ATI PROCTORED Exam - MATERNAL
NEWBORN 2024
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse? - ANSWERA. 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
FHR can be heard by a doppler at - ANSWER10-12 weeks gestation
when should a nurse start measuring a woman's fundal height? - ANSWERafter 12
weeks gestation
between 18-30 weeks the fundal height should measure what? - ANSWERit should
equal the week of gestation
MSAFP screening is done at - ANSWER15-22 weeks gestation
smoking tobacco during pregnancy is associated with - ANSWERlow birth weight
pregnant women should consume how much water each day? - ANSWER2-3 liters of
water each day
,regarding kick counts what are the signs the woman needs further evaluation? -
ANSWERthere are less than 3 kicks in one hour or there are no signs of fetal movement
for 12 hours
recommended weight gain during pregnancy - ANSWER25-30 pounds, 3-4 pounds first
trimester and 1 pound per week last two trimesters
foods high in folic acid - ANSWERleafy greens, dried peas, dried beans, seeds, orange
juice
recommended amount of folic acid intake during pregnancy - ANSWER600 mcg
recommended folic acid intake for lactating pregnant women - ANSWER500 mcg
what vitamin increases absorption of iron - ANSWERvitamin c
client's bladder needs to be ____ before an ultrasound - ANSWERfull
BPP normal score - ANSWER8-10
BPP abnormal score - ANSWERless than 4
if a BPP comes back as a 6 - ANSWERit should be retested
BPP assesses for - ANSWERfetal well being
non stress test (NST) - ANSWERassesses fetal well being during third trimester
reactive NST - ANSWERnormal FHR baseline with moderate variability and two
accelerations 15 beats per minute for at least 15 seconds over 20 minute period
non reactive NST indicates - ANSWERFHR did not accelerate adequately with fetal
movement
positive contraction stress test (CST) is - ANSWERabnormal and indicates late
decelerations on more than half of the contractions
when is amniocentesis is performed - ANSWERafter 14 weeks gestation
AFP can be measured from amniotic fluid between - ANSWER16-18 weeks
PG on fetal lung test indicates - ANSWERrespiratory distress
CVS can be done at - ANSWER10-12 weeks gestation
when can a quad screen be done - ANSWER15-20 weeks gestation
,MSAFP can be done when - ANSWER16-18 weeks gestation
amniocentesis requires the bladder to be - ANSWERempty
labor occurs ___ hours after ROM - ANSWER24 hours
first stage of labor - ANSWER1-1.5 cm
latent phase of labor - ANSWER0-3 cm, mild to moderate contractions q5-30 min lasting
30-40 seconds
active phase of labor - ANSWER4-7 cm, moderate to strong contractions q3-5 min
lasting 40-70 seconds
transition phase of labor - ANSWER8-10 cm, strong contractions q2-3 min lasting 45-90
seconds
second stage of labor - ANSWERbirth
third stage of labor - ANSWERdelivery of placenta
fourth stage of labor - ANSWERstabilization of vital signs first four hours postpartum
minimal variability - ANSWERless than 5 contractions per min
moderate variability - ANSWER6-25 contractions per min, normal
marked variability - ANSWERmore than 25 contractions per min
fetal bradycardia - ANSWERless than 60 beats per min
fetal tachycardia - ANSWERmore than 110 beats per min
first degree laceration - ANSWERskin of perineum
second degree laceration - ANSWERskin and muscles of perineum
third degree laceration - ANSWERskin and muscles of perineum and anal sphincter
fourth degree laceration - ANSWERskin and muscles of perineum and anal sphincter
and anterior rectal wall
high risk of ____ with external cephalic version - ANSWERcord prolapse
BISHOP score when ready for labor - ANSWERnuliparas 9
, multipara greater than 5
dystocia - ANSWERprolonged and difficult labor
before administering pictocin where should the fetus be? - ANSWER0 station
discontinue oxytocin if - ANSWERcontraction frequency more than every 2 min and last
longer than 90 seconds with no relaxation period between contractions
amnioinfusion used to - ANSWERreduce variable decelerations and dilute meconium
stained amniotic fluid
cold cabbage leaves - ANSWERdecreases swelling and relieves breast soreness
postpartum mother should not lift anything heavier than - ANSWERthe newborn
postpartum mother should consume ___ mL of water each day - ANSWER2000-3000
mL
postpartum lactating women should consume additional ___ calories per day -
ANSWER500 calories
avoid sexual intercourse until - ANSWERlaceration has healed and vaginal discharge
has turned white
thrombophlebitis arm positioning - ANSWERabove the level of the heart
postpartum hemorrhage blood loss - ANSWERvaginal more than 500 mL and c-section
more than 1000 mL
complications of postpartum hemorrhage - ANSWERhypovolemic shock and anemia
postpartum hemorrhage vital signs - ANSWERhypotension and tachycardia
meds given for postpartum hemorrhage - ANSWERoxytocin, methergen, cytotec,
hembate
subinvolution - ANSWERuterus fails to return to normal size
APGAR score less than 3 - ANSWERsevere distress
APGAR score 4-6 - ANSWERmoderate distress
APGAR score greater than 7 - ANSWERstable newborn
normal newborn weight - ANSWER2500-4000g
NEWBORN 2024
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse? - ANSWERA. 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
FHR can be heard by a doppler at - ANSWER10-12 weeks gestation
when should a nurse start measuring a woman's fundal height? - ANSWERafter 12
weeks gestation
between 18-30 weeks the fundal height should measure what? - ANSWERit should
equal the week of gestation
MSAFP screening is done at - ANSWER15-22 weeks gestation
smoking tobacco during pregnancy is associated with - ANSWERlow birth weight
pregnant women should consume how much water each day? - ANSWER2-3 liters of
water each day
,regarding kick counts what are the signs the woman needs further evaluation? -
ANSWERthere are less than 3 kicks in one hour or there are no signs of fetal movement
for 12 hours
recommended weight gain during pregnancy - ANSWER25-30 pounds, 3-4 pounds first
trimester and 1 pound per week last two trimesters
foods high in folic acid - ANSWERleafy greens, dried peas, dried beans, seeds, orange
juice
recommended amount of folic acid intake during pregnancy - ANSWER600 mcg
recommended folic acid intake for lactating pregnant women - ANSWER500 mcg
what vitamin increases absorption of iron - ANSWERvitamin c
client's bladder needs to be ____ before an ultrasound - ANSWERfull
BPP normal score - ANSWER8-10
BPP abnormal score - ANSWERless than 4
if a BPP comes back as a 6 - ANSWERit should be retested
BPP assesses for - ANSWERfetal well being
non stress test (NST) - ANSWERassesses fetal well being during third trimester
reactive NST - ANSWERnormal FHR baseline with moderate variability and two
accelerations 15 beats per minute for at least 15 seconds over 20 minute period
non reactive NST indicates - ANSWERFHR did not accelerate adequately with fetal
movement
positive contraction stress test (CST) is - ANSWERabnormal and indicates late
decelerations on more than half of the contractions
when is amniocentesis is performed - ANSWERafter 14 weeks gestation
AFP can be measured from amniotic fluid between - ANSWER16-18 weeks
PG on fetal lung test indicates - ANSWERrespiratory distress
CVS can be done at - ANSWER10-12 weeks gestation
when can a quad screen be done - ANSWER15-20 weeks gestation
,MSAFP can be done when - ANSWER16-18 weeks gestation
amniocentesis requires the bladder to be - ANSWERempty
labor occurs ___ hours after ROM - ANSWER24 hours
first stage of labor - ANSWER1-1.5 cm
latent phase of labor - ANSWER0-3 cm, mild to moderate contractions q5-30 min lasting
30-40 seconds
active phase of labor - ANSWER4-7 cm, moderate to strong contractions q3-5 min
lasting 40-70 seconds
transition phase of labor - ANSWER8-10 cm, strong contractions q2-3 min lasting 45-90
seconds
second stage of labor - ANSWERbirth
third stage of labor - ANSWERdelivery of placenta
fourth stage of labor - ANSWERstabilization of vital signs first four hours postpartum
minimal variability - ANSWERless than 5 contractions per min
moderate variability - ANSWER6-25 contractions per min, normal
marked variability - ANSWERmore than 25 contractions per min
fetal bradycardia - ANSWERless than 60 beats per min
fetal tachycardia - ANSWERmore than 110 beats per min
first degree laceration - ANSWERskin of perineum
second degree laceration - ANSWERskin and muscles of perineum
third degree laceration - ANSWERskin and muscles of perineum and anal sphincter
fourth degree laceration - ANSWERskin and muscles of perineum and anal sphincter
and anterior rectal wall
high risk of ____ with external cephalic version - ANSWERcord prolapse
BISHOP score when ready for labor - ANSWERnuliparas 9
, multipara greater than 5
dystocia - ANSWERprolonged and difficult labor
before administering pictocin where should the fetus be? - ANSWER0 station
discontinue oxytocin if - ANSWERcontraction frequency more than every 2 min and last
longer than 90 seconds with no relaxation period between contractions
amnioinfusion used to - ANSWERreduce variable decelerations and dilute meconium
stained amniotic fluid
cold cabbage leaves - ANSWERdecreases swelling and relieves breast soreness
postpartum mother should not lift anything heavier than - ANSWERthe newborn
postpartum mother should consume ___ mL of water each day - ANSWER2000-3000
mL
postpartum lactating women should consume additional ___ calories per day -
ANSWER500 calories
avoid sexual intercourse until - ANSWERlaceration has healed and vaginal discharge
has turned white
thrombophlebitis arm positioning - ANSWERabove the level of the heart
postpartum hemorrhage blood loss - ANSWERvaginal more than 500 mL and c-section
more than 1000 mL
complications of postpartum hemorrhage - ANSWERhypovolemic shock and anemia
postpartum hemorrhage vital signs - ANSWERhypotension and tachycardia
meds given for postpartum hemorrhage - ANSWERoxytocin, methergen, cytotec,
hembate
subinvolution - ANSWERuterus fails to return to normal size
APGAR score less than 3 - ANSWERsevere distress
APGAR score 4-6 - ANSWERmoderate distress
APGAR score greater than 7 - ANSWERstable newborn
normal newborn weight - ANSWER2500-4000g
