ATI Capstone Maternal Newborn
Assessment Question and Answer
Grade A+
• Average age for cleft lip repair -✓✓2 months
• Complications of Severe Preeclampsia (HELLP syndrome) -✓✓H - hemolysis
E - elevated liver enzymes
L - low platelet count
• Dystocia (4Ps) -✓✓1) Powers
2) Passageway
3) Passenger
4) Psych
• TORCH infections (bad during pregnancy) -✓✓Toxoplasmosis
Rubella
cytomegalovirus
HSV (herpes)
Others
-group b Beta strep
-syphillis
-Hep B
• IUD side effects/problems (PAINS) -✓✓P - period issues (late, spotting,
bleeding)
A - abdominal pain (dyspareunia)
I - infection (abnormal vaginal discharge)
N - not feeling well (fever or chills)
S - string missing
• APGAR -✓✓A-appearance
P-pulse
G-grimace
A-activity
R-respiration
, • Obstetric (maternal) history (GTPAL) -✓✓G -gravida
T -term
P -preterm
A -abortions
L -living children
• Gravida -✓✓total number of confirmed pregnancies that a woman has had,
regardless of the outcome
• Oral Contraceptive s/s of a problem (ACHES) -✓✓A - abdominal pain (liver or
gallbladder)
C - chest pain or SOB (possible PE)
H - headache (possible HTN or brain attack)
E - eye problems (possible HTN or vascular accident)
S - severe leg pain (thromboembolism)
• Preterm Infant: expected problems (TRIES) -✓✓T - temperature regulation is
poor
R - resistance to infections is poor
I - immature liver
E - elimination problems (necrotizing enterocolitis)
S - sensory-perceptual function (retinopathy of prematurity)
• Fetal HR (VEAL CHOP) -✓✓V - variable decelerations = C - cord compression
E - early decelerations = H - head compression
A - accelerations = O - oxygen (well oxygenated)
L = late decelerations = P - placental/utero insufficiency
• Variable decelerations (cause and intervention) -✓✓cause = cord compression
intervention = maternal position change
• Early declerations (cause and intervention) -✓✓cause = head compression
intervention = none; this is an expected finding
• Accelerations (cause and intervention) -✓✓it is NORMAL for the FHR to
accelerate
-demonstrates adequate oxygenation
Assessment Question and Answer
Grade A+
• Average age for cleft lip repair -✓✓2 months
• Complications of Severe Preeclampsia (HELLP syndrome) -✓✓H - hemolysis
E - elevated liver enzymes
L - low platelet count
• Dystocia (4Ps) -✓✓1) Powers
2) Passageway
3) Passenger
4) Psych
• TORCH infections (bad during pregnancy) -✓✓Toxoplasmosis
Rubella
cytomegalovirus
HSV (herpes)
Others
-group b Beta strep
-syphillis
-Hep B
• IUD side effects/problems (PAINS) -✓✓P - period issues (late, spotting,
bleeding)
A - abdominal pain (dyspareunia)
I - infection (abnormal vaginal discharge)
N - not feeling well (fever or chills)
S - string missing
• APGAR -✓✓A-appearance
P-pulse
G-grimace
A-activity
R-respiration
, • Obstetric (maternal) history (GTPAL) -✓✓G -gravida
T -term
P -preterm
A -abortions
L -living children
• Gravida -✓✓total number of confirmed pregnancies that a woman has had,
regardless of the outcome
• Oral Contraceptive s/s of a problem (ACHES) -✓✓A - abdominal pain (liver or
gallbladder)
C - chest pain or SOB (possible PE)
H - headache (possible HTN or brain attack)
E - eye problems (possible HTN or vascular accident)
S - severe leg pain (thromboembolism)
• Preterm Infant: expected problems (TRIES) -✓✓T - temperature regulation is
poor
R - resistance to infections is poor
I - immature liver
E - elimination problems (necrotizing enterocolitis)
S - sensory-perceptual function (retinopathy of prematurity)
• Fetal HR (VEAL CHOP) -✓✓V - variable decelerations = C - cord compression
E - early decelerations = H - head compression
A - accelerations = O - oxygen (well oxygenated)
L = late decelerations = P - placental/utero insufficiency
• Variable decelerations (cause and intervention) -✓✓cause = cord compression
intervention = maternal position change
• Early declerations (cause and intervention) -✓✓cause = head compression
intervention = none; this is an expected finding
• Accelerations (cause and intervention) -✓✓it is NORMAL for the FHR to
accelerate
-demonstrates adequate oxygenation
