ATI PN MATERNAL
NEWBORN PROCTORED
EXAM 2024
1. Question:
What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to a
pregnant woman?
Answer: Rho(D) immune globulin (RhoGAM) is administered to prevent Rh immunization in Rh-
negative mothers who are carrying an Rh-positive baby. If the mother’s blood mixes with the
baby’s blood, the mother’s immune system might produce antibodies against Rh-positive cells,
which could affect future pregnancies. RhoGAM helps prevent this by destroying any Rh-
positive cells in the mother’s bloodstream before her immune system can react.
2. Question:
What is the appropriate action for a nurse to take when a newborn presents with a
positive Apgar score of 4 at 1 minute after birth?
Answer: A positive Apgar score of 4 at 1 minute indicates that the newborn requires immediate
medical attention. The nurse should:
● Provide Resuscitation: Follow the neonatal resuscitation protocol, including assessing
and providing support for breathing, heart rate, and color.
● Monitor Vital Signs: Continuously monitor the newborn’s heart rate, respiratory effort,
and oxygen saturation.
● Notify Neonatologist: Inform the pediatrician or neonatologist about the low Apgar
score for further evaluation and intervention.
3. Question:
What are the common signs and symptoms of postpartum hemorrhage?
Answer: Signs and symptoms of postpartum hemorrhage include:
● Excessive Vaginal Bleeding: More than 500 ml of blood loss after a vaginal delivery or
more than 1,000 ml after a cesarean section.
NEWBORN PROCTORED
EXAM 2024
1. Question:
What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to a
pregnant woman?
Answer: Rho(D) immune globulin (RhoGAM) is administered to prevent Rh immunization in Rh-
negative mothers who are carrying an Rh-positive baby. If the mother’s blood mixes with the
baby’s blood, the mother’s immune system might produce antibodies against Rh-positive cells,
which could affect future pregnancies. RhoGAM helps prevent this by destroying any Rh-
positive cells in the mother’s bloodstream before her immune system can react.
2. Question:
What is the appropriate action for a nurse to take when a newborn presents with a
positive Apgar score of 4 at 1 minute after birth?
Answer: A positive Apgar score of 4 at 1 minute indicates that the newborn requires immediate
medical attention. The nurse should:
● Provide Resuscitation: Follow the neonatal resuscitation protocol, including assessing
and providing support for breathing, heart rate, and color.
● Monitor Vital Signs: Continuously monitor the newborn’s heart rate, respiratory effort,
and oxygen saturation.
● Notify Neonatologist: Inform the pediatrician or neonatologist about the low Apgar
score for further evaluation and intervention.
3. Question:
What are the common signs and symptoms of postpartum hemorrhage?
Answer: Signs and symptoms of postpartum hemorrhage include:
● Excessive Vaginal Bleeding: More than 500 ml of blood loss after a vaginal delivery or
more than 1,000 ml after a cesarean section.
