Retake 1 Focus Review
Whittni Foster
Health Promotion and Maintenance
Expected Physiological Changes During Pregnancy: Calculating Expected Delivery Date
1. When calculating patient due date nurses use Negele’s Rule. The rule state you take the
FIRST day of the LAST menstrual cycle, subtract 3 months, add 7 days and change year
if necessary. (ATI Maternal Newborn 11.0 Chapter 03 Page 17)
2. Doctors also use fundal height to estimate gestational age (ATI Maternal Newborn 11.0
Chapter 03 Page 17)
3. To calculate fundal height, you measure in CENTIMETERS the length between the pubic
symphyses and top of the fundus (only 18 and 30 weeks) can be plus or minus 2 weeks
(ATI Maternal Newborn 11.0 Chapter 03 Page 17)
Nursing Care and Discharge Teaching: Providing Discharge Teaching About Newborn Care
1. Education for new parents before discharge include – bathing, car seat care, safe sleep,
feeding and changing, and signs and symptoms to report. (ATI Maternal Newborn 11.0
Chapter 26 Page 183)
2. Parents should be educated on newborn crying. Newborn cry does not always mean
hunger it can signal overstimulation, temperature discomfort, tired, or bored. Parents
should be taught comfort methods such as skin-to-skin, swaddling, movement, white
, noise, and pacifier use. (ATI Maternal Newborn 11.0 Chapter 26 Page 183)
3. Newborns should have 6 or more wet diapers in a day and should be changed frequently
to prevent diaper rash. Being sure to fold the told of the diaper down as to not cover the
umbilical cord. (ATI Maternal Newborn 11.0 Chapter 26 Page 184)
Postpartum Disorders: Identifying a Risk Factor for Developing a Postpartum Infection Prenatal
1. Due to inability to find concepts in the text I searched, some risk factors for postpartum
infection include mothers who have chorioamnionitis, endometriosis, and sepsis
Care: Managing Nausea and Vomiting During Pregnancy
1. Nausea and vomiting is a common symptom of pregnancy during the first trimester (ATI
Maternal Newborn 11.0 Chapter 04 Page 23)
2. Clients are recommended to eat crackers or dry toast before getting out of bed and drink
lots of fluids (ATI Maternal Newborn 11.0 Chapter 04 Page 23)
3. It is also discouraged for clients to eat spicy or greasy foods, which may increase nausea
and vomiting episodes. (ATI Maternal Newborn 11.0 Chapter 04 Page 23)
Psychosocial Integrity
Assessment and Management of Newborn Complications: Identifying an Expected Finding for a
Newborn Who Was Exposed to Cocaine in Utero
1. Effects of cocaine on neonate can vary based of off the route, amount, and time of
exposure during the pregnancy (ATI Maternal Newborn 11.0 Chapter 27 Page 189)
2. It is important to inform parents and educate them of SIDS as baby is at high risk.
Cocaine can cause CNS, metabolic and respiratory, and gastrointestinal issues. Babies
can suffer from poor feeding and regurgitation, convulsions, high pitch nonstop crying,
increased muscle tone, apnea, tachypnea, irregular sleep pattern, and nasal congestion