ATI 2023-2024 Maternal
Newborn Proctored Exam
A nurse is assessing a newborn who is 12 hr old. Which of the following
manifestations requires intervention by the nurse? - ansA. 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
active phase of labor - ans4-7 cm, moderate to strong contractions q3-5 min
lasting 40- 70 seconds
AFP can be measured from amniotic fluid between - ans16-18 weeks
amniocentesis requires the bladder to be - ansempty
amnioinfusion used to - ansreduce variable decelerations and dilute
meconium stained amniotic fluid
APGAR score 4-6 - ansmoderate distress
APGAR score greater than 7 - ansstable newborn
APGAR score less than 3 - anssevere distress
avoid sexual intercourse until - anslaceration has healed and vaginal
discharge has turned white
,ATI 2023-2024 Maternal
Newborn Proctored Exam
before administering pictocin where should the fetus be? - ans0 station
betamethasone - ansglucocorticosteroid given to enhance fetal lung maturity
between 18-30 weeks the fundal height should measure what? - ansit should
equal the week of gestation
BISHOP score when ready for labor - ansnuliparas 9
multipara greater than 5
BPP abnormal score - ansless than 4
BPP assesses for - ansfetal well being
BPP normal score - ans8-10
client's bladder needs to be before an ultrasound - ansfull
cold cabbage leaves - ansdecreases swelling and relieves breast soreness
complications of postpartum hemorrhage - anshypovolemic shock and
anemia
CVS can be done at - ans10-12 weeks gestation
discontinue oxytocin if - anscontraction frequency more than every 2 min
and last longer than 90 seconds with no relaxation period between
contractions
dystocia - ansprolonged and difficult labor
erythema toxicum - ansnewborn rash during first 3 weeks
fetal bradycardia - ansless than 60 beats per min
fetal tachycardia - ansmore than 110 beats per min
FHR can be heard by a doppler at - ans10-12 weeks gestation
first degree laceration - ansskin of perineum
first stage of labor - ans1-1.5 cm
foods high in folic acid - ansleafy greens, dried peas, dried beans, seeds,
orange juice
, ATI 2023-2024 Maternal
Newborn Proctored Exam
formula fed newborns should be burped - ansevery 15-30 mL
fourth degree laceration - ansskin and muscles of perineum and anal
sphincter and anterior rectal wall
fourth stage of labor - ansstabilization of vital signs first four hours
postpartum
GBS can be tested when? - ans35-37 weeks gestation
high risk of with external cephalic version - anscord prolapse
how long should the newborn nurse? - ans15-20 min
if a BPP comes back as a 6 - ansit should be retested
Indomethacin - ansNSAID that suppresses preterm labor and uterine
contractions
labor occurs hours after ROM - ans24 hours
latent phase of labor - ans0-3 cm, mild to moderate contractions q5-30 min
lasting 30- 40 seconds
low birth weight - ansless than 2500g
marked variability - ansmore than 25 contractions per min
meds given for postpartum hemorrhage - ansoxytocin, methergen, cytotec,
hembate
milia - ansraised white spots (normal)
minimal variability - ansless than 5 contractions per min
moderate variability - ans6-25 contractions per min, normal
mongolian spots - anspurple spots of pigmentation
MSAFP can be done when - ans16-18 weeks gestation
MSAFP screening is done at - ans15-22 weeks gestation
nevus flamues (port wine stains) - anscapillary angioma purple or red on
newborns face that does not go away
Newborn Proctored Exam
A nurse is assessing a newborn who is 12 hr old. Which of the following
manifestations requires intervention by the nurse? - ansA. 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
active phase of labor - ans4-7 cm, moderate to strong contractions q3-5 min
lasting 40- 70 seconds
AFP can be measured from amniotic fluid between - ans16-18 weeks
amniocentesis requires the bladder to be - ansempty
amnioinfusion used to - ansreduce variable decelerations and dilute
meconium stained amniotic fluid
APGAR score 4-6 - ansmoderate distress
APGAR score greater than 7 - ansstable newborn
APGAR score less than 3 - anssevere distress
avoid sexual intercourse until - anslaceration has healed and vaginal
discharge has turned white
,ATI 2023-2024 Maternal
Newborn Proctored Exam
before administering pictocin where should the fetus be? - ans0 station
betamethasone - ansglucocorticosteroid given to enhance fetal lung maturity
between 18-30 weeks the fundal height should measure what? - ansit should
equal the week of gestation
BISHOP score when ready for labor - ansnuliparas 9
multipara greater than 5
BPP abnormal score - ansless than 4
BPP assesses for - ansfetal well being
BPP normal score - ans8-10
client's bladder needs to be before an ultrasound - ansfull
cold cabbage leaves - ansdecreases swelling and relieves breast soreness
complications of postpartum hemorrhage - anshypovolemic shock and
anemia
CVS can be done at - ans10-12 weeks gestation
discontinue oxytocin if - anscontraction frequency more than every 2 min
and last longer than 90 seconds with no relaxation period between
contractions
dystocia - ansprolonged and difficult labor
erythema toxicum - ansnewborn rash during first 3 weeks
fetal bradycardia - ansless than 60 beats per min
fetal tachycardia - ansmore than 110 beats per min
FHR can be heard by a doppler at - ans10-12 weeks gestation
first degree laceration - ansskin of perineum
first stage of labor - ans1-1.5 cm
foods high in folic acid - ansleafy greens, dried peas, dried beans, seeds,
orange juice
, ATI 2023-2024 Maternal
Newborn Proctored Exam
formula fed newborns should be burped - ansevery 15-30 mL
fourth degree laceration - ansskin and muscles of perineum and anal
sphincter and anterior rectal wall
fourth stage of labor - ansstabilization of vital signs first four hours
postpartum
GBS can be tested when? - ans35-37 weeks gestation
high risk of with external cephalic version - anscord prolapse
how long should the newborn nurse? - ans15-20 min
if a BPP comes back as a 6 - ansit should be retested
Indomethacin - ansNSAID that suppresses preterm labor and uterine
contractions
labor occurs hours after ROM - ans24 hours
latent phase of labor - ans0-3 cm, mild to moderate contractions q5-30 min
lasting 30- 40 seconds
low birth weight - ansless than 2500g
marked variability - ansmore than 25 contractions per min
meds given for postpartum hemorrhage - ansoxytocin, methergen, cytotec,
hembate
milia - ansraised white spots (normal)
minimal variability - ansless than 5 contractions per min
moderate variability - ans6-25 contractions per min, normal
mongolian spots - anspurple spots of pigmentation
MSAFP can be done when - ans16-18 weeks gestation
MSAFP screening is done at - ans15-22 weeks gestation
nevus flamues (port wine stains) - anscapillary angioma purple or red on
newborns face that does not go away
