OB proctored ATI, ATI RN MATERNAL
NEWBORN 2023 PROCTORED EXAM
Review
FHR can be heard by Doppler at: - Answer--10-12 weeks GA
When should you start measuring a woman's fundal height? - Answer--After 12 weeks
GA
Between 18 and 30 weeks the fundal height should measure what? - Answer--It should
equal the week of gestation
MSAFP screening is done: - Answer--15-22 weeks of gestation
Smoking tobacco during pregnancy is associated with : - Answer--Low Birth Weight
Pregnant mothers should consume how much water each day? - Answer--2 to 3 Liters
of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
Answer--Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - Answer--25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - Answer--Leafy vegetables
Dried peas
,Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. -
Answer--600
It is recommended that clients who are lactating consume ____ mcg of folic acid. -
Answer--500
What vitamin aids in the absorption of Iron? - Answer--Vitamin C
The clients bladder needs to be _____ before an ultrasound. - Answer--Full
BPP: normal score is - Answer--8-10
BPP abnormal score is - Answer--<4
If a BPP comes back as 6..... - Answer--It should be retested
BPP assess for - Answer--Fetal well being
NST - Answer--most widely used technique for antepartum evaluation of fetal well being
performed during the third trimester.
Reactive NST - Answer--FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
A non reactive NST would indicate what about the fetus? - Answer--The fetal heart rate
does not accelerate adequately with fetal movement.
-A BPP or CST will need to be done now
Positive CST is normal or abnormal - Answer--abnormal
Positive CST is indicated when: - Answer--Persistent and consistent late decels on
more than half of the contractions.
An amniocentesis may be performed when? - Answer--After 14 weeks gestation
AFP can be measured from the amniotic fluid between: - Answer--16 and 18 weeks
,Presence of PG on a fetal lung test is associated with: - Answer--Respiratory distress
CVS can be done at - Answer--10-12 weeks
Quad screen can be done when? - Answer--15-20 weeks GA
MSAFP can be done when? - Answer--16-18 weeks of gestation
Amniocentesis requires the bladder to be: - Answer--empty
Labor usually occurs ___ hrs after ROM. - Answer--24
First stage of labor: - Answer--1-1.5 cm (onset of labor)
Latent phase of labor: - Answer--0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec
Active phase of labor: - Answer--4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
Transition phase of labor - Answer--8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
Second stage of labor: - Answer--Full dilation
Intense contractions
BIRTH!!
Third stage of labor: - Answer--Delivery of placenta
Fourth stage: - Answer--Maternal stabilization of vital signs
, First stage pain: - Answer--internal visceral
may be felt as back/leg pain
Second stage pain: - Answer--somatic
occurs with fetal descent and expulsion
Third stage pain: - Answer--similar to first stage pain
Pain S&S: - Answer--Increased BP
Tachycardia
Hyperventilation
Absent or undetectable variability is considered: - Answer--Non-reasurring
Minimal variability: - Answer--> undetectable but <5/min
Moderate variability: - Answer--6-25/min
Marked variability: - Answer-->25/min
Accelerations mean: - Answer--Healthy fetal/placental exchange
Fetal bradycardia means (less than 60) - Answer--Uteroplacental insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
Fetal tachycardia means: - Answer--Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
Decrease or loss of variability means: - Answer--Meds that depress the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
congenital abnormalities
NEWBORN 2023 PROCTORED EXAM
Review
FHR can be heard by Doppler at: - Answer--10-12 weeks GA
When should you start measuring a woman's fundal height? - Answer--After 12 weeks
GA
Between 18 and 30 weeks the fundal height should measure what? - Answer--It should
equal the week of gestation
MSAFP screening is done: - Answer--15-22 weeks of gestation
Smoking tobacco during pregnancy is associated with : - Answer--Low Birth Weight
Pregnant mothers should consume how much water each day? - Answer--2 to 3 Liters
of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
Answer--Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - Answer--25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - Answer--Leafy vegetables
Dried peas
,Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. -
Answer--600
It is recommended that clients who are lactating consume ____ mcg of folic acid. -
Answer--500
What vitamin aids in the absorption of Iron? - Answer--Vitamin C
The clients bladder needs to be _____ before an ultrasound. - Answer--Full
BPP: normal score is - Answer--8-10
BPP abnormal score is - Answer--<4
If a BPP comes back as 6..... - Answer--It should be retested
BPP assess for - Answer--Fetal well being
NST - Answer--most widely used technique for antepartum evaluation of fetal well being
performed during the third trimester.
Reactive NST - Answer--FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
A non reactive NST would indicate what about the fetus? - Answer--The fetal heart rate
does not accelerate adequately with fetal movement.
-A BPP or CST will need to be done now
Positive CST is normal or abnormal - Answer--abnormal
Positive CST is indicated when: - Answer--Persistent and consistent late decels on
more than half of the contractions.
An amniocentesis may be performed when? - Answer--After 14 weeks gestation
AFP can be measured from the amniotic fluid between: - Answer--16 and 18 weeks
,Presence of PG on a fetal lung test is associated with: - Answer--Respiratory distress
CVS can be done at - Answer--10-12 weeks
Quad screen can be done when? - Answer--15-20 weeks GA
MSAFP can be done when? - Answer--16-18 weeks of gestation
Amniocentesis requires the bladder to be: - Answer--empty
Labor usually occurs ___ hrs after ROM. - Answer--24
First stage of labor: - Answer--1-1.5 cm (onset of labor)
Latent phase of labor: - Answer--0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec
Active phase of labor: - Answer--4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
Transition phase of labor - Answer--8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
Second stage of labor: - Answer--Full dilation
Intense contractions
BIRTH!!
Third stage of labor: - Answer--Delivery of placenta
Fourth stage: - Answer--Maternal stabilization of vital signs
, First stage pain: - Answer--internal visceral
may be felt as back/leg pain
Second stage pain: - Answer--somatic
occurs with fetal descent and expulsion
Third stage pain: - Answer--similar to first stage pain
Pain S&S: - Answer--Increased BP
Tachycardia
Hyperventilation
Absent or undetectable variability is considered: - Answer--Non-reasurring
Minimal variability: - Answer--> undetectable but <5/min
Moderate variability: - Answer--6-25/min
Marked variability: - Answer-->25/min
Accelerations mean: - Answer--Healthy fetal/placental exchange
Fetal bradycardia means (less than 60) - Answer--Uteroplacental insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
Fetal tachycardia means: - Answer--Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
Decrease or loss of variability means: - Answer--Meds that depress the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
congenital abnormalities
