ATI 2023 Maternal Newborn Proctored
Exam
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse? - ansA. Acrocyanosis of the extremities
B. Murmur at the left sternal border
C. Substernal chest retractions while sleeping
D. Positive Babinski reflex
Answer: Substernal chest retractions while sleeping
A. Acrocyanosis of the extremities
Acrocyanosis of the extremities is an expected manifestation in newborns. Acrocyanosis
is a bluish discoloration of the newborn's hands and feet.
B. Murmur at the left sternal border
An audible murmur heard at the left sternal border is an expected manifestation in
newborns.
C. Substernal chest retractions while sleeping
Substernal chest retractions can indicate respiratory distress syndrome in the newborn.
This manifestation requires further assessment and intervention by the nurse.
D. Positive Babinski reflex
A positive Babinski reflex is an expected manifestation in newborns. This reflex is
elicited when a newborn's sole is stroked with a finger upward along the lateral aspect
of the sole and then across the ball of the foot and, in response, the t
active phase of labor - ans4-7 cm, moderate to strong contractions q3-5 min lasting 40-
70 seconds
AFP can be measured from amniotic fluid between - ans16-18 weeks
amniocentesis requires the bladder to be - ansempty
amnioinfusion used to - ansreduce variable decelerations and dilute meconium stained
amniotic fluid
APGAR score 4-6 - ansmoderate distress
APGAR score greater than 7 - ansstable newborn
APGAR score less than 3 - anssevere distress
avoid sexual intercourse until - anslaceration has healed and vaginal discharge has
turned white
,ATI 2023 Maternal Newborn Proctored
Exam
before administering pictocin where should the fetus be? - ans0 station
betamethasone - ansglucocorticosteroid given to enhance fetal lung maturity
between 18-30 weeks the fundal height should measure what? - ansit should equal the
week of gestation
BISHOP score when ready for labor - ansnuliparas 9
multipara greater than 5
BPP abnormal score - ansless than 4
BPP assesses for - ansfetal well being
BPP normal score - ans8-10
client's bladder needs to be ____ before an ultrasound - ansfull
cold cabbage leaves - ansdecreases swelling and relieves breast soreness
complications of postpartum hemorrhage - anshypovolemic shock and anemia
CVS can be done at - ans10-12 weeks gestation
discontinue oxytocin if - anscontraction frequency more than every 2 min and last longer
than 90 seconds with no relaxation period between contractions
dystocia - ansprolonged and difficult labor
erythema toxicum - ansnewborn rash during first 3 weeks
fetal bradycardia - ansless than 60 beats per min
fetal tachycardia - ansmore than 110 beats per min
FHR can be heard by a doppler at - ans10-12 weeks gestation
first degree laceration - ansskin of perineum
first stage of labor - ans1-1.5 cm
foods high in folic acid - ansleafy greens, dried peas, dried beans, seeds, orange juice
, ATI 2023 Maternal Newborn Proctored
Exam
formula fed newborns should be burped - ansevery 15-30 mL
fourth degree laceration - ansskin and muscles of perineum and anal sphincter and
anterior rectal wall
fourth stage of labor - ansstabilization of vital signs first four hours postpartum
GBS can be tested when? - ans35-37 weeks gestation
high risk of ____ with external cephalic version - anscord prolapse
how long should the newborn nurse? - ans15-20 min
if a BPP comes back as a 6 - ansit should be retested
Indomethacin - ansNSAID that suppresses preterm labor and uterine contractions
labor occurs ___ hours after ROM - ans24 hours
latent phase of labor - ans0-3 cm, mild to moderate contractions q5-30 min lasting 30-
40 seconds
low birth weight - ansless than 2500g
marked variability - ansmore than 25 contractions per min
meds given for postpartum hemorrhage - ansoxytocin, methergen, cytotec, hembate
milia - ansraised white spots (normal)
minimal variability - ansless than 5 contractions per min
moderate variability - ans6-25 contractions per min, normal
mongolian spots - anspurple spots of pigmentation
MSAFP can be done when - ans16-18 weeks gestation
MSAFP screening is done at - ans15-22 weeks gestation
nevus flamues (port wine stains) - anscapillary angioma purple or red on newborns face
that does not go away
Exam
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse? - ansA. Acrocyanosis of the extremities
B. Murmur at the left sternal border
C. Substernal chest retractions while sleeping
D. Positive Babinski reflex
Answer: Substernal chest retractions while sleeping
A. Acrocyanosis of the extremities
Acrocyanosis of the extremities is an expected manifestation in newborns. Acrocyanosis
is a bluish discoloration of the newborn's hands and feet.
B. Murmur at the left sternal border
An audible murmur heard at the left sternal border is an expected manifestation in
newborns.
C. Substernal chest retractions while sleeping
Substernal chest retractions can indicate respiratory distress syndrome in the newborn.
This manifestation requires further assessment and intervention by the nurse.
D. Positive Babinski reflex
A positive Babinski reflex is an expected manifestation in newborns. This reflex is
elicited when a newborn's sole is stroked with a finger upward along the lateral aspect
of the sole and then across the ball of the foot and, in response, the t
active phase of labor - ans4-7 cm, moderate to strong contractions q3-5 min lasting 40-
70 seconds
AFP can be measured from amniotic fluid between - ans16-18 weeks
amniocentesis requires the bladder to be - ansempty
amnioinfusion used to - ansreduce variable decelerations and dilute meconium stained
amniotic fluid
APGAR score 4-6 - ansmoderate distress
APGAR score greater than 7 - ansstable newborn
APGAR score less than 3 - anssevere distress
avoid sexual intercourse until - anslaceration has healed and vaginal discharge has
turned white
,ATI 2023 Maternal Newborn Proctored
Exam
before administering pictocin where should the fetus be? - ans0 station
betamethasone - ansglucocorticosteroid given to enhance fetal lung maturity
between 18-30 weeks the fundal height should measure what? - ansit should equal the
week of gestation
BISHOP score when ready for labor - ansnuliparas 9
multipara greater than 5
BPP abnormal score - ansless than 4
BPP assesses for - ansfetal well being
BPP normal score - ans8-10
client's bladder needs to be ____ before an ultrasound - ansfull
cold cabbage leaves - ansdecreases swelling and relieves breast soreness
complications of postpartum hemorrhage - anshypovolemic shock and anemia
CVS can be done at - ans10-12 weeks gestation
discontinue oxytocin if - anscontraction frequency more than every 2 min and last longer
than 90 seconds with no relaxation period between contractions
dystocia - ansprolonged and difficult labor
erythema toxicum - ansnewborn rash during first 3 weeks
fetal bradycardia - ansless than 60 beats per min
fetal tachycardia - ansmore than 110 beats per min
FHR can be heard by a doppler at - ans10-12 weeks gestation
first degree laceration - ansskin of perineum
first stage of labor - ans1-1.5 cm
foods high in folic acid - ansleafy greens, dried peas, dried beans, seeds, orange juice
, ATI 2023 Maternal Newborn Proctored
Exam
formula fed newborns should be burped - ansevery 15-30 mL
fourth degree laceration - ansskin and muscles of perineum and anal sphincter and
anterior rectal wall
fourth stage of labor - ansstabilization of vital signs first four hours postpartum
GBS can be tested when? - ans35-37 weeks gestation
high risk of ____ with external cephalic version - anscord prolapse
how long should the newborn nurse? - ans15-20 min
if a BPP comes back as a 6 - ansit should be retested
Indomethacin - ansNSAID that suppresses preterm labor and uterine contractions
labor occurs ___ hours after ROM - ans24 hours
latent phase of labor - ans0-3 cm, mild to moderate contractions q5-30 min lasting 30-
40 seconds
low birth weight - ansless than 2500g
marked variability - ansmore than 25 contractions per min
meds given for postpartum hemorrhage - ansoxytocin, methergen, cytotec, hembate
milia - ansraised white spots (normal)
minimal variability - ansless than 5 contractions per min
moderate variability - ans6-25 contractions per min, normal
mongolian spots - anspurple spots of pigmentation
MSAFP can be done when - ans16-18 weeks gestation
MSAFP screening is done at - ans15-22 weeks gestation
nevus flamues (port wine stains) - anscapillary angioma purple or red on newborns face
that does not go away
