ATI Maternity final UPDATED Exam
Questions and CORRECT Answers
What is an amniocentesis used for? - Correct Answer- To determine lung maturity, detect
congenital anomalies, and diagnose fetal hemolytic disease
What is a cordocentisis used for? - Correct Answer- To identify fetal blood type and RBC
when there is a risk of isoimmune hemolytic anemia
What is the Kleihauer-Betke test used for? - Correct Answer- To determine the amount of
fetal blood In the maternal circulation when there is a risk of Rh isoimmunization
Abdominal cramping at 11 weeks indicates what? - Correct Answer- It can indicate ectopic
pregnancy or manifestations of spontaneous abortion. This would be a priority action.
Blood nose (epistaxis) at 8 weeks gestation.. - Correct Answer- Is a normal sign
5 steps in bathing a newborn - Correct Answer- 1. Wipe eyes from inner canthus outwards
2. Wash neck by lifting chin
3. Cleanse skin around umbilical cord stump
4. wash legs/feet
5. clean diaper area
Swelling in the face of a pregnant woman is indicative of what? Is it emergent? - Correct
Answer- Swelling of the face, scaral area, and hands indicate gestational HTN or
preeclampsia. Reduction in renal perfusion leads to water and sodium retention. Fluid moves
out of the intravascular compartment into the tissues, causing edema. This patient should be
addressed immediately.
Acrocyanosis - Correct Answer- blueish discoloration of the hands and feet and is an
expected finding in a newborn 12 hr after birth.
, Transient strabimus - Correct Answer- Normal variation in the newborn's eyes that can persist
until 4 months of age
Jaundice - Correct Answer- Occurring within the first 24hr of birth is associated with ABO
incompatibility, hemolysis, or Rh-isoimmunization and should be reported to the provider
immediately.
Caput succedaneum - Correct Answer- benign, edematous area of the scalp and is commonly
found on the occiput
Diaphragm teaching - Correct Answer- -Replace every 2years
-Keep the diaphragm in place for at least 6hr after intercourse to provide protection against
pregnancy.
-Avoid using oil-based lubricant because they can weaken the rubber
-The client should have an empty bladder prior to inserting the diaphragm.
How much should a pregnant patient increase her protein intake daily during the second and
third trimesters? - Correct Answer- Increase to 71g.
How many liters of water should a pregnant client consume each day? - Correct Answer- 3L
A client who is pregnant should increase her caloric intake by how much during the second
trimester? Third trimester? - Correct Answer- Second: 340cal, third: 452cal
How much should a pregnant client increase her folic acid intake? - Correct Answer- 600mcg
daily.
Naegele's rule - Correct Answer- Subtract 3 months from the first day the clients last
menstrual period, dd 7 days.
Ex: Last cycle started Nov 27th. Minus 3 months equals August 27th, plus 7 days equals Sept
3rd.
Questions and CORRECT Answers
What is an amniocentesis used for? - Correct Answer- To determine lung maturity, detect
congenital anomalies, and diagnose fetal hemolytic disease
What is a cordocentisis used for? - Correct Answer- To identify fetal blood type and RBC
when there is a risk of isoimmune hemolytic anemia
What is the Kleihauer-Betke test used for? - Correct Answer- To determine the amount of
fetal blood In the maternal circulation when there is a risk of Rh isoimmunization
Abdominal cramping at 11 weeks indicates what? - Correct Answer- It can indicate ectopic
pregnancy or manifestations of spontaneous abortion. This would be a priority action.
Blood nose (epistaxis) at 8 weeks gestation.. - Correct Answer- Is a normal sign
5 steps in bathing a newborn - Correct Answer- 1. Wipe eyes from inner canthus outwards
2. Wash neck by lifting chin
3. Cleanse skin around umbilical cord stump
4. wash legs/feet
5. clean diaper area
Swelling in the face of a pregnant woman is indicative of what? Is it emergent? - Correct
Answer- Swelling of the face, scaral area, and hands indicate gestational HTN or
preeclampsia. Reduction in renal perfusion leads to water and sodium retention. Fluid moves
out of the intravascular compartment into the tissues, causing edema. This patient should be
addressed immediately.
Acrocyanosis - Correct Answer- blueish discoloration of the hands and feet and is an
expected finding in a newborn 12 hr after birth.
, Transient strabimus - Correct Answer- Normal variation in the newborn's eyes that can persist
until 4 months of age
Jaundice - Correct Answer- Occurring within the first 24hr of birth is associated with ABO
incompatibility, hemolysis, or Rh-isoimmunization and should be reported to the provider
immediately.
Caput succedaneum - Correct Answer- benign, edematous area of the scalp and is commonly
found on the occiput
Diaphragm teaching - Correct Answer- -Replace every 2years
-Keep the diaphragm in place for at least 6hr after intercourse to provide protection against
pregnancy.
-Avoid using oil-based lubricant because they can weaken the rubber
-The client should have an empty bladder prior to inserting the diaphragm.
How much should a pregnant patient increase her protein intake daily during the second and
third trimesters? - Correct Answer- Increase to 71g.
How many liters of water should a pregnant client consume each day? - Correct Answer- 3L
A client who is pregnant should increase her caloric intake by how much during the second
trimester? Third trimester? - Correct Answer- Second: 340cal, third: 452cal
How much should a pregnant client increase her folic acid intake? - Correct Answer- 600mcg
daily.
Naegele's rule - Correct Answer- Subtract 3 months from the first day the clients last
menstrual period, dd 7 days.
Ex: Last cycle started Nov 27th. Minus 3 months equals August 27th, plus 7 days equals Sept
3rd.
