RN MATERNAL NEWBORN NURSING EDITION 9.0 C O N T E N T M A S T E R Y S E R I E S ® R E V I E W M O D U L E RN MateRNal NewboRN NuRsiNg i CoNtRibutoRs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Sharon R. Redding, EdD, RN, CNE Nursing Education Specialist and Content Project Coordinator Lois Churchill, MN, RN Nursing Education Specialist editoRial aNd PublishiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CoNsultaNts Christi Blair, MSN, RN Mary Kay Smid, EdD, MSN, RN, CNE RN Maternal Newborn Nursing Review Module Edition 9.0 RN MateRNal NewboRN NuRsiNg Review Module editioN 9.0 ii RN MateRNal NewboRN NuRsiNg intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2013 Assessment Technologies Institute, LLC. All rights reserved. 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RN MateRNal NewboRN NuRsiNg Review Module editioN 9.0 RN MateRNal NewboRN NuRsiNg iii user’s guide Welcome to the Assessment Technologies Institute® RN Maternal Newborn Nursing Review Module Edition 9.0. The mission of ATI’s Content Mastery Series® review modules is to provide user-friendly compendiums of nursing knowledge that will: ● Help you locate important information quickly. ● Assist in your learning efforts. ● Provide exercises for applying your nursing knowledge. ● Facilitate your entry into the nursing profession as a newly licensed RN. organization This review module is organized into units covering antepartum, intrapartum, postpartum, and newborn nursing care. Chapters within these units conform to one of three organizing principles for presenting the content: ● Nursing concepts ● Procedures ● Complications of pregnancy Nursing concepts chapters begin with an overview describing the central concept and its relevance to nursing. Subordinate themes are covered in outline form to demonstrate relationships and present the information in a clear, succinct manner. Procedures chapters include an overview describing the procedure(s) covered in the chapter. These chapters will provide you with nursing knowledge relevant to each procedure, including indications, interpretations of findings, nursing actions, and complications. Complications of pregnancy chapters include an overview describing the complication, followed by risk factors. These chapters will cover assessment, including subjective and objective data, and patient-centered care, including nursing care, medications, and health promotion. application exercises Questions are provided at the end of each chapter so you can practice applying your knowledge. The Application Exercises include NCLEX-style questions, such as multiple-choice and multiple-select items, and questions that ask you to apply your knowledge in other formats, such as by using an ATI Active Learning Template. After the Application Exercises, an answer key is provided, along with rationales for the answers. RN MateRNal NewboRN NuRsiNg Review Module editioN 9.0 iv RN MateRNal NewboRN NuRsiNg NCleX® Connections To prepare for the NCLEX-RN, it is important for you to understand how the content in this review module is connected to the NCLEX-RN test plan. You can find information on the detailed test plan at the National Council of State Boards of Nursing’s Web site: https://www.ncsbn.org/. When reviewing content in this review module, regularly ask yourself, “How does this content fit into the test plan, and what types of questions related to this content should I expect?” To help you in this process, we’ve included NCLEX Connections at the beginning of each unit and with each question in the Application Exercises Answer Keys. The NCLEX Connections at the beginning of each unit will point out areas of the detailed test plan that relate to the content within that unit. The NCLEX Connections attached to the Application Exercises Answer Keys will demonstrate how each exercise fits within the detailed content outline. These NCLEX Connections will help you understand how the detailed content outline is organized, starting with major client needs categories and subcategories and followed by related content areas and tasks. The major client needs categories are: ● Safe and Effective Care Environment ◯ Management of Care ◯ Safety and Infection Control ● Health Promotion and Maintenance ● Psychosocial Integrity ● Physiological Integrity ◯ Basic Care and Comfort ◯ Pharmacological and Parenteral Therapies ◯ Reduction of Risk Potential ◯ Physiological Adaptation An NCLEX Connection might, for example, alert you that content within a unit is related to: ● Health Promotion and Maintenance ◯ Ante/Intra/Postpartum and Newborn Care ■ Assess client psychosocial response to pregnancy. QseN Competencies As you use the review modules, you will note the integration of the Quality and Safety Education for Nurses (QSEN) competencies throughout the chapters. These competencies are integral components of the curriculum of many nursing programs in the United States and prepare you to provide safe, high-quality care as a newly licensed RN. Icons appear to draw your attention to the six QSEN competencies: ● Safety: The minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. ● Patient-Centered Care: The provision of caring and compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values. RN MateRNal NewboRN NuRsiNg Review Module editioN 9.0 RN MateRNal NewboRN NuRsiNg v ● Evidence-Based Practice: The use of current knowledge from research and other credible sources, on which to base clinical judgment and client care. ● Informatics: The use of information technology as a communication and information-gathering tool that supports clinical decision-making and scientifically based nursing practice. ● Quality Improvement: Care related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients’ needs. ● Teamwork and Collaboration: The delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes. icons Icons are used throughout the review module to draw your attention to particular areas. Keep an eye out for these icons: This icon is used for NCLEX connections. This icon is used for content related to safety. When you see this icon, take note of safety concerns or steps that nurses can take to ensure client safety and a safe environment. This icon is a QSEN competency that indicates the importance of a holistic approach to providing care. This icon, a QSEN competency, points out the integration of research into clinical practice. This icon is a QSEN competency and highlights the use of information technology to support nursing practice. This icon is used to focus on the QSEN competency of integrating planning processes to meet clients’ needs. This icon highlights the QSEN competency of care delivery using an interprofessional approach. This icon indicates that a media supplement, such as a graphic, animation, or video, is available. If you have an electronic copy of the review module, this icon will appear alongside clickable links to media supplements. If you have a hardcopy version of the review module, visit www.atitesting. com for details on how to access these features. Feedback ATI welcomes feedback regarding this review module. Please provide comments to: