*NURSING > ATI MEDICAL SURGICAL > Study Guide ATI maternity *complete guide* (All)
Study Guide ATI maternity 1. Contraception: Tubal Ligation Surgical ligation Severance, courting or burning of the fallopian tube to prevent fertilization. Advgg permanent, can be done a... fter childbirth 24-48 hr, sexual function same Disantg: Carry risk for anesthesia complication, infection and hemorrhage. Irreversible. Not protect against STI Risk for ectopic pregnancy 2. Caring for a Client After a Stillbirth (Active Learning Template - Basic Concept, RM FUND 10.0 Chp 36) Should be something about baby death the baby what the nurse said. 3. Nonpharmacological Comfort Measures During Labor (Active Learning Template - Basic Concept, RM MN RN 11.0 Chp 12) • Back rubs and massage • Walking and rocking • Effleurage: light gentle circular stroking of the client abdomen with the fingertips in rhythm during contraction. • Sacral contra pressure: Pressure apply by the support person using the heel of the hand on the sacral to counteract pain on the lower back. • Application Heat and Cold. • TENTS • Hydrotherapy to increase maternal endorphin. • Acupressure • Frequent positioning changes. 4. Pain Management: Teaching About Hypnosis (Active Learning Template - Therapeutic Procedure, RM MN RN 11.0 Chp 12) 5. Sources of Nutrition: Teaching a Client About High-Calcium Food (Active Learning Template - Basic Concept, RM Nutrition 7.0 Chp 1) High in Calcium: Dairy, broccoli, Kale, Grains, Egg yolks. ( stef banana) B12 Cobalamin: meats, Clams, oysters, egg and dairy products. (raw carrot) Fiber: Grains, legumes, Fiber whole grains, fruits, vegetables. (oatmeal) 6. Infertility: Teaching About Adverse Effects of Clomiphene Citrate (Active Learning Template - Medication, RM MN RN 11.0 Chp 2) Stimulated hormone for ovulation. Increase incidence of multiple gestation S/E: headaches, Bloating, N/V, weight gain, blurred vision,. 7. Postpartum Disorders: Contraindications to Methylergonovine (Active Learning Template - Medication, RM MN RN 11.0 Chp 20) Uterine stimulant: controls post partum hemorrhages. Assess uterine tone, vaginal bleeding, not for hypertensive client. 140/90 8. Therapeutic Procedures to Assist with Labor and Delivery: Candidates for Induction of Labor Oxytocin. 9. Assessment of Fetal Well-Being: Teaching About a Nonstress Test (Active Learning Template - Diagnostic Procedure, RM MN RN 11.0 Chp 6) FHR answers. Mon with 40-41 weeks. Ruling out risk for fetal death example a diabetes mother, hypertensive, isoimmunization, decrease FHR INTERPRETATION: a. Reactive: Normal Finding. HR is normal, moderate variability and accelerated at least 2 times in a 20min time period b. Nonreactive: FHR does not accelerate sufficiently with fetal movement and further assessment is needed. The nurse will determine a nonstress test to be nonreactive after 40 min of continuous monitoring without accelerations in the FHR despite vibroacoustic stimulation. • The exam takes about 20 mint, a dropper transducer is used first to monitor FHR and toco-transducer. • Touch bottoms every time baby move. If not baby sleeping use vibroacoustic stimulation for 3s. • Sit semi flower passion or left lateral. 10. Fetal Assessment During Labor: Findings to Report to the Provider (Active Learning Template - Diagnostic Procedure, RM MN RN 11.0 Chp 13) Leopold Manuever • Empty bladder, supine. • Identify fetal part ………………………………………………….continued…………………………………….. [Show More]
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