CAPSTONE MATERNAL ATI PROCTORED ASSESSMENT
WITH 400+ QUESTIONS AND 100% CORRECT ANSWERS
UPDATED 2025/2026 GRADED A+
Ovarian cycle VERIFIED ANSWER Follicular phase: begins first day of
menstruation (day 1) through 14 of a typical 28 day cycle. In
preovulatory phase, FSH is secreted by anterior pituitary and rises
triggering on dominant follicle to emerge. As the dominant follicle
develops it moves toward surface of ovary in anticipation for LH to
surge.
Ovulatory phase: Ovulation is the process that release mature ovum
from from dominant follicle about 24 to 36 hours prior to ovulation,
there is a marked rise in LH that prompts the final maturation of ova and
its released. Ovum is picked up by fimbriated end of Fallopian tube and
transported to uterus.
Luteral phase: begins immediately after ovulation and ends with
initiation of menstruation. This phase is relatively constant at 14 days.
LH helps form corpus letup and corpus letup secretes progesterone and
some estrogen to start negative feedback loop to the HPO axis and
prevent further ovulation in current.
Corpus lute, reaches peak of functional activity 8 days after ovulation.
If conception occurs, the fertilized ovum is implanted in the prepared
endometrium.
In absence of implantation, corpus lute regresses, estrogen and
progesterone levels decrease, endometrium is shed via menstruation
,Indications for ovulation VERIFIED ANSWER a slight drop in
temperature 1 day before ovulation (basal body temperature may be less
Han 37degrees, a rise of 0.5 degree to 1 degree in temperature occurs at
ovulation). Temperature remains elevated for approximately 10 to 12
hours
Preovulatory and postovulatory mucus is thick, but at ovulation, cervical
mucus is abundant, watery, thin and clear (resembles egg white called
spinnbarkeit)
Cervical os dilate slight, soften and rise in vagina. Some women have
localized abdominal pain
Fertile periods begins 4 to 5 days prior to ovulation and ends 24 to 48 hr
after ovulation.
Endometrial cycle VERIFIED ANSWER Menstrual cycle: begins with
initiation of menses. Periodic vasoconstriction in upper layers of the
endometrium initiates shedding of functional 2/3 of the endometrium.
menses or menstrual flow, typically last three to five days but normal
variations are noted as little as 2 days up to 7 days from nor. Average
amount ranges from 35 to 80, median 50
Proliferative phase: primarily influenced by estrogen. Typically begins 4
to 5 and replenishes endometrium after menses. This phase lasts about
10 days
,Secretory phase: primarily influenced by progesterone. Begins at
ovulation usually day 15, and last through day 28. Endometrium
becomes thicken and prepares for implantation of fertilized ovum.
Implantation of fertilized ovum usually occurs about 7 to 10 days after
ovulation. if fertilization does not occurs, endometrium is shredded.
Ischemic phase: blood supply to the superficial endometrial layers
decreases to endometrial layer causing ischemia and triggering menses.
Presumptive signs of pregnancy (subjective) VERIFIED ANSWER
fatigue, amenorrhea, nausea, and vomiting, urinary frequency, Brest
changes, quickening
Probable signs (objective) VERIFIED ANSWER measured by provider
Hegar sign (softening of isthmus of cervic)
Goodell sign (softening of cervix at approximately 4 weeks of gestation)
Chadwicks sign: blueish violet color of cervic and vaginal at 6 to 8
weeks
Positive pregnancy test
Positive (objective) VERIFIED ANSWER fetal heart tones,
visualization of fetus on an ultrasound
, GHCCG levels VERIFIED ANSWER can be detected as soon as 7 to 8
days before expected menses, usually double every 2 days for the first 4
weeks of pregnancy and peak at about 60 to 7 days
Extreme levels increased risk for hyperemia gravid
First Trimester changes VERIFIED ANSWER determine last menstrual
period, first 12 weeks
Uterus begins to change from pear shape to globular ball shape. Size
remains below symphysis pubis
There is often no noticeable weight gain
Vaginal discharge may start to increase (leukorrhea)
Urinary frequency
Breast tenderness
Weight gain is 2 to 4 lb during first trimester
Common discomfort of pregnancy:
Nausea may be relieved by eat small, frequent smeals, avoiding fatty
fried foods with strong odors, avoiding skipping meals. Antiemetic
medications
Breast tenderness may be lessened by wearing a supportive bra
Constipation may occur due to progesterone changes. Increased fluids,
drink, warm liquids, eat food with fiber and avoid castor oild
WITH 400+ QUESTIONS AND 100% CORRECT ANSWERS
UPDATED 2025/2026 GRADED A+
Ovarian cycle VERIFIED ANSWER Follicular phase: begins first day of
menstruation (day 1) through 14 of a typical 28 day cycle. In
preovulatory phase, FSH is secreted by anterior pituitary and rises
triggering on dominant follicle to emerge. As the dominant follicle
develops it moves toward surface of ovary in anticipation for LH to
surge.
Ovulatory phase: Ovulation is the process that release mature ovum
from from dominant follicle about 24 to 36 hours prior to ovulation,
there is a marked rise in LH that prompts the final maturation of ova and
its released. Ovum is picked up by fimbriated end of Fallopian tube and
transported to uterus.
Luteral phase: begins immediately after ovulation and ends with
initiation of menstruation. This phase is relatively constant at 14 days.
LH helps form corpus letup and corpus letup secretes progesterone and
some estrogen to start negative feedback loop to the HPO axis and
prevent further ovulation in current.
Corpus lute, reaches peak of functional activity 8 days after ovulation.
If conception occurs, the fertilized ovum is implanted in the prepared
endometrium.
In absence of implantation, corpus lute regresses, estrogen and
progesterone levels decrease, endometrium is shed via menstruation
,Indications for ovulation VERIFIED ANSWER a slight drop in
temperature 1 day before ovulation (basal body temperature may be less
Han 37degrees, a rise of 0.5 degree to 1 degree in temperature occurs at
ovulation). Temperature remains elevated for approximately 10 to 12
hours
Preovulatory and postovulatory mucus is thick, but at ovulation, cervical
mucus is abundant, watery, thin and clear (resembles egg white called
spinnbarkeit)
Cervical os dilate slight, soften and rise in vagina. Some women have
localized abdominal pain
Fertile periods begins 4 to 5 days prior to ovulation and ends 24 to 48 hr
after ovulation.
Endometrial cycle VERIFIED ANSWER Menstrual cycle: begins with
initiation of menses. Periodic vasoconstriction in upper layers of the
endometrium initiates shedding of functional 2/3 of the endometrium.
menses or menstrual flow, typically last three to five days but normal
variations are noted as little as 2 days up to 7 days from nor. Average
amount ranges from 35 to 80, median 50
Proliferative phase: primarily influenced by estrogen. Typically begins 4
to 5 and replenishes endometrium after menses. This phase lasts about
10 days
,Secretory phase: primarily influenced by progesterone. Begins at
ovulation usually day 15, and last through day 28. Endometrium
becomes thicken and prepares for implantation of fertilized ovum.
Implantation of fertilized ovum usually occurs about 7 to 10 days after
ovulation. if fertilization does not occurs, endometrium is shredded.
Ischemic phase: blood supply to the superficial endometrial layers
decreases to endometrial layer causing ischemia and triggering menses.
Presumptive signs of pregnancy (subjective) VERIFIED ANSWER
fatigue, amenorrhea, nausea, and vomiting, urinary frequency, Brest
changes, quickening
Probable signs (objective) VERIFIED ANSWER measured by provider
Hegar sign (softening of isthmus of cervic)
Goodell sign (softening of cervix at approximately 4 weeks of gestation)
Chadwicks sign: blueish violet color of cervic and vaginal at 6 to 8
weeks
Positive pregnancy test
Positive (objective) VERIFIED ANSWER fetal heart tones,
visualization of fetus on an ultrasound
, GHCCG levels VERIFIED ANSWER can be detected as soon as 7 to 8
days before expected menses, usually double every 2 days for the first 4
weeks of pregnancy and peak at about 60 to 7 days
Extreme levels increased risk for hyperemia gravid
First Trimester changes VERIFIED ANSWER determine last menstrual
period, first 12 weeks
Uterus begins to change from pear shape to globular ball shape. Size
remains below symphysis pubis
There is often no noticeable weight gain
Vaginal discharge may start to increase (leukorrhea)
Urinary frequency
Breast tenderness
Weight gain is 2 to 4 lb during first trimester
Common discomfort of pregnancy:
Nausea may be relieved by eat small, frequent smeals, avoiding fatty
fried foods with strong odors, avoiding skipping meals. Antiemetic
medications
Breast tenderness may be lessened by wearing a supportive bra
Constipation may occur due to progesterone changes. Increased fluids,
drink, warm liquids, eat food with fiber and avoid castor oild
