Maternal Newborn ATI Exam
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 with flaring. (ATI Maternal Newborn 11.0 Chapter 27 Page 189)
3. When neonates go through cocaine withdrawal it is important that when providing care
nurses avoid eye contact, use vertical rocking, and use pacifiers as a soothing method.
(ATI Maternal Newborn 11.0 Chapter 27 Page 189)
Grief, Loss, and Palliative Care: Caring for a Client After a Stillbirth
1. When caring for clients who are suffering from the birth of a stillborn baby it is ok to
offer mementos of the infant such as bracelets, footprints, photos, and hair (ATI
Maternal Newborn 11.0 Chapter 36 Page 206)
2. It is important to use the term miscarriage as parents do not understand the medical
meaning behind the term abortion, provide education to the client and offer the
client support groups. (ATI Maternal Newborn 11.0 Chapter 36 Page 206)
3. Allow the family to grieve and name baby if they want, use therapeutic communication
and supportive language when addressing needs and concerns. (ATI Maternal Newborn
11.0 Chapter 36 Page 206)
Basic Care and Comfort
Cholecystitis and Cholelithiasis: Dietary Teachings for a Client Who Has Cholelithiasis
1. Cholelithiasis is defined as stones of bile or cholesterol in the gallbladder (ATI
Maternal Newborn 11.0 Chapter 33 Page 355)
2. Client with cholelithiasis need to avoid MAOIs and eat a low-fat diet, using
frequent small meals and taking fat soluble vitamins to enhance absorption. (ATI
Maternal Newborn 11.0 Chapter 33 Page 356)
3. Foods to avoid include alcohol, chocolate, nuts, gravy, dairy, greasy/fried, and
tree vegetables. (ATI Maternal Newborn 11.0 Chapter 33 Page 356)
Pain Management: Nursing Actions to Reduce Pain
1. Pain is what the patient says it is and can range differently on different patients
(ATI Maternal Newborn 11.0 Chapter 12)
2. Pain management can include pharmacological intervention such as opioids, epidural and
spinal blocks. (ATI Maternal Newborn 11.0 Chapter 12)
3. Other methods of pain management can be effleurage (rubbing the stomach in rhythmic
motion), counter pressure, heat or cold, hydrotherapy, acupressure, and positional
change (ATI Maternal Newborn 11.0 Chapter 12)
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 with flaring. (ATI Maternal Newborn 11.0 Chapter 27 Page 189)
3. When neonates go through cocaine withdrawal it is important that when providing care
nurses avoid eye contact, use vertical rocking, and use pacifiers as a soothing method.
(ATI Maternal Newborn 11.0 Chapter 27 Page 189)
Grief, Loss, and Palliative Care: Caring for a Client After a Stillbirth
1. When caring for clients who are suffering from the birth of a stillborn baby it is ok to
offer mementos of the infant such as bracelets, footprints, photos, and hair (ATI
Maternal Newborn 11.0 Chapter 36 Page 206)
2. It is important to use the term miscarriage as parents do not understand the medical
meaning behind the term abortion, provide education to the client and offer the
client support groups. (ATI Maternal Newborn 11.0 Chapter 36 Page 206)
3. Allow the family to grieve and name baby if they want, use therapeutic communication
and supportive language when addressing needs and concerns. (ATI Maternal Newborn
11.0 Chapter 36 Page 206)
Basic Care and Comfort
Cholecystitis and Cholelithiasis: Dietary Teachings for a Client Who Has Cholelithiasis
1. Cholelithiasis is defined as stones of bile or cholesterol in the gallbladder (ATI
Maternal Newborn 11.0 Chapter 33 Page 355)
2. Client with cholelithiasis need to avoid MAOIs and eat a low-fat diet, using
frequent small meals and taking fat soluble vitamins to enhance absorption. (ATI
Maternal Newborn 11.0 Chapter 33 Page 356)
3. Foods to avoid include alcohol, chocolate, nuts, gravy, dairy, greasy/fried, and
tree vegetables. (ATI Maternal Newborn 11.0 Chapter 33 Page 356)
Pain Management: Nursing Actions to Reduce Pain
1. Pain is what the patient says it is and can range differently on different patients
(ATI Maternal Newborn 11.0 Chapter 12)
2. Pain management can include pharmacological intervention such as opioids, epidural and
spinal blocks. (ATI Maternal Newborn 11.0 Chapter 12)
3. Other methods of pain management can be effleurage (rubbing the stomach in rhythmic
motion), counter pressure, heat or cold, hydrotherapy, acupressure, and positional
change (ATI Maternal Newborn 11.0 Chapter 12)
