ATI Maternal Newborn Proctored Exam Study Set 1

Study online at quizlet.com/_490gch

1. abruptio placenta main symptom: sudden onset of intense 19. Breastmilk can be stored at room temp under clean
localized uterine pain and dark red vaginal bleeding conditions for up to...
2. active phase: 3-7 cm
-restlessness, helplessness, anxious It can be refrigerated in sterile bottles but must be used
by...
3. Add 9 months and a week=: expected due date
4. After the 20th week of pregnancy, if a woman has a BP over
It can be frozen for up to...
140/90 recorded at least twice, 4-6 hours apart, within a
one week period of time:: positive for gestational
Thaw frozen breastmilk in the fridge for...: 8 hrs
hypertension
8 days
5. Amniocentesis also checks the LS ratio, which is testing for:: 6-12 months
fetal lung maturity 24 hours
6. Amniocentesis is checking for genetic abnormalities, by 20. caput succedaneum: pin head appearance from vaginal birth,
checking for AFP levels. it's temporary and usually returns to normal size in 3-7 days
High levels of AFP= 21. car seat safety:: rear facing car seat preferably in the middle of
Low levels of AFP=: high=neural tube defects

m
the backseat until age 2

er as
22. cephalohematoma: pooling of blood in head, usually
low=down syndrome

co
normalizes, happens because of vaginal birth

eH w
7. Amniocentesis is usually done around:: 14 weeks
23. changes that precede labor:: -backache
8. antidote for mag toxicity:: calcium gluconate

o.
-1-2 lbs weight loss
9. anti-HTN meds:: -methlydopa
-nifidipene rs e -lightening
-contractions
ou urc
-hydrolizine -bloody show
10. Any testing using a iodine dye you need to first:: ask for hx -energy burst
of allergy to shellfish -GI changes
o

11. At 6 months of age the first food that we normally introduce -rupture of membranes
aC s

is...: iron fortified cereals 24. circumcision care, clamp procedure:: -apply petroleum jelly
vi y re

12. Babies that get enough nourishment should have how many w/each diaper change for at least 24 hrs after procedure
wet diapers a day?: 6-8 -no tub bath until completely healed
-yellow mucus film normal-don't rub it off
13. Babinski reflex: strong outer edge of sole of foot and toes fan
-acetaminophen for pain
out, present for up to 1 year of life
ed d

-healed in a couple weeks

14. Barrier methods: Diaphragm
ar stu

25. A client on Depo Provera should be instructed to:: increase

A client must be refitted by the provider every _______for a
daily intake of calcium
diaphragm or if they've gained more than ______pounds, or if
they've had a full term pregnancy or a second term 26. Complications/risks associated w/amniocentesis:: -amniotic
abortion.: 2 years fluid emboli
sh is

More than 15 pounds -hemorrhaging

-infection
Th

15. Betamethasone is a...: steroid that promotes fetal lung maturity

-leaking of amniotic fluid
16. bluish purple spots on newborns back or bottom are normal -rupture of membranes
and called...: Mongolian spots -miscarriage
17. The BPP measures 5 things:: 1. Reactive HR 27. conduction: babies lose heat because they are in direct contact
2. Breathing with a cold surface
3. Body movements
28. Contraction Stress Test (CST) is done by:: -nipple stimulation
4. Fetal tone
-oxytocin
5. Amniotic fluid volume
-pitocin
18. Breast engorgement interventions: -cold compresses
29. convection: babies lose heat due to cooler environmental air
between feedings
-warm shower prior to breastfeeding to promote milk 30. Deep vein thrombosis: unilateral area of swelling, warmth, and
-cold fresh cabbage leaves tenderness on the leg-calf tenderness
-mild analgesics 31. Dependent taking in phase: -first 24-48 hrs
-mom is eager to talk about birth experience
-mom relies on others for help
https://www.coursehero.com/file/37105757/ATI-Maternal-Newborn-Proctored-Exampdf/
32. Depo Provera can cause:: decreased bone density/calcium 54. HELP syndrome in eclampsia:
33. During the 1st trimester you shouldn't gain more than:: 1-2 kg H=
or 2-4 lbs E=
L=
34. eclampsia med (in addition to anti-HTN meds):: magnesium
P=: H=hemolysis
sulfate
E=elevated
35. Eclampsia s/s:: same as severe, but with seizures L=liver enzymes
36. Ectopic pregnancy: ovum is implanted outside of the uterus, P=platelets low
often in the fallopian tube
55. Hormonal oral contraceptives contraindications:: -hx of
37. Endomethacin is an NSAID, it...: inhibits prostaglandins which blood clots
in turn suppresses uterine contractions -hx of stroke
38. epidural side effects:: -maternal hypotension -hx cardiac problems
-fetal bradycardia -breast or estrogen related cancers
39. evaporation: babies lose surface liquid as vapor, i.e. after bath -smoker
dry them -hypertension

40. first baby vaccine=: hep B (given at birth then at 1 month and 6 56. hyperbilirubinemia: elevated serum bilirubin levels, results in
months) jaundice

m
First test for testing for GDM is non fasting, it is the:: 1 hour 57. Hyperemesis gravidarim (excessive vomiting past 12 wks

er as
41.
glucose tolerance test gestation) interventions:: -Iv fluids

co
-admin of B6
Folic acid helps prevent:: neural tube defects

eH w
42.
-antiemetic meds (reglan, zofran)
43. Formula can be refrigerated for up to...: 48 hrs
If a woman is having an amniocentesis or invasive, you want

o.
58.
44. full term infant will have developed breast buds...: 5-10mm in the bladder to be:: empty
width rs e If a woman is having an ultrasound, you want the bladder to
ou urc
59.
45. Gestational hypertension has a high BP but no...: protein in be:: full
the urine
60. If a woman is known to have an incompetent cervix, she will
46. Gestational hypertension is caused by:: vasospasm caused get a cerclage which helps keep the cervix closed. It is
o

by poor tissue perfusion removed when:: -37 weeks of gestation is reached

aC s

47. Good sources of dietary folic acid:: -dark green leafy veggies -spontaneous labor occurs
vi y re

-OJ 61. If the woman is breastfeeding after the pregnancy they will
48. grey/white patches on the tongue and gums is...: not normal, need an extra _____calories per day while breastfeeding.:
it can indicate thrush 300-400 calories
49. GTPAL: 62. Immediately after delivery the fundus should be...: firm and
ed d

at the umbilicus and approximately at the level of the

ar stu

A=: Abortions or miscarriages umbilicus

50. GTPAL: 63. incompetent cervix: recurrent premature dilation of the cervix
or cervical insufficiency
G=: gravidity: Infertility is defined as:: the inability to conceive after trying
sh is

64.
for 12 months
number of times the woman has been pregnant, including
Th

65. Infertility testing usually begins with:: the male, if it comes

current pregnancy
out normal then they move onto the female
51. GTPAL:
66. Interventions for late decels:: -assist to side-lying position
-increase IV fluids
L=: Living Children
-discontinue oxytocin
52. GTPAL: -administer oxygen
-notify provider
P=: Preterm birth:
67. Interventions for prolapsed umbilical cord:: -call for help
-insert sterile gloved hand to push head to take pressure off
below 38 weeks
cord
53. GTPAL: -saline soaked dressing/towel to cover
68. Interventions for uterine atony due to distended bladder::
T=: term:
have them empty their bladder

pregnancies that have gone to 38 weeks or more

https://www.coursehero.com/file/37105757/ATI-Maternal-Newborn-Proctored-Exampdf/
69. Iron deficiency anemia: 93. The Nonstress test (NST) is interpreted as reactive if the
Iron supplements are prescribed, advise the woman to take FHR is a _______baseline, with ______variability, accelerates to
them with what?: vitamin C, so orange juice ___beats/min for at least ____seconds, and occurs ____or more
70. IUDs can increase the risk for:: -pelvic inflammatory disease times during a ____min period.: -normal baseline
-ectopic pregnancy -moderate variability
-uterine perforation -15 beats/min
-15 seconds
71. kernicterus: form of brain damage from unresolved jaundice
-two or more times
72. Last 2 trimesters, you can expect a weight gain of:: 1 lbs per -20 min period
week
94. Normal BPP score=: 8-10
73. latent phase: 0-3 cm dilation
95. Normal weight gain in pregnancy=: 25-35 lbs
-talkative, eager
96. Overweight woman weight gain in pregnancy=: 15-25 lbs
74. Letting go phase: mom is normalizing routine, getting back to
being a partner, etc 97. Pain management after vaginal birth:: -ice packs on the
perineum
75. LMP is December 9, 2017, what is EDD?: September, 16th, 2018
-sitz bath
76. lochia alba: Yellowish-white creamy discharge on Day 11-6
98. palmar grasp reflex: put something in the baby's palm they
weeks postpartum
will grasp it, present from birth-6 months

m
77. lochia rubra: bright red bleeding that occurs during day 1-3

er as
99. Placenta previa: placenta abnormally plants in the lower
after the women gives birth
segment of the uterus above the cervix instead of being at the

co
78. lochia serosa: Day 4-10 discharge, serosanguinus fluid

eH w
fundus
79. macrosomic babies appearance:: -peeling/cracked/dry skin 100. plantar grasp: touch the sole of their feet and they curl toes

o.
-leathery skin downward, present from birth-8 months
-meconium staining on nails
rs e 101. Positive CST is when late decels happen and it is...: NOT
ou urc
-long hair/nails
GOOD
80. Magnesium relaxes...: the smooth muscle of the uterus
102. positive signs of pregnancy:: -doctor notes fetal heart sounds
81. Main symptom of placenta previa:: painless bright red vaginal -doctor/tech visualizes fetus through ultrasound
o

bleeding in the 2nd or 3rd trimester

103. post mature infant skin will be...: crackled, leathery
mastitis: painful or tender localized hard mass, reddened area
aC s

82.
104. postpartum hemorrhaging meds:: uterine stimulants to help
on the breast with flu like symptoms
vi y re

uterus contract:
83. meconium should be passed within...: the first 24hrs after birth
-oxytocin, Pitocin
84. Mild preeclampsia: High BP and...: 1+ protein in the urine -methergen, methylergnobin
85. Milk will start to come in... -Misoprostol, cytotec
ed d

Before that it will be...: 2-3 days after birth 105. Pregnant women should limit caffeine intake to:: 300
ar stu

colostrum (thicker, yellow-full of nutrients) mg/day

86. molar pregnancy main symptom:: dark brown vaginal 106. premature little boys will have a flat...: smooth scrotum
bleeding that resembles prune juice 107. Premature Rupture of Membranes (PROM) is diagnosed by:
87. Moro reflex: startle reflex, hold the baby, allow them to drop nitrazine paper test, turns up blue
sh is

head back, they spread arms and legs, backwards with c 108. presumptive signs of pregnancy:: (think things that can be
shaped hands in startled response. Birth-4 months
Th

explained by things other than pregnancy)

88. Most newborns in the first month or so sleep...: 17 hours out -ammenorrhea
of 24 -fatigue
89. The New Ballard Scale measures: the neuromuscular maturity -nausea & vomiting
(well flexed) and the physical maturity -urinary frequency
90. newborn's head should be ______cm ______than the chest -quickening/fluttering
circumference: 2-3 cm larger -breast changes

91. nifidepine is a calcium channel blocker, it is used in preterm 109. preterm babies will not have much or any ____________on their
labor to...: block calcium from entering the smooth muscles in feet: plantar creases
turn slowing/stopping contractions 110. preterm infant skin will be...: thinner, almost transparent
92. Nonstress test measures:: fetal well being during the last 111. preterm labor:: cervical changes that happens between 20-37
trimester of pregnancy weeks

https://www.coursehero.com/file/37105757/ATI-Maternal-Newborn-Proctored-Exampdf/
 112. prevent mastitis:: -air dry nipples 128. Stepping reflex: present from birth to 4 weeks, hold infant
-have baby take in entire nipple and areola upright touch feet to a surface they respond with a stepping
-hand washing/clean breast movement
-empty breast during each feeding 129. sucking and rooting reflex: stroke baby's cheek and they turn
113. probable signs of pregnancy:: -abdominal enlargement toward that side and look for nipple. present from birth-4
-Haegar's sign (softening & compressability of uterus) months
-Chadwick's sign (bluish color of the cervix) 130. Taking hold phase: -begins on day 2-3 until the next few
-Goodell's sign (softening of the uterine tip) weeks
-Ballotment (rebound of the unengaged fetus) -mom focused on baby care and mastering skills
-Braxton-Hick's
131. Testing for gestational diabetes occurs between:: 24-28
-positive pregnancy test
weeks of gestation
-fetal outline felt by examiner
132. Test that can be done instead of amniocentesis and earlier
114. Pulmonary embolism s/s: chest pain
is a CVS can be done at:: 10-12 weeks
difficulty breathing
133. Tonic neck reflex: extended their arm and leg on the side their
115. radiation: babies lose heat from the being near a window or
turned to, flex opposite side
air conditioner
birth to 3 or 4 months
116. Recommended caloric intake for pregnant woman in the
To see if a woman is in labor a vaginal swab of the

m
134.
2nd trimester=: 340 calories/day

er as
secretions is done to see if what is present?: fetal fibrinectin
117. Recommended caloric intake for pregnant woman in the 3rd

co
135. transition phase: 7-10 cm
trimester=: 450 calories/day

eH w
-can't go on, feels urge to push/poop
118. Rhogam should be administered within...: 72 hours after birth
136. umbilical cord care:: -sponge baths until stump falls off

o.
for women who are Rh negative and their baby is Rh positive
-keep it dry and above diaper (fold it)
119.
rs e
screening for GBS is done at: 36-37 weeks -it should not have a foul odor, red color, or be moist
ou urc
120. Severe preeclampsia is categorized by:: -over 160/100 137. Underweight woman weight gain in pregnancy=: 28-40 lbs
-3+ protein in the urine
138. Unilateral stabbing pain and tenderness in the lower
-creatinine levels > 1.2
abdominal quadrants is the main sign/symptom of:: ectopic
o

-headache
pregnancy
-blurred vision
aC s

-epigastric pain 139. Warning signs/side effects of hormonal birth control use::
vi y re

-hyperreflexia chest pain

shortness of breath
121. signs of hypoglycemia in babies:: -jittery
leg pain (possible clot)
-twitching
headache
-weakness
ed d

eye problems
-lethargy
ar stu

-blood glucose under 40 140. What is given before an epidural?: IV bolus of fluids to help
-eye rolling counteract maternal hypotension
-seizures 141. What types of lubes should be used with latex condoms?:
only water-soluble
small raised white spots on the skin of a newborn is normal
sh is

122.
and called...: milia 142. When you use a diaphragm you must use ______which each
act of coitus? And it must remain in place for at least
Th

123. s/s of magnesium toxicity:: -reduced DTRs

________after intercourse.: spermicide w/each act of coitus
-low urine output
6 hours
-low LOC
-low respirations 143. While breastfeeding uterine...: cramps are normal
-dysrhythmias 144. Women should drink ______liters of water a day while
124. stage 1 of labor: starts with onset of labor until complete pregnant.: 2-3 liters
dilation at 10cm 145. Women using an IUD need to be on the lookout for:: -
125. stage 2 of labor: starts with full dilation to the birth change in string length (IUD moved)
126. stage 3 of labor: starts with birth of baby to the delivery of -foul smelling discharge
placenta -pain w/intercourse
-fever, chills
127. stage 4 of labor: starts with delivery of the placenta ends with
vital sign normalization

https://www.coursehero.com/file/37105757/ATI-Maternal-Newborn-Proctored-Exampdf/

Powered by TCPDF (www.tcpdf.org)