ATI Maternal Newborn Study Guide, ATI
Nursing Education Comprehensive Exam
& NCLEX Review Notes
Introduction:
This document provides a complete Maternal Newborn ATI
study guide covering pregnancy, labor and delivery,
postpartum care, and newborn assessment. It includes clearly
structured questions and answers on high-yield ATI and NCLEX
topics such as fetal monitoring, labor stages, obstetric
complications, medications, newborn care, and postpartum
disorders. The material is well-suited for exam preparation,
quick reviews, and reinforcement of core maternal-newborn
nursing concepts.
Exam Questions and Answers:
Tests to determine if mother is in preterm labor -Answer:--
swab of vaginal secretions
What does swab of vaginal secretions determine? -Answer:-if
there is fetal fibronectin
,Meds for preterm contractions -Answer:--nifedipine (calcium
channel blocker)
-Magnesium (relaxes smooth muscle of uterus)
-indomethacin (NSAID)
-betamethasone
What is betamethasone used for? -Answer:-promotion of fetal
lung maturity
Premature rupture of membranes is a major cause of ___ -
Answer:-infection
If premature rupture of membranes has occured, what is done:
-Answer:--nitrazine paper test
-positive ferning test
Nitrazine paper test should turn which color if there is
ruptured membranes -Answer:-blue
What is client given during premature rupture of membranes?
-Answer:--antibiotics
,-betamethasone
Physiological changes prior to labor -Answer:-back ache,
weight loss (1-3 lbs), lightening (fetal head descends into true
pelvis), true contractions, bloody show, energy burst, nausea,
vomiting, indigestion, rupture of membranes
true contractions vs braxton hicks -Answer:-true contractions
are regular and increase in strength
braxton hicks contractions are irregular
When is GBS usually done? -Answer:-36-37 weeks gestation
1st stage of labor time frame -Answer:-the onset of labor until
complete dilation of the cervix (10 cm)
2nd stage of labor time frame -Answer:-full dilation of cervix
to birth of baby
3rd stage of labor time frame -Answer:-birth of the baby to
delivery of placenta
, 4th stage of labor time frame -Answer:-delivery of placenta
until mother's vital signs are WNL
Phases of labor within the 1st stage of labor -Answer:-latent
phase, active phase, and transition phase
Latent phase of labor -Answer:-- 0-3 cm dilation
- mother is talkative and eager.
Active phase of labor -Answer:-- over 3 cm to 7 cm dilation
- mother is anxious, restless, and is feeling helpless
Transition phase of labor -Answer:-- over 7 cm to 10 cm
dilation
- mother has feelings of not being able to go on; "I can't
continue"
-has urge to push
-has increased rectal pressure; may feel like she needs to have
bowel movement
Nursing Education Comprehensive Exam
& NCLEX Review Notes
Introduction:
This document provides a complete Maternal Newborn ATI
study guide covering pregnancy, labor and delivery,
postpartum care, and newborn assessment. It includes clearly
structured questions and answers on high-yield ATI and NCLEX
topics such as fetal monitoring, labor stages, obstetric
complications, medications, newborn care, and postpartum
disorders. The material is well-suited for exam preparation,
quick reviews, and reinforcement of core maternal-newborn
nursing concepts.
Exam Questions and Answers:
Tests to determine if mother is in preterm labor -Answer:--
swab of vaginal secretions
What does swab of vaginal secretions determine? -Answer:-if
there is fetal fibronectin
,Meds for preterm contractions -Answer:--nifedipine (calcium
channel blocker)
-Magnesium (relaxes smooth muscle of uterus)
-indomethacin (NSAID)
-betamethasone
What is betamethasone used for? -Answer:-promotion of fetal
lung maturity
Premature rupture of membranes is a major cause of ___ -
Answer:-infection
If premature rupture of membranes has occured, what is done:
-Answer:--nitrazine paper test
-positive ferning test
Nitrazine paper test should turn which color if there is
ruptured membranes -Answer:-blue
What is client given during premature rupture of membranes?
-Answer:--antibiotics
,-betamethasone
Physiological changes prior to labor -Answer:-back ache,
weight loss (1-3 lbs), lightening (fetal head descends into true
pelvis), true contractions, bloody show, energy burst, nausea,
vomiting, indigestion, rupture of membranes
true contractions vs braxton hicks -Answer:-true contractions
are regular and increase in strength
braxton hicks contractions are irregular
When is GBS usually done? -Answer:-36-37 weeks gestation
1st stage of labor time frame -Answer:-the onset of labor until
complete dilation of the cervix (10 cm)
2nd stage of labor time frame -Answer:-full dilation of cervix
to birth of baby
3rd stage of labor time frame -Answer:-birth of the baby to
delivery of placenta
, 4th stage of labor time frame -Answer:-delivery of placenta
until mother's vital signs are WNL
Phases of labor within the 1st stage of labor -Answer:-latent
phase, active phase, and transition phase
Latent phase of labor -Answer:-- 0-3 cm dilation
- mother is talkative and eager.
Active phase of labor -Answer:-- over 3 cm to 7 cm dilation
- mother is anxious, restless, and is feeling helpless
Transition phase of labor -Answer:-- over 7 cm to 10 cm
dilation
- mother has feelings of not being able to go on; "I can't
continue"
-has urge to push
-has increased rectal pressure; may feel like she needs to have
bowel movement
