ATI RN MATERNAL PROCTORED EXAM//pdf //2024 WELL
IDENTIFIED ANSWERS ( GRADED A +)
Meds given to tx PP hemorrhage - CORRECT ANSWERS-Oxytocin
Methergine
Cytotec
Hemabate
Subinvolution is when: - CORRECT ANSWERS-The uterus remains enlarged with
continued lochial discharge and may result in PP hemorrhage
Subinvolution s&s - CORRECT ANSWERS-increased vag bleeding
uterus enlarged and higher than normal in the abd relative to umbilicus
boggy uterus
prolonged lochia d/c with irregular or excessive bleeding
Risk factors for subinvolution of uterus: - CORRECT ANSWERS-Pelvic infection and
endometritis
Retained placental fragments not completely expelled from the uterus
Inversion of the uterus - CORRECT ANSWERS-Retained placenta
Uterine atony
Excessive fundal pressure
Abnormally adherent placental tissue
Multiparity
Fundal implantation of the placenta
Extremem traction applied to the umbilical cord
Leiomyomas
Inversion of uterus s&s - CORRECT ANSWERS-pain in lower abd
vag bleeding
dizziness
low BP
pallor
Retained placenta: - CORRECT ANSWERS-Placenta or fragments of the placenta
remain in the uterus preventing the uterus from contracting which leads to uterine atony
or subinvolution
Med given: oxytocin....if unsuccessful then tocolytic for d&c
,APGAR scoring is: - CORRECT ANSWERS-a brief physical exam done immediately
following birth to rule out abnormalities.
APGAR of 0-3 indicates - CORRECT ANSWERS-severe distress
APGAR or 4-6 indicates - CORRECT ANSWERS-moderate distress
APGAR of 7-10 indicates - CORRECT ANSWERS-no distres
APGAR
Heart rate scoring - CORRECT ANSWERS-0= absent
1= <100
2= >100
APGAR
RR scoring - CORRECT ANSWERS-0= absent
1= slow, weak cry
2= good cry
APGAR
Muscle tone scoring - CORRECT ANSWERS-0= Flaccid
1= some flexion
2= well-flexed
APGAR
Reflex irritability - CORRECT ANSWERS-0= none
2= grimace
3= cry
APGAR
Color scoring - CORRECT ANSWERS-0= Blue, pale
1= pink body, cyanotic hands and feet (acrocyanosis)
2= Completely pink
Normal newborn weight range: - CORRECT ANSWERS-2500-4000 grams
Low birth weight - CORRECT ANSWERS-less than 2500 grams
Term birth - CORRECT ANSWERS-between 38 weeks and 42 weeks
Grunting and nasal flaring are: - CORRECT ANSWERS-signs of respiratory distress
crackles and wheezing are signs of - CORRECT ANSWERS-fluid or infection in the
lungs
Newborn BP should be - CORRECT ANSWERS-60-80 systolic and 40-50 diastolic
, Newborn temp should be - CORRECT ANSWERS-97.7-98.9
Milia - CORRECT ANSWERS-small raised white spots on nose, chin, and forehead
mongolian spots - CORRECT ANSWERS-bluish purple spots of pigmentation
FHR can be heard by Doppler at: - CORRECT ANSWERS-10-12 weeks GA
When should you start measuring a woman's fundal height? - CORRECT ANSWERS-
After > 12 weeks GA
Between 18 and 30 weeks the fundal height should measure what? - CORRECT
ANSWERS-It should equal the week of gestation
MSAFP screening is done: - CORRECT ANSWERS-15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests,
which screen for genetic problems, called the quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
Smoking tobacco during pregnancy is associated with : - CORRECT ANSWERS-Low
Birth Weight
Pregnant mothers should consume how much water each day? - CORRECT
ANSWERS-2 to 3 Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
CORRECT ANSWERS-Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - CORRECT ANSWERS-
25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - CORRECT ANSWERS-Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. - CORRECT
ANSWERS-600
IDENTIFIED ANSWERS ( GRADED A +)
Meds given to tx PP hemorrhage - CORRECT ANSWERS-Oxytocin
Methergine
Cytotec
Hemabate
Subinvolution is when: - CORRECT ANSWERS-The uterus remains enlarged with
continued lochial discharge and may result in PP hemorrhage
Subinvolution s&s - CORRECT ANSWERS-increased vag bleeding
uterus enlarged and higher than normal in the abd relative to umbilicus
boggy uterus
prolonged lochia d/c with irregular or excessive bleeding
Risk factors for subinvolution of uterus: - CORRECT ANSWERS-Pelvic infection and
endometritis
Retained placental fragments not completely expelled from the uterus
Inversion of the uterus - CORRECT ANSWERS-Retained placenta
Uterine atony
Excessive fundal pressure
Abnormally adherent placental tissue
Multiparity
Fundal implantation of the placenta
Extremem traction applied to the umbilical cord
Leiomyomas
Inversion of uterus s&s - CORRECT ANSWERS-pain in lower abd
vag bleeding
dizziness
low BP
pallor
Retained placenta: - CORRECT ANSWERS-Placenta or fragments of the placenta
remain in the uterus preventing the uterus from contracting which leads to uterine atony
or subinvolution
Med given: oxytocin....if unsuccessful then tocolytic for d&c
,APGAR scoring is: - CORRECT ANSWERS-a brief physical exam done immediately
following birth to rule out abnormalities.
APGAR of 0-3 indicates - CORRECT ANSWERS-severe distress
APGAR or 4-6 indicates - CORRECT ANSWERS-moderate distress
APGAR of 7-10 indicates - CORRECT ANSWERS-no distres
APGAR
Heart rate scoring - CORRECT ANSWERS-0= absent
1= <100
2= >100
APGAR
RR scoring - CORRECT ANSWERS-0= absent
1= slow, weak cry
2= good cry
APGAR
Muscle tone scoring - CORRECT ANSWERS-0= Flaccid
1= some flexion
2= well-flexed
APGAR
Reflex irritability - CORRECT ANSWERS-0= none
2= grimace
3= cry
APGAR
Color scoring - CORRECT ANSWERS-0= Blue, pale
1= pink body, cyanotic hands and feet (acrocyanosis)
2= Completely pink
Normal newborn weight range: - CORRECT ANSWERS-2500-4000 grams
Low birth weight - CORRECT ANSWERS-less than 2500 grams
Term birth - CORRECT ANSWERS-between 38 weeks and 42 weeks
Grunting and nasal flaring are: - CORRECT ANSWERS-signs of respiratory distress
crackles and wheezing are signs of - CORRECT ANSWERS-fluid or infection in the
lungs
Newborn BP should be - CORRECT ANSWERS-60-80 systolic and 40-50 diastolic
, Newborn temp should be - CORRECT ANSWERS-97.7-98.9
Milia - CORRECT ANSWERS-small raised white spots on nose, chin, and forehead
mongolian spots - CORRECT ANSWERS-bluish purple spots of pigmentation
FHR can be heard by Doppler at: - CORRECT ANSWERS-10-12 weeks GA
When should you start measuring a woman's fundal height? - CORRECT ANSWERS-
After > 12 weeks GA
Between 18 and 30 weeks the fundal height should measure what? - CORRECT
ANSWERS-It should equal the week of gestation
MSAFP screening is done: - CORRECT ANSWERS-15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests,
which screen for genetic problems, called the quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
Smoking tobacco during pregnancy is associated with : - CORRECT ANSWERS-Low
Birth Weight
Pregnant mothers should consume how much water each day? - CORRECT
ANSWERS-2 to 3 Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
CORRECT ANSWERS-Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - CORRECT ANSWERS-
25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - CORRECT ANSWERS-Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. - CORRECT
ANSWERS-600
