ATI RN MATERNAL NEWBORN NURSING 10.0 STUDY GUIDE ABCDE PRINCIPLE
Airway/Cervical Spine: This is the most
... [Show More] important step in performing the primary survey. If a patent airway is not established, subsequent steps of the primary survey are futile.
Protect the cervical spine if head or neck trauma is suspected.
Breathing: After achieving a patent airway, assess for the presence and effectiveness of breathing.
Circulation: After ensuring adequate ventilation, assess the circulation.
Disability: Perform a quick assessment to determine the client’s level of consciousness. Exposure: Perform a quick physical assessment to determine the client’s exposure to adverse elements such as heat or cold.
MASLOW’S HIERARCHY OF NEEDS
Physiological; oxygenation, circulation, nutrition, elimination, fluid balance, activity and exercise, rest and sleep
Safety and security; living in a safe environment, adequate income, shelter from environmental elements
Love and belonging; love, affection, relationships
Self esteem; self respect, personal worth, social recognition Self Actualization; personal growth, fulfilling own potential
NY Heart Association Classifications
Class I: means no symptoms and no limitations in ordinary physical activity Class II: mild symptoms and slight limitation during ordinary activity
Class III: marked limitation in activity due to symptoms, even during less than ordinary activity.
Class IV: severe limitations, with symptoms experienced at rest
RANDOM NOTES FROM ATI Q’s
● The Kleihauer-Betke test is used to determine the amount of fetal blood in the maternal circulation when there is a risk of Rh-isoimmunization
● A pregnant client should take 600 mcg of folic acid daily to prevent neural tube defects.
● A pregnant client should drink 3 L water a day
● A pregnant client should increase protein intake to 71g during second and third trimester
● A pregnant client should increase caloric intake by 340 cal during the second trimester and 452 cal during the third trimester. [Show Less]