2024 OB MATERNAL NEWBORN ATI
PROCTOR EXAM
What is the largest body part on a newborn? --ANSWER: head
What are some non-pharmacological remedies? --ANSWER: - Gait control theory
- Cognitive strategies
- Sensory stimulation (music, imagery, etc.)
- Cutaneous stimulation (Massage, walking, etc.)
What is Sacral counterpressure? --ANSWER: Consistent pressure is applied by the
support person using the heel of the hand or fist against the client's sacral area to
counteract pain in the lower back
What is Effleurage? --ANSWER: Light, gentle circular stroking of the patient's
abdomen with the fingertips in rhythm with breathing during contractions
Postpartum Assessment consists of? --ANSWER: - BUBBLEHE
- Hgb
- Hct
- DVTs
- Pulmonary embolism
- Shortness of breath
- Assess the pad
Mastitis Education: --ANSWER: - Unilateral pain (one side)
-Administer Antibiotics
-Continue to breastfeed/pump every 2 hours
-Use ice packs or warm compresses
(Only time you can not breastfeed is when there is purulent drainage)
Engorgement Education: --ANSWER: -Bilateral pain (both sides)
-Continue to breastfeed/pump every to 2 hours
-Pain, swelling, redness, fullness
Deviated Uterus Education: --ANSWER: Can be right or left side due to bladder
being in the way
* Priority is to empty the bladder
* Polyuria is NORMAL
Boggy Uterus Education: --ANSWER: (soft) Priority is to do a vigorous fundal
massage
-If fundus is firm and midline but there is still bleeding check for tears/lacerations
FIND A PROVIDER TO REPAIR
Involution of the Uterus: --ANSWER: Uterus involuting back below pelvic bone
- Day 0 postpartum fundus should be felt at the umbilicus
PROCTOR EXAM
What is the largest body part on a newborn? --ANSWER: head
What are some non-pharmacological remedies? --ANSWER: - Gait control theory
- Cognitive strategies
- Sensory stimulation (music, imagery, etc.)
- Cutaneous stimulation (Massage, walking, etc.)
What is Sacral counterpressure? --ANSWER: Consistent pressure is applied by the
support person using the heel of the hand or fist against the client's sacral area to
counteract pain in the lower back
What is Effleurage? --ANSWER: Light, gentle circular stroking of the patient's
abdomen with the fingertips in rhythm with breathing during contractions
Postpartum Assessment consists of? --ANSWER: - BUBBLEHE
- Hgb
- Hct
- DVTs
- Pulmonary embolism
- Shortness of breath
- Assess the pad
Mastitis Education: --ANSWER: - Unilateral pain (one side)
-Administer Antibiotics
-Continue to breastfeed/pump every 2 hours
-Use ice packs or warm compresses
(Only time you can not breastfeed is when there is purulent drainage)
Engorgement Education: --ANSWER: -Bilateral pain (both sides)
-Continue to breastfeed/pump every to 2 hours
-Pain, swelling, redness, fullness
Deviated Uterus Education: --ANSWER: Can be right or left side due to bladder
being in the way
* Priority is to empty the bladder
* Polyuria is NORMAL
Boggy Uterus Education: --ANSWER: (soft) Priority is to do a vigorous fundal
massage
-If fundus is firm and midline but there is still bleeding check for tears/lacerations
FIND A PROVIDER TO REPAIR
Involution of the Uterus: --ANSWER: Uterus involuting back below pelvic bone
- Day 0 postpartum fundus should be felt at the umbilicus
