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ATI maternal-newborn-proctored-study-guide-20192020

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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 • Reactive HR (0-2) • Breathing • Body movement • Fetal tone • 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 • YOU WANT REACTIVE • Contraction stress test • Want a contraction to occur ocycotcin, nipple stimulation; monitor FHR to see if decelerations occur • You want late decelerations • Amniocentesis • You want an empty bladder • AT 14 WEEKS • Levels of AFP (high nuero tube defects; low down syndrome) • L/S ratio: 2:1 ratio is fetal lung maturity (2:5:1 or 3:1 for a client who has diabetes mellitus) • Complications: amniotic fluid emboli, hemorrhage, infection • Chorionic callus sampling • Taking a piece of placenta • 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 [Show More]

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