ATI PROCTORED OB MATERNAL
COMPREHENSIVE STUDY GUIDE 2026
◉ When should you start measuring a woman's fundal height?
Answer: After > 12 weeks GA
◉ Between 18 and 30 weeks the fundal height should measure
what? Answer: It should equal the week of gestation
◉ MSAFP screening is done: Answer: 15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as
part of a set of tests, which screen for genetic problems, called the
quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
◉ Smoking tobacco during pregnancy is associated with : Answer:
Low Birth Weight
◉ Pregnant mothers should consume how much water each day?
Answer: 2 to 3 Liters of water from food and beverage sources.
,◉ Regarding kick counts, what are signs that a woman needs further
evaluation? Answer: Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
◉ The recommended weight gain during pregnancy is usually:
Answer: 25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
◉ Foods high in folic acid are: Answer: Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
◉ It is recommended that _____ mcg of folic acid be taken during
pregnancy. Answer: 600
◉ It is recommended that clients who are lactating consume ____
mcg of folic acid. Answer: 500
◉ What vitamin aids in the absorption of Iron? Answer: Vitamin C
,◉ The clients bladder needs to be _____ before an ultrasound.
Answer: Full
◉ biophysical profile (BPP) normal score is Answer: A biophysical
profile (BPP) test measures the health of your baby (fetus) during
pregnancy.
8-10
◉ BPP abnormal score is Answer: <4
◉ If a BPP comes back as 6..... Answer: It should be retested
◉ BPP assess for Answer: Fetal well being
◉ non-stress test ( NST) Answer: most widely used technique for
antepartum evaluation of fetal well being performed during the
third trimester.
◉ Reactive NST Answer: FHR is a normal baseline rate with
moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
, ◉ A non reactive NST would indicate what about the fetus? Answer:
The fetal heart rate does not accelerate adequately with fetal
movement.
-A BPP or CST will need to be done now
◉ Positive CST is normal or abnormal Answer: abnormal
The contraction stress test — also called a stress test or an oxytocin
challenge test — may be done during pregnancy to measure the
baby's heart rate during uterine contractions. Its purpose is to make
sure the baby can get the oxygen he needs from the placenta during
labor.
◉ Positive CST is indicated when: Answer: Persistent and consistent
late decels on more than half of the contractions.
◉ An amniocentesis may be performed when? Answer: After 14
weeks gestation
◉ AFP can be measured from the amniotic fluid between: Answer:
16 and 18 weeks
alpha-fetoprotein
COMPREHENSIVE STUDY GUIDE 2026
◉ When should you start measuring a woman's fundal height?
Answer: After > 12 weeks GA
◉ Between 18 and 30 weeks the fundal height should measure
what? Answer: It should equal the week of gestation
◉ MSAFP screening is done: Answer: 15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as
part of a set of tests, which screen for genetic problems, called the
quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
◉ Smoking tobacco during pregnancy is associated with : Answer:
Low Birth Weight
◉ Pregnant mothers should consume how much water each day?
Answer: 2 to 3 Liters of water from food and beverage sources.
,◉ Regarding kick counts, what are signs that a woman needs further
evaluation? Answer: Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
◉ The recommended weight gain during pregnancy is usually:
Answer: 25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
◉ Foods high in folic acid are: Answer: Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
◉ It is recommended that _____ mcg of folic acid be taken during
pregnancy. Answer: 600
◉ It is recommended that clients who are lactating consume ____
mcg of folic acid. Answer: 500
◉ What vitamin aids in the absorption of Iron? Answer: Vitamin C
,◉ The clients bladder needs to be _____ before an ultrasound.
Answer: Full
◉ biophysical profile (BPP) normal score is Answer: A biophysical
profile (BPP) test measures the health of your baby (fetus) during
pregnancy.
8-10
◉ BPP abnormal score is Answer: <4
◉ If a BPP comes back as 6..... Answer: It should be retested
◉ BPP assess for Answer: Fetal well being
◉ non-stress test ( NST) Answer: most widely used technique for
antepartum evaluation of fetal well being performed during the
third trimester.
◉ Reactive NST Answer: FHR is a normal baseline rate with
moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
, ◉ A non reactive NST would indicate what about the fetus? Answer:
The fetal heart rate does not accelerate adequately with fetal
movement.
-A BPP or CST will need to be done now
◉ Positive CST is normal or abnormal Answer: abnormal
The contraction stress test — also called a stress test or an oxytocin
challenge test — may be done during pregnancy to measure the
baby's heart rate during uterine contractions. Its purpose is to make
sure the baby can get the oxygen he needs from the placenta during
labor.
◉ Positive CST is indicated when: Answer: Persistent and consistent
late decels on more than half of the contractions.
◉ An amniocentesis may be performed when? Answer: After 14
weeks gestation
◉ AFP can be measured from the amniotic fluid between: Answer:
16 and 18 weeks
alpha-fetoprotein
