2024 PN MATERNAL NEWBORN NURSING
ATI PROCTORED EXAM STUDY GUIDE
WITH CORRECT ANSWERS
Signs of pregnancy: Presumptive - CORRECT ANSWERS- changes
might be subjective or objective:
amenorrhea (no periods)
fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks
gestation)
abdominal enlargement
Signs of Pregnancy: Probable - CORRECT ANSWERS- changes that
make the examiner suspect pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
,braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
Signs of Pregnancy: Positive - CORRECT ANSWERS- those
explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
Contraceptive use - CORRECT ANSWERS- a water soluble
lubricant should be used with condoms
Oral contraceptive danger indications - CORRECT ANSWERS-
Shortness of breath can indicate pulmonary embolism or
myocardial infarction
IUD (intrauterine device) - CORRECT ANSWERS- Check for
presence of IUD strings following each menstruation to ensure the
device is still present. A change in the length of the strings should
be reported to the provider
medroxyprogesterone - CORRECT ANSWERS- clients should take
calcium and vitamin D o prevent loss of bone density
can cause irregular bleeding
erythema toxicum - CORRECT ANSWERS- pink rash that appears
suddenly anywhere on the body of a term newborn during the
first 3 weeks.
small white nodules on the roof of the newborn's mouth -
CORRECT ANSWERS- epstein perals
In checking for the Moro reflex in a newborn, the nurse should
perform which of the following to assess it? - CORRECT ANSWERS-
hold newborn in a semi sitting position, then allow the newborn's
head and trunk to fall backward
bluish marking across newborn's lower back - CORRECT
ANSWERS- this is frequently seen in newborns of african
american, asian, or native american origin
a nurse is preparing to administer prophylactic eye ointment to a
newborn to prevent ophthalmia neonatorum. Which medication
will the nurse administer - CORRECT ANSWERS- Erythromycin
a nurse is returning a newborn to his mother following
circumcision. Which of the following actions should the nurse take
, to ensure safety of the newborn - CORRECT ANSWERS- match the
mothers identification band with the newborns identification band
teaching about breastfeeding - CORRECT ANSWERS- when
latched on, the infants nose, cheek, and chin are touching the
mother's breast
teaching about proper techniques for bottle feeding with a new
mother - CORRECT ANSWERS- keep the nipple full of formula
when feeding to prevent infant from sucking air
readiness to feed sign - CORRECT ANSWERS- attempts to place
his hand in his mouth
circumcision contraindications - CORRECT ANSWERS-
hypospadias (foreskin used to repair defect)
family history of hemophilia
episadias (defect in urethral opening)
hCG blood / urine test - CORRECT ANSWERS- Human chorionic
gonadotropin:
can start as early as day of implantation and can be detected
about 8 days after conception.
peaks about day 60-70, declines til day 100-130 then incline until
term
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