Summary ATI Maternal Newborn Proctored Study Guide, Best document for preparation, Verified And Correct Answers, Secure Bettergrade

Ch.1 Oral Contraceptives
 Chest pain, SOB, leg pain (clot), headache, eye problems
 Can cause blood clots
 Hypertension
 Do not use with smokers
 Hx of blood clots, stroke, cardiac, breast or estrogen
 Depro-provera calcium and vitamin D
 IUD= increased risk of pelvic inflammatory disease, ectopic pregnancy
o Change in string length, foul smell, fever/chills, pain with intercourse  notify
provider
Ch.2 Infertility
 Inability for at least 12 months
 Male first (sperm analysis), then the woman (no hx of dye for test or seafood)

Ch.3
 Presumptive sign: things that can be explained by other means
o Nausea, amenorrhea, N/V, Fatigue
 Probable signs
o Abdominal enlargements, Hagar sign, chad wicks sign, goodwill sign,
ballottement, Braxton hick contractions, positive pregnancy test, fetal outline
 Positive sign
o FHR
 Nagele’s rule: add 9 months and a week
 GTPAl: Gravidity (# of times of pregnancy), Term births (38 weeks or more), Preterm
births, Abortions/miscarriages, Living children

Ch. 5 Nutrition During Pregnancy
 Normal: 25-30 pounds
 Overweight: 15-25 pounds
 Underweight: 28-40 pounds
 First trimester: no more than 2-4 pounds for entire trimesters.. then 1 lb/week
 340 calories/day for second trimester…450 for third trimester (even during
breastfeeding)
 Folic acid (dark leafy green veggies)  fetal neuro tube defects
 2-3 L of water, limit amount of caffeine

Ch.6 Assessment of Fetal Well being
 Ultrasound  want bladder full **non-invasive**
 When poking stomach  empty bladder (amniocenteses)
 Biophysical profile: 0-10 score, 8-10 is normal
o Reactive HR (0-2)
o Breathing
o Body movement

, o Fetal tone
o Amniotic fluid volume
 Nonstress test: measures fetal well-being in last trimester, response to FHR to fetal
movement; reactive if FHR accelerates; non reactive if no FHR acceleration
o YOU WANT REACTIVE
 Contraction stress test
o Want a contraction to occur  ocycotcin, nipple stimulation; monitor FHR to see
if decelerations occur
o You want late decelerations
 Amniocentesis
o You want an empty bladder
o AT 14 WEEKS
o Levels of AFP (high  nuero tube defects; low down syndrome)
o L/S ratio: 2:1 ratio is fetal lung maturity (2:5:1 or 3:1 for a client who has
diabetes mellitus)
o Complications: amniotic fluid emboli, hemorrhage, infection
 Chorionic callus sampling
o Taking a piece of placenta
o Can be done earlier to identify abnormalities ( 11 WEEKS)

Ch. 7 Bleeding During Pregnancy
 Ectopic: Unilateral stabbing pain; Lower abdominal quadrant pain
 Molar: bleeding that resembles prune juice
 Placenta previa: lower segment of uterus instead of fundus; PAINLESS bright red during
2nd or 3rd trimester  may hemorrhage
o Complete: cervical is completely covered by placental attachment
o Partial
o Incomplete
 Abruptio placentae: sudden onset of intense localized pain with dark red vaginal
bleeding

Ch. 8 Infections
 Yeast infection pretty common

Ch. 9 Medical Conditions
 Incompetent cervix  cervical cerclage (placed at 12-14 weeks & removed at 37 weeks)
 Hyperemesis: excessive N/V past 12 weeks; IV fluids, pyridoaxine (B6) administrations,
antiemetic meds (Zofran)
 Iron deficiency anemia: iron supplements with food rick in vitamin C (orange juice)
 Gestational diabetes: higher risk for developing diabetes after pregnancy, (will likely do
biophysiol profile and non-stress test)
o Insulin to control sugar levels