RN ATI MATERNAL NEWBORN PROCTORED EXAM (VERSION 6) - MATERNAL NEWBORN ATI REMEDIATION

MATERNAL NEWBORN ATI REMEDIATION 1. Medical Conditions: Priority Action for a Client Who is Having a Seizure A. Airway breathing circulation (ABC) framework -The ABC framework identifies, in order, the three basic needs for sustaining life -An open airway is necessary for breathing, so it is the highest priority -Breathing is necessary for oxygenation of the blood to occur -Circulation is necessary for oxygenated blood to reach the body’s tissues -The severity of manifestations should also be considered when determining priorities. A severe circulation problem can take priority over a minor breathing problem -Some frameworks also include “D” for disability and “E” for exposure B. Seizure Precautions -Make sure rescue equipment is at the bedside including oxygen, an oral airway, suction equipment, and padding for the side rails. Clients at high risk for generalized seizures should have a saline lock in place for immediate access. 2. Fetal Assessment During Labor: Applying an External Transducer A. Location of the fetus’s back to assess for fetal heart tones -Vertex presentation: fetal heart tones should be assessed below the client’s umbilicus in either the right or left lower quadrant of the abdomen -Breech presentations: fetal heart tones should be assessed above the client’s umbilicus in either the right or left upper quadrant of the abdomen 3. Fetal Assessment During Labor: Identifying the Steps of Leopold Maneuvers A. Evidence-based practice -Use current data to make informed clinical decisions to provide the best practice. Best practice is determined by current research collected from several sources that have desirable outcomes. -Use knowledge of evidence-based practice to guide prioritization of care and interventions (responding to clients experiencing would dehiscence or crisis). For example, initiating CPR in the proper steps for a client experiencing cardiac arrest