Maternal Newborn ATI Proctored 2024 WITH ANS
LATEST UPDATE
Planning care for a patient who has cholelithiasis - Answer - Inflammation of gall-
bladder wall
Most often caused by gall stones
Give pain medications as prescribed
Patients that would receive Rho(D) immune globulin during pregnancy period - Answer -
Pregnant women who are RH negative and exposed to RH positive blood.
Presumptive signs of pregnancy - Answer - Amenorrhea, fatigue, nausea and vomiting,
urinary frequency, breast changes, quickening, uterine enlargement
Probable signs of pregnancy - Answer - + pregnancy test, Abdominal enlargement,
Hegars sign, Chadwicks sign, Goodell's sign, ballottement, Braxton Hicks, fetal outline
felt
Positive signs of pregnancy - Answer - Fetal heart sound, visualization on ultrasound,
fetal movement palpated by an experienced Examiner.
Fetal heart rate (FHR) - Answer - 110-160
Hegar's sign - Answer - Softening in compressibility of lower uterus
Chadwick sign - Answer - Defend Violet bluish color of cervix and vaginal mucosa
Goodell's sign - Answer - Softening of cervical tip
Ballottement - Answer - Rebound of unengaged fetus
Quickening - Answer - Slight fluttering movements of the fetus felt by a woman usually
between 16 to 20 weeks of gestation
Chloasma - Answer - Facial hyperpigmentation
Striae gravidarum - Answer - Stretch marks of abdomen and thighs
1st stage of Labor - Answer - Last 12.5 hours
Latent phase:0-3cm
active phase:4-7cm
transition:8-10cm
2nd stage of Labor - Answer - The birth of the infant
pushing stage
, contractions every 1 to 2 minutes
3rd stage of Labor - Answer - Ends with the delivery of the placenta
4th stage of Labor - Answer - Mother's recovery after birth of baby and placenta
Tocolytic therapy/ Vifedipine used - Answer - Premature labor
Stop contractions in premature labor and decreases BP
If late decelerations occur during labor - Answer - Discontinue oxytocin, Pt sidelying
position, administer 02 8-10L/min
Nursing interventions for prolapsed umbilical cord - Answer - Place gloved hand into
vagina and hold the presenting part the umbilical cord until delivery.
Lochia rubra - Answer - Bright red color, bloody consistency, fluffy older, may contain
small clots, transient flow increase during breastfeeding and upon Rising.
1-3days
Lochia serosa - Answer - Pinkish brown color, fleshy odor, last 11 to 6 weeks
Lochia Alba - Answer - Yellowish white creamy color, fleshy odor, 11 days to 6 weeks
Oligohydraminos - Answer - Decreased amniotic fluid
Apgar scoring - Answer - 7-10 =no distress
2 score:
HR: >100
RR: good cry
Muscle tone: well flexed
Reflex: cry
Color: completely pink
Circumcision care - Answer - Sponge bath until healed. Change diaper every 4 hours
clean penis with warm water. Apply petroleum jelly to penis does not stick to diaper.
Contraindications for CST - Answer - 1. Placenta previa
2. Preterm labor
3. Multiple gestations
Indications of true labor - Answer - 1. Energy burst
2. Rupture of membranes
3. Bloody show
Actions to take for preterm labor - Answer - 1. Modified bed rest (not strict, may have
adverse effects)
LATEST UPDATE
Planning care for a patient who has cholelithiasis - Answer - Inflammation of gall-
bladder wall
Most often caused by gall stones
Give pain medications as prescribed
Patients that would receive Rho(D) immune globulin during pregnancy period - Answer -
Pregnant women who are RH negative and exposed to RH positive blood.
Presumptive signs of pregnancy - Answer - Amenorrhea, fatigue, nausea and vomiting,
urinary frequency, breast changes, quickening, uterine enlargement
Probable signs of pregnancy - Answer - + pregnancy test, Abdominal enlargement,
Hegars sign, Chadwicks sign, Goodell's sign, ballottement, Braxton Hicks, fetal outline
felt
Positive signs of pregnancy - Answer - Fetal heart sound, visualization on ultrasound,
fetal movement palpated by an experienced Examiner.
Fetal heart rate (FHR) - Answer - 110-160
Hegar's sign - Answer - Softening in compressibility of lower uterus
Chadwick sign - Answer - Defend Violet bluish color of cervix and vaginal mucosa
Goodell's sign - Answer - Softening of cervical tip
Ballottement - Answer - Rebound of unengaged fetus
Quickening - Answer - Slight fluttering movements of the fetus felt by a woman usually
between 16 to 20 weeks of gestation
Chloasma - Answer - Facial hyperpigmentation
Striae gravidarum - Answer - Stretch marks of abdomen and thighs
1st stage of Labor - Answer - Last 12.5 hours
Latent phase:0-3cm
active phase:4-7cm
transition:8-10cm
2nd stage of Labor - Answer - The birth of the infant
pushing stage
, contractions every 1 to 2 minutes
3rd stage of Labor - Answer - Ends with the delivery of the placenta
4th stage of Labor - Answer - Mother's recovery after birth of baby and placenta
Tocolytic therapy/ Vifedipine used - Answer - Premature labor
Stop contractions in premature labor and decreases BP
If late decelerations occur during labor - Answer - Discontinue oxytocin, Pt sidelying
position, administer 02 8-10L/min
Nursing interventions for prolapsed umbilical cord - Answer - Place gloved hand into
vagina and hold the presenting part the umbilical cord until delivery.
Lochia rubra - Answer - Bright red color, bloody consistency, fluffy older, may contain
small clots, transient flow increase during breastfeeding and upon Rising.
1-3days
Lochia serosa - Answer - Pinkish brown color, fleshy odor, last 11 to 6 weeks
Lochia Alba - Answer - Yellowish white creamy color, fleshy odor, 11 days to 6 weeks
Oligohydraminos - Answer - Decreased amniotic fluid
Apgar scoring - Answer - 7-10 =no distress
2 score:
HR: >100
RR: good cry
Muscle tone: well flexed
Reflex: cry
Color: completely pink
Circumcision care - Answer - Sponge bath until healed. Change diaper every 4 hours
clean penis with warm water. Apply petroleum jelly to penis does not stick to diaper.
Contraindications for CST - Answer - 1. Placenta previa
2. Preterm labor
3. Multiple gestations
Indications of true labor - Answer - 1. Energy burst
2. Rupture of membranes
3. Bloody show
Actions to take for preterm labor - Answer - 1. Modified bed rest (not strict, may have
adverse effects)
