ATI PROCTORED OB MATERNAL PRACTICE
ASSESSMENTS (ATI-STYLE) WITH RATIONALES
2026
◉ Fetal tachycardia means: Answer: Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
◉ Decrease or loss of variability means: Answer: Meds that depress
the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
congenital abnormalities
◉ Early decels mean: Answer: Compression of the fetal head
resulting from uterine contraction
Vaginal exam
Fundal pressure
,◉ Late decels mean: Answer: UPI causing inadequate fetal
oxygenation
Maternal hypotension
placental abruption
Uterine hyperstimulation w/pitocin
◉ Variable decels mean: Answer: Umbilical cord compression
Short cord
Prolapsed cord
Nuchal cord
Oligohydraminos
◉ Fetal descent and cervical dilation are caused by Answer:
Frequency, duration, and strength of contractions
◉ What is the sensation the patient will feel when completion of
dilation and fetal descent? Answer: She will feel like she needs to
take a big ole poooo!
◉ First degree laceration extends through: Answer: skin of
perineum
,◉ Second degree laceration extends through: Answer: skin of
perineum
muscles of perineum
◉ Third degree laceration extends through: Answer: skin of
perineum
muscles of perineum
anal sphincter
◉ Fourth degree laceration extends through: Answer: skin of
perineum
muscles of perineum
anal sphincter
anterior rectal wall
◉ Third stage:
Signs of placental separation from the uterus are indicated by:
Answer: fundus firmly contracting
swift gush from introitus of dark blood
umbilical cord appears to lengthen as placenta descends
vaginal fullness of exam
, ◉ There is a high risk of _________ surrounding external cephalic
version. Answer: Cord prolapse
◉ Regarding BISHOP scoring, when is a woman ready for labor?
Answer: A score of
9 for nulliparas
5 or more for multiparas
◉ Mechanical methods to ripen cervix: Answer: balloon caths
hydroscopic dilators and sponges
laminara tents
synthetic dilators and sponges
◉ Methods of induction Answer: prostaglandins applied cervically
admin of IV oxytocin
amniotomy
stripping of membranes
nipple stimulation
◉ Dystocia Answer: prolonged, difficult labor
ASSESSMENTS (ATI-STYLE) WITH RATIONALES
2026
◉ Fetal tachycardia means: Answer: Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
◉ Decrease or loss of variability means: Answer: Meds that depress
the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
congenital abnormalities
◉ Early decels mean: Answer: Compression of the fetal head
resulting from uterine contraction
Vaginal exam
Fundal pressure
,◉ Late decels mean: Answer: UPI causing inadequate fetal
oxygenation
Maternal hypotension
placental abruption
Uterine hyperstimulation w/pitocin
◉ Variable decels mean: Answer: Umbilical cord compression
Short cord
Prolapsed cord
Nuchal cord
Oligohydraminos
◉ Fetal descent and cervical dilation are caused by Answer:
Frequency, duration, and strength of contractions
◉ What is the sensation the patient will feel when completion of
dilation and fetal descent? Answer: She will feel like she needs to
take a big ole poooo!
◉ First degree laceration extends through: Answer: skin of
perineum
,◉ Second degree laceration extends through: Answer: skin of
perineum
muscles of perineum
◉ Third degree laceration extends through: Answer: skin of
perineum
muscles of perineum
anal sphincter
◉ Fourth degree laceration extends through: Answer: skin of
perineum
muscles of perineum
anal sphincter
anterior rectal wall
◉ Third stage:
Signs of placental separation from the uterus are indicated by:
Answer: fundus firmly contracting
swift gush from introitus of dark blood
umbilical cord appears to lengthen as placenta descends
vaginal fullness of exam
, ◉ There is a high risk of _________ surrounding external cephalic
version. Answer: Cord prolapse
◉ Regarding BISHOP scoring, when is a woman ready for labor?
Answer: A score of
9 for nulliparas
5 or more for multiparas
◉ Mechanical methods to ripen cervix: Answer: balloon caths
hydroscopic dilators and sponges
laminara tents
synthetic dilators and sponges
◉ Methods of induction Answer: prostaglandins applied cervically
admin of IV oxytocin
amniotomy
stripping of membranes
nipple stimulation
◉ Dystocia Answer: prolonged, difficult labor
