Ati 2023 Maternal Newborn Proctored
Exam With Correct Answers
Fetal descent and cervical dilation are caused by)-correct-answer-Frequency,
duration, and strength of contractions
What is the sensation the patient will feel when completion of dilation and fetal
descent?)-correct-answer-She will feel like she needs to take a big ole poooo!
First degree laceration extends through:)-correct-answer-skin of perineum
Second degree laceration extends through:)-correct-answer-skin of perineum
muscles of perineum
Third degree laceration extends through:)-correct-answer-skin of perineum
muscles of perineum
anal sphincter
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Fourth degree laceration extends through:)-correct-answer-skin of perineum
muscles of perineum
anal sphincter
anterior rectal wall
Third stage:
Signs of placental separation from the uterus are indicated by:)-correct-answer-
fundus firmly contracting
swift gush from introitus of dark blood
umbilical cord appears to lengthen as placenta descends
vaginal fullness of exam
There is a high risk of _________ surrounding external cephalic version.)-correct-
answer-Cord prolapse
Regarding BISHOP scoring, when is a woman ready for labor?)-correct-answer-A
score of
9 for nulliparas
5 or more for multiparas
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Mechanical methods to ripen cervix:)-correct-answer-balloon caths
hydroscopic dilators and sponges
laminara tents
synthetic dilators and sponges
Methods of induction)-correct-answer-prostaglandins applied cervically
admin of IV oxytocin
amniotomy
stripping of membranes
nipple stimulation
Dystocia)-correct-answer-prolonged, difficult labor
Before administering pitocin, where should the fetus be?)-correct-answer-
engaged in the birth canal at a minimum of 0 station.
Discontinue oxytocin if:)-correct-answer-contraction frequency more often than
every 2 mins
contraction duration longer than 90 seconds
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no relaxation of uterus between contractions
uterine resting tone greater than 20 mmHg between ctx
Labor typically begins within ___ hours after ROM.)-correct-answer-12
An amnioinfusion can be used to:)-correct-answer-Reduce severity of variable
decelerations (cord compression)
Dilute meconium-stained amniotic fluid
Caput Succedaneum is:)-correct-answer-Normal
Should resolve within 24 hrs
For breast engorgement:)-correct-answer-apply cool compresses b/t feedings
apply warm compresses
take warm shower b4 breast feeding
Cold cabbage leaves)-correct-answer-may also be applied to breasts to decrease
swelling and relive discomfort