ATI MATERNAL NEWBORN, 2024 PROCTORED
EXAM WITH QUESTIONS AND CORRECT
ANSWERS
FHR can be heard by Doppler at: - CORRECT ANSWER ✅✅✅10-12 weeks GA
When should you start measuring a woman's fundal height? - CORRECT ANSWER
✅✅✅After > 12 weeks GA
Between 18 and 30 weeks the fundal height should measure what? - CORRECT
ANSWER ✅✅✅It should equal the week of gestation
MSAFP screening is done: - CORRECT 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 : - CORRECT ANSWER
✅✅✅Low Birth Weight
Pregnant mothers should consume how much water each day? - CORRECT
ANSWER ✅✅✅2 to 3 Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
CORRECT ANSWER ✅✅✅Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - CORRECT ANSWER
✅✅✅25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - CORRECT ANSWER ✅✅✅Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. -
CORRECT ANSWER ✅✅✅600
,It is recommended that clients who are lactating consume ____ mcg of folic acid. -
CORRECT ANSWER ✅✅✅500
What vitamin aids in the absorption of Iron? - CORRECT ANSWER ✅✅✅Vitamin
C
The clients bladder needs to be _____ before an ultrasound. - CORRECT ANSWER
✅✅✅Full
biophysical profile (BPP) normal score is - CORRECT ANSWER ✅✅✅A
biophysical profile (BPP) test measures the health of your baby (fetus) during
pregnancy.
8-10
BPP abnormal score is - CORRECT ANSWER ✅✅✅<4
If a BPP comes back as 6..... - CORRECT ANSWER ✅✅✅It should be retested
BPP assess for - CORRECT ANSWER ✅✅✅Fetal well being
non-stress test ( NST) - CORRECT ANSWER ✅✅✅most widely used technique
for antepartum evaluation of fetal well being performed during the third trimester.
Reactive NST - CORRECT 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? - CORRECT 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 - CORRECT 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: - CORRECT ANSWER ✅✅✅Persistent and
consistent late decels on more than half of the contractions.
An amniocentesis may be performed when? - CORRECT ANSWER ✅✅✅After
14 weeks gestation
AFP can be measured from the amniotic fluid between: - CORRECT ANSWER
✅✅✅16 and 18 weeks
alpha-fetoprotein
, Presence of PG on a fetal lung test is associated with: - CORRECT ANSWER
✅✅✅Respiratory distress
CVS can be done at - CORRECT ANSWER ✅✅✅10-12 weeks
Chorionic villus sampling (CVS) is a prenatal test that diagnoses chromosomal
abnormalities such as Down syndrome, as well as a host of other genetic disorders.
The doctor takes cells from tiny fingerlike projections on your placenta called the
chorionic villi and sends them to a lab for genetic analysis.
First stage of labor: - CORRECT ANSWER ✅✅✅1-1.5 cm (onset of labor)
Latent phase of labor: - CORRECT ANSWER ✅✅✅0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec
Active phase of labor: - CORRECT ANSWER ✅✅✅4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
Transition phase of labor - CORRECT ANSWER ✅✅✅8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
Second stage of labor: - CORRECT ANSWER ✅✅✅Full dilation
Intense contractions
BIRTH!!
Third stage of labor: - CORRECT ANSWER ✅✅✅Delivery of placenta
Fourth stage: - CORRECT ANSWER ✅✅✅Maternal stabilization of vital signs
First stage pain: - CORRECT ANSWER ✅✅✅internal visceral
may be felt as back/leg pain
Second stage pain: - CORRECT ANSWER ✅✅✅somatic
occurs with fetal descent and expulsion
Third stage pain: - CORRECT ANSWER ✅✅✅similar to first stage pain
Pain S&S: - CORRECT ANSWER ✅✅✅Increased BP
Tachycardia
EXAM WITH QUESTIONS AND CORRECT
ANSWERS
FHR can be heard by Doppler at: - CORRECT ANSWER ✅✅✅10-12 weeks GA
When should you start measuring a woman's fundal height? - CORRECT ANSWER
✅✅✅After > 12 weeks GA
Between 18 and 30 weeks the fundal height should measure what? - CORRECT
ANSWER ✅✅✅It should equal the week of gestation
MSAFP screening is done: - CORRECT 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 : - CORRECT ANSWER
✅✅✅Low Birth Weight
Pregnant mothers should consume how much water each day? - CORRECT
ANSWER ✅✅✅2 to 3 Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? -
CORRECT ANSWER ✅✅✅Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - CORRECT ANSWER
✅✅✅25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - CORRECT ANSWER ✅✅✅Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
It is recommended that _____ mcg of folic acid be taken during pregnancy. -
CORRECT ANSWER ✅✅✅600
,It is recommended that clients who are lactating consume ____ mcg of folic acid. -
CORRECT ANSWER ✅✅✅500
What vitamin aids in the absorption of Iron? - CORRECT ANSWER ✅✅✅Vitamin
C
The clients bladder needs to be _____ before an ultrasound. - CORRECT ANSWER
✅✅✅Full
biophysical profile (BPP) normal score is - CORRECT ANSWER ✅✅✅A
biophysical profile (BPP) test measures the health of your baby (fetus) during
pregnancy.
8-10
BPP abnormal score is - CORRECT ANSWER ✅✅✅<4
If a BPP comes back as 6..... - CORRECT ANSWER ✅✅✅It should be retested
BPP assess for - CORRECT ANSWER ✅✅✅Fetal well being
non-stress test ( NST) - CORRECT ANSWER ✅✅✅most widely used technique
for antepartum evaluation of fetal well being performed during the third trimester.
Reactive NST - CORRECT 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? - CORRECT 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 - CORRECT 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: - CORRECT ANSWER ✅✅✅Persistent and
consistent late decels on more than half of the contractions.
An amniocentesis may be performed when? - CORRECT ANSWER ✅✅✅After
14 weeks gestation
AFP can be measured from the amniotic fluid between: - CORRECT ANSWER
✅✅✅16 and 18 weeks
alpha-fetoprotein
, Presence of PG on a fetal lung test is associated with: - CORRECT ANSWER
✅✅✅Respiratory distress
CVS can be done at - CORRECT ANSWER ✅✅✅10-12 weeks
Chorionic villus sampling (CVS) is a prenatal test that diagnoses chromosomal
abnormalities such as Down syndrome, as well as a host of other genetic disorders.
The doctor takes cells from tiny fingerlike projections on your placenta called the
chorionic villi and sends them to a lab for genetic analysis.
First stage of labor: - CORRECT ANSWER ✅✅✅1-1.5 cm (onset of labor)
Latent phase of labor: - CORRECT ANSWER ✅✅✅0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec
Active phase of labor: - CORRECT ANSWER ✅✅✅4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
Transition phase of labor - CORRECT ANSWER ✅✅✅8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
Second stage of labor: - CORRECT ANSWER ✅✅✅Full dilation
Intense contractions
BIRTH!!
Third stage of labor: - CORRECT ANSWER ✅✅✅Delivery of placenta
Fourth stage: - CORRECT ANSWER ✅✅✅Maternal stabilization of vital signs
First stage pain: - CORRECT ANSWER ✅✅✅internal visceral
may be felt as back/leg pain
Second stage pain: - CORRECT ANSWER ✅✅✅somatic
occurs with fetal descent and expulsion
Third stage pain: - CORRECT ANSWER ✅✅✅similar to first stage pain
Pain S&S: - CORRECT ANSWER ✅✅✅Increased BP
Tachycardia