2023-2024 ATI Maternal Newborn Proctored Exam With Answers (207 Solved Questions)

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ATIPROCTOREDMATERNAL NEWBORN2023-2024WITH CORRECT ANSWERS GRADED A+What vitamin aids in the absorption of Iron?--answer-Vitamin CThe clients bladder needs to be _____ before an ultrasound.--answer-Fullbiophysical profile (BPP) normal score is--answer-Abiophysical profile (BPP) test measures the health of yourbaby (fetus) during pregnancy.8-10BPP abnormal score is--answer-<4If a BPP comes back as 6.....--answer-It should be retestedBPP assess for--answer-Fetal well beingnon-stress test ( NST)--answer-most widely used techniquefor antepartum evaluation of fetal well being performedduring the third trimester.Reactive NST--answer-FHR is a normal baseline rate withmoderate variablityTwo accelerations to 15 bpm for at least 15 secs in 20 minperiod

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A non reactive NST would indicate what about the fetus?--answer-The fetal heart rate does not accelerate adequatelywith fetal movement.-A BPP or CST will need to be done nowPositive CST is normal or abnormal--answer-abnormalThe contraction stress test—also called a stress test or anoxytocin challenge test—may be done during pregnancy tomeasure the baby's heart rate during uterine contractions.Its purpose is to make sure the baby can get the oxygen heneeds from the placenta during labor.Positive CST is indicated when:--answer-Persistent andconsistent late decels on more than half of the contractions.An amniocentesis may be performed when?--answer-After14 weeks gestationAFP can be measured from the amniotic fluid between:--answer-16 and 18 weeksalpha-fetoproteinPresence of PG on a fetal lung test is associated with:--answer-Respiratory distressCVS can be done at--answer-10-12 weeksChorionic villus sampling (CVS) is a prenatal test thatdiagnoses chromosomal abnormalities such as Downsyndrome, as well as a host of other genetic disorders. Thedoctor takes cells from tiny fingerlike projections on your

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placenta called the chorionic villi and sends them to a labfor genetic analysis.First stage oflabor:--answer-1-1.5 cm (onset of labor)FHR can be heard by Doppler at:--answer-10-12 weeks GAWhen should you start measuring a woman's fundal height?--answer-After > 12 weeks GABetween 18 and 30 weeksthe fundal height should measurewhat?--answer-It should equal the week of gestationMSAFP screening is done:--answer-15-22 weeks ofgestationmaternal serum alpha-fetoprotein (MSAFP) screen. It'susually as part of a set of tests, which screen forgeneticproblems, called the quad screen.AFP is a substance made in the liver of an unborn baby(fetus).Smoking tobacco during pregnancy is associated with :--answer-Low Birth WeightPregnant mothers should consume how much water eachday?--answer-2 to 3 Liters of water from food and beveragesources.Regarding kick counts, what are signs that a woman needsfurther evaluation?--answer-Fetal movements of less than 3in one hour

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No fetal movement for 12 hoursThe recommended weight gain during pregnancy is usually:--answer-25-35lbs3-4 lb in first trimester1 lb per week in the last two trimestersFoods high in folic acid are:--answer-Leafy vegetablesDried peasDried beansSeedsOrange juiceIt is recommended that _____ mcg of folic acid be takenduring pregnancy.--answer-600It is recommended that clients who are lactating consume____ mcg of folic acid.--answer-500Latent phase of labor:--answer-0-3 cmmild to moderate contractionsirregularq 5-30 minlasts 30-40 secActive phase of labor:--answer-4-7 cmmoderate to strong contractionsregularq 3-5 minlasts 40-70 secTransition phase of labor--answer-8-10 cm

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strong to very strong contractionsq 2-3 minlasts 45-90 secSecond stage of labor:--answer-Full dilationIntense contractionsBIRTH!!Third stage of labor:--answer-Delivery of placentaFourth stage:--answer-Maternal stabilization of vital signsFirst stage pain:--answer-internal visceralmay be felt as back/leg painSecond stage pain:--answer-somaticoccurs with fetal descent and expulsionThird stage pain:--answer-similar to first stage painPain S&S:--answer-Increased BPTachycardiaHyperventilationAbsent or undetectable variability is considered:--answer-Non-reasurringMinimal variability:--answer-> undetectable but <5/minModerate variability:--answer-6-25/minMarked variability:--answer->25/min

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Accelerations mean:--answer-Healthy fetal/placentalexchangeFetal bradycardia means (less than 60)--answer-Uteroplacental insufficiencyUmbilical cord prolapseMaternal hypotensionProlonged umbilical cord compressionFetal congenital heart blockAnesthetic medsFetal tachycardia means:--answer-Maternal infectionFetal anemiaFetal heart failureFetal cardiac dysrythmiasMaternal use of cocaine or methMaternal dehydrationDecrease or loss of variability means:--answer-Meds thatdepress the CNSFetal hypoxemia w/resulting acidosisFetal sleep cyclecongenital abnormalitiesEarly decels mean:--answer-Compression of the fetal headresulting from uterine contractionVaginal examFundal pressureLate decels mean:--answer-UPI causing inadequate fetaloxygenation

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Maternal hypotensionplacental abruptionUterine hyperstimulation w/pitocinVariable decels mean:--answer-Umbilical cord compressionShort cordProlapsed cordNuchal cordOligohydraminosInversion of uterus s&s--answer-pain in lower abdvag bleedingdizzinesslow BPpallorRetained placenta:--answer-Placenta or fragments of theplacenta remain in the uterus preventing the uterus fromcontracting which leads to uterine atony or subinvolutionMed given: oxytocin....if unsuccessful then tocolytic for d&cAPGAR scoring is:--answer-a brief physical exam doneimmediately following birth to rule out abnormalities.APGAR of 0-3 indicates--answer-severe distressAPGAR or 4-6 indicates--answer-moderate distressAPGAR of 7-10 indicates--answer-no distresAPGARHeart rate scoring--answer-0= absent

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