CHAMBERLAIN COLLEGE OF NURSING
ATI VATI MATERNAL NEWBORN
REMEDIATION & A
1. Complete an ATI Focused Review® and send me a detailed summary (2-3
sentences each) of 4 concepts that you learned from the focused review.
Interventions for prolapsed umbilical cord
Call for assistance immediately, notifying the provider
Reposition the client in a knee-chest , Trendelenburg or, side-lying position
with a rolled towel under the client’s right or left hip to relieve pressure on
the cord
Apply a warm, sterile, saline-soaked towel to the visible cord to prevent
drying and maintain blood flow
Priority interventions to prevent meconium aspiration
Assess neonate’s respiratory efforts, muscle tone, and heart rate
Suction mouth and nose using a bulb syringe if respiratory efforts are
strong, muscle tone , and heart rate greater than 100/min
Suction below vocal cords using an endotracheal tube before spontaneous
breath occurs if respirations are depressed, muscle tone decreased, and
heart rate less than 100/min
Findings of contraction stress test
Negative CST ( normal findings): Indicated if within a 10min period,
with three uterine contractions, there are no late decelerations of the
FHR
, Positive CST ( abnormal finding): indicated with persistent and consistent
late decelerations with 50% or more of the contractions; suggestive of
uteroplacental insufficiency
Fundal height
Immediately after delivery, the fundus should be firm, midline with the
umbilicus, and approximately at the level of the umbilicus
At 12 hours postpartum, the fundus May be palpated at 1 cm above the
umbilicus
Every 24 hrs , the fundus should descent approximately 1 to 2 cm
Answer the following questions and review the suggested learning
activities. Send me your answers here.
1. A postpartum client asks the nurse why her baby needs a newborn
screen. What teaching should the nurse reinforce regarding why this
test is necessary?
- Newborn is tested for a group of health disorders that aren’t otherwise found at
birth. With a simple blood test, doctors can check for rare genetic, hormone-
related and metabolic conditions that can cause serious health problems.
- Newborn screening helps us find babies who have certain serious medical
conditions so that they can begin treatment right away. In most cases, these
babies look normal and healthy at birth. They usually do not begin showing
symptoms until a few weeks or months later. Newborn screening helps to
diagnose these babies before they start showing symptoms. By starting
treatment early, serious problems like illness, intellectual disabilities, or death
can often be prevented.
2. The nurse is caring for a client who had a cesarean section two days
ago and is now complaining of gas pain. What are three (3) teaching
points the nurse should reinforce to the client to assist in alleviating
the discomfort?
ATI VATI MATERNAL NEWBORN
REMEDIATION & A
1. Complete an ATI Focused Review® and send me a detailed summary (2-3
sentences each) of 4 concepts that you learned from the focused review.
Interventions for prolapsed umbilical cord
Call for assistance immediately, notifying the provider
Reposition the client in a knee-chest , Trendelenburg or, side-lying position
with a rolled towel under the client’s right or left hip to relieve pressure on
the cord
Apply a warm, sterile, saline-soaked towel to the visible cord to prevent
drying and maintain blood flow
Priority interventions to prevent meconium aspiration
Assess neonate’s respiratory efforts, muscle tone, and heart rate
Suction mouth and nose using a bulb syringe if respiratory efforts are
strong, muscle tone , and heart rate greater than 100/min
Suction below vocal cords using an endotracheal tube before spontaneous
breath occurs if respirations are depressed, muscle tone decreased, and
heart rate less than 100/min
Findings of contraction stress test
Negative CST ( normal findings): Indicated if within a 10min period,
with three uterine contractions, there are no late decelerations of the
FHR
, Positive CST ( abnormal finding): indicated with persistent and consistent
late decelerations with 50% or more of the contractions; suggestive of
uteroplacental insufficiency
Fundal height
Immediately after delivery, the fundus should be firm, midline with the
umbilicus, and approximately at the level of the umbilicus
At 12 hours postpartum, the fundus May be palpated at 1 cm above the
umbilicus
Every 24 hrs , the fundus should descent approximately 1 to 2 cm
Answer the following questions and review the suggested learning
activities. Send me your answers here.
1. A postpartum client asks the nurse why her baby needs a newborn
screen. What teaching should the nurse reinforce regarding why this
test is necessary?
- Newborn is tested for a group of health disorders that aren’t otherwise found at
birth. With a simple blood test, doctors can check for rare genetic, hormone-
related and metabolic conditions that can cause serious health problems.
- Newborn screening helps us find babies who have certain serious medical
conditions so that they can begin treatment right away. In most cases, these
babies look normal and healthy at birth. They usually do not begin showing
symptoms until a few weeks or months later. Newborn screening helps to
diagnose these babies before they start showing symptoms. By starting
treatment early, serious problems like illness, intellectual disabilities, or death
can often be prevented.
2. The nurse is caring for a client who had a cesarean section two days
ago and is now complaining of gas pain. What are three (3) teaching
points the nurse should reinforce to the client to assist in alleviating
the discomfort?
