basic Concept, RM Nutrition 7.0 Chp 1)
High in Calcium: Dairy, broccoli, Kale, Grains, Egg yolks. ( stef banana)
B12 Cobalamin: meats, Clams, oysters, egg and dairy products. (raw carrot)
Fiber: Grains, legumes, Fiber whole grains, fruits, vegetables. (oatmeal)
6. Infertility: Teaching About Adverse Effects of Clomiphene Citrate (Active Learning
Template - Medication, RM MN RN 11.0 Chp 2)
Stimulated hormone for ovulation.
Increase incidence of multiple gestation
S/E: headaches, Bloating, N/V, weight gain, blurred vision,.
7. Postpartum Disorders: Contraindications to Methylergonovine (Active Learning
Template - Medication, RM MN RN 11.0 Chp 20)
Uterine stimulant: controls post partum hemorrhages.
Assess uterine tone, vaginal bleeding, not for hypertensive client. 140/90
8. Therapeutic Procedures to Assist with Labor and Delivery: Candidates for Induction of
Labor
Oxytocin.
9. Assessment of Fetal Well-Being: Teaching About a Nonstress Test (Active Learning
Template - Diagnostic Procedure, RM MN RN 11.0 Chp 6)
FHR answers. Mon with 40-41 weeks.
Ruling out risk for fetal death example a diabetes mother, hypertensive,
isoimmunization, decrease FHR
INTERPRETATION:
This study source was downloaded by 100000832361371 from CourseHero.com on 01-21-2022 01:24:52 GMT -06:00
https://www.coursehero.com/file/83431965/Study-Guide-ATI-maternity-pdf/
, a. Reactive: Normal Finding. HR is normal, moderate variability and accelerated at least 2 times
in a 20min time period
b. Nonreactive: FHR does not accelerate sufficiently with fetal movement and further assessment
is needed. The nurse will determine a nonstress test to be nonreactive after 40 min of
continuous monitoring without accelerations in the FHR despite vibroacoustic stimulation.
• The exam takes about 20 mint, a dropper transducer is used first to monitor FHR and
toco-transducer.
• Touch bottoms every time baby move. If not baby sleeping use vibroacoustic
stimulation for 3s.
• Sit semi flower passion or left lateral.
10. Fetal Assessment During Labor: Findings to Report to the Provider (Active Learning
Template - Diagnostic Procedure, RM MN RN 11.0 Chp 13)
Leopold Manuever
• Empty bladder, supine.
• Identify fetal part
• Located and palpated the smooth contour of the fetal back using palm of
the hand.
• Determine is this part is present ver tru pelvic inletby grasping the lower
uterus side
Face pt feet and outline the head using the palmar of the surface of
finger.
Early deceleration: Contraction slow with start with return or FHR.
Compression of fetal head, vaginal exam, fundal pressure
Not intervention continue monitoring
Late deceleration: Slowing the FHR after a contraction when contraction end.
Causes maternal hypotension, Uroplacental insufficient, preeclampsia.
Intervention:
• Place patient to the side,
• Insert IV,
• Increase rate of the IV fluids.
• Discontinue oxytocin if being infusing.
• Oxygen nonbreathier mask
• Elevate legs
• Call doctor
• Prepared for vaginal or c-section
Variable deceleration: transitory abrupt slowing of FHR less 110.
Umbilical cord compression, short cord, prolapse call.
Intervention:
• Reposition pt to the side or knee to chest.
• Discontinue oxytocin
• Perform or assist with vaginal exam
• Assist with amnioinfusion
11. Prenatal Care: Laboratory Testing for Client Who Is at 24 Weeks of Gestation
One-hour glucose tolerance: to identified hyperglycemia. Not fasting, done at 24-28
week for all pregnant female.
Greater than 140 required follow up
Stef: What lab expect to increase in pregnancy: RBC
12. Assessment of Fetal Well-Being: Amniocentesis Complications (Active Learning
Template - Diagnostic Procedure, RM MN RN 11.0 Chp 6)
Complication:
• Amniotic fluid emboli
This study source was Maternal
• downloaded or fetal hemorrhage
by 100000832361371 from CourseHero.com on 01-21-2022 01:24:52 GMT -06:00
• Infection look the WBC
https://www.coursehero.com/file/83431965/Study-Guide-ATI-maternity-pdf/
