The National Certification Corporation(NCC) administers the maternal newborn nursing exam to certify candidates interested in a career in the maternal newborn nursing field. Passing the exam requires candidates to prepare effectively ahead of the exam. The cheat sheet for the ATI Maternal Newborn Proctored Exam exam can be a resourceful guide for applicants desiring to achieve the best scores.

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Newborn Assessment Cheat Sheet for ATI Maternal Newborn Proctored Exam

When babies are born, crucial tests are done to evaluate their well-being to ensure any issue that can bring serious developmental problems is addressed at the onset. The Apgar text is an important assessment given to babies immediately after birth. The test evaluates key baby processes such as; muscle tone, heartbeat, and other indicators to find if additional clinical care or emergency support is required.

The Apgar score assessment is performed twice within the first minute after birth and repeated 5 five minutes later. If the baby experiences health problems, the test can be evaluated again. The Apgar score assesses five critical parameters to evaluate the baby's health. The parameters tested are measured on a scale of 0 to 2. The best score for the Apgar score is rated at 2.

The Apgar is an acronym for; Appearance (skin color), Pulse (the heat rate), Grimace response (reflexes), Activity (muscle tone), and Respiration (the breathing speed and effort). Health professionals such as; doctors, nurses, and midwives compute the five parameters to get the Apgar score. The highest score for each parameter is 2. Thus, the score ranges between zero and ten for a cumulative score.

Although 10 is the highest Apgar score, few babies rarely achieve it since their hands are blue until they become warm. Creating a cheat sheet matrix for the ATI Maternal Newborn Proctored Exam to capture the Apgar score is easy. Draw a table with five rows for the five key parameters evaluated. Insert four columns to capture; the Apgar parameter(s), scores, 2, 1, and 0 evaluated within one minute after birth and five minutes later.

Apgar Score Cheat Sheet for Maternal Newborn Exam

Score 2 Score 1 Score 0
Appearance (skin color) Features normal color in the whole body. Hands and legs are pink. The baby has normal color, but the hands and legs are bluish The baby is bluish-gray or pale in the whole body.
Pulse (heart beat) The rate is above 100 beats, a minute The rate beats less than 100 minutes per minute. There is no heartbeat.
Grimace (reflexes) The baby cries, sneezes and coughs when stimulated. Only facial movement is evident once stimulated. When the baby is stimulated, there is no response.
Activity (muscle tone) The baby is active with regular movement Hands and feet shows little movement There is no muscle movement
Respiration (breathing rate & effort) The baby has normal breathing and a good cry. The baby has slow breathing, is weak and cries. There is no breathing

Apgar score cheat sheet for a ATI Maternal Newborn Proctored Exam like the one shown in the above score matrix can be a practical guide to help you quickly grasp maternal newborn exam content.

What Does Apgar's Score Mean?

The Apgar test is used to evaluate the babies' health status. The higher the Apgar score, the healthier the baby. For instance, a baby with an Apgar score of seven and above indicates the baby's health is good. Conversely, a low Apgar score does not indicate the baby is unhealthy. It shows the baby needs immediate medical support to improve its health.

Apgar scores taken at one minute may be low for babies born under the following circumstances; high-risk pregnancies, caesarian section, preterm birth, or after a lengthy, complicated labor.

What to Do if a Baby Has Low Apgar Score?

Many babies achieve low scores following Apgar's assessment. A low cumulative score does not necessarily mean the baby is unhealthy. Many babies with low Apgar scores live a normal life after experiencing life outside the mother's womb. Doctors and nurses will give appropriate medical advice for babies requiring critical care.

Cheat Sheet for Newborn Normal Measurements

Some critical measurements are taken for newborns to assess their health. The following information is a summarized data of a cheat sheet for ATI Maternal Newborn Proctored Exam regarding the measurements taken for a newborn;

  1. • Weight of the baby; 6 to 10 lbs.
  2. • Baby length; 18 to 22 inches
  3. • The circumference of the baby's head; 33 to 35 cm
  4. • The circumference of the baby's chest; 30 to 33 cm
ATI Maternal Newborn Proctored Exam

Cheat Sheet for Newborn Medical and Laboratory Tests

The following medical and laboratory assessments can be conducted on newborns to evaluate their well-being. The cheat sheet for the maternal newborn exam captures the following key medical and laboratory examination.

  1. • Vitamin K for preventing hemorrhage
  2. • Optic antibiotic for preventing blindness in newborns
  3. • PKU level is normally taken twenty-four hours after the baby's feeding begins
  4. • Coombs test taken if the mother is Rh-negative
  5. • Immunizations such as; hepatitis B can be administered

Cheat Sheet for Possible Complications During Delivery

During the delivery of babies, mothers may experience certain complications. These complications can delay the delivery process. Several factors may cause mothers to experience complications. Some of the issues captured in this cheat sheet for the ATI Maternal Newborn Proctored Exam cover the following summarized notes;

  1. • Limb presentation
  2. • Postpartum hemorrhage
  3. • Breech presentation
  4. • Cord presentation
  5. • Meconium aspirations

The ATI Maternal Newborn Proctored Exam is important for students wanting to start a career in maternal newborn midwifery. A cheat sheet for the ATI Maternal Newborn Proctored Exam can be a resourceful guide for applicants preparing for the exam. If you want to pass your maternal newborn nursing exam with 90% and above, use Naxlex nursing guides.

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