ATI Maternal Newborn Proctored Study Guide 2019, 2020
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-proveracalcium 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
o Formula up to 48 hours
Ch. 26 Nursing Care and Discharge teaching
Place baby on back (to prevent SIDS)
Newborns sleep 17 hours out of 24
Cord care
o Keep dry and above diaper
o Give sponge baths only until it comes off (10-14 days after birth)
o Makes sure it is NOT moist or red, foul odor, purulent drainage
Circumcision Care
o Petroleum jelly
o DO NOT wash yellowish mucus off
o Give baby acetaminophen
Car safety
o Rear end facing
o Middle back seat until age 2
Ch. 27 New born complications
Hypoglycemia (less than 40)
Preterm: resp distress, bronchopulmonary dysplasia, aspiration, apnea,