RN ATI MATERNAL NEWBORN PROCTORED
COMPREHENSIVE EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉ Oral contraceptive danger indications
Answer: Shortness of breath can indicate pulmonary embolism or
myocardial infarction
◉ IUD (intrauterine device)
Answer: 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
◉ Implantable progestins adverse effects
Answer: Irregular vaginal bleeding
weight gain
breast changes
◉ medroxyprogesterone
Answer: clients should take calcium and vitamin D o prevent loss of
bone density
,can cause irregular bleeding
◉ Signs of pregnancy: Presumptive
Answer: 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
Answer: 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
Answer: those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
◉ hCG blood / urine test
Answer: 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
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
◉ Gravidity
Answer: Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
, ◉ Parity
Answer: Number of pregnancies which fetus reached 20 weeks (
includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
◉ Viability
Answer: Point at which a fetus can survive outside the womb.
◉ GTPAL
Answer: Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
◉ Physiological changes
Answer: stretch marks
hyperpigmentation
◉ Supine hypotensive syndrome
COMPREHENSIVE EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉ Oral contraceptive danger indications
Answer: Shortness of breath can indicate pulmonary embolism or
myocardial infarction
◉ IUD (intrauterine device)
Answer: 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
◉ Implantable progestins adverse effects
Answer: Irregular vaginal bleeding
weight gain
breast changes
◉ medroxyprogesterone
Answer: clients should take calcium and vitamin D o prevent loss of
bone density
,can cause irregular bleeding
◉ Signs of pregnancy: Presumptive
Answer: 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
Answer: 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
Answer: those explained only by pregnancy:
fetal heart sounds
visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
◉ hCG blood / urine test
Answer: 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
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
◉ Gravidity
Answer: Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
, ◉ Parity
Answer: Number of pregnancies which fetus reached 20 weeks (
includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
◉ Viability
Answer: Point at which a fetus can survive outside the womb.
◉ GTPAL
Answer: Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
◉ Physiological changes
Answer: stretch marks
hyperpigmentation
◉ Supine hypotensive syndrome
