5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
ATI RN MATERNAL NEWBORN PRACTICE /RN ATI
Maternal Newborn OB/ EIGTH EDITION BY {Sharon
Murray, and Emily McKinney,} Clinical Judgment
Content And Questions For The Next Generation-
Prepare Student For The Exam Updated Content
Naegele's Test Menstrual period date minus 3 months, plus 7 days and 1 year
G-
Gravida
GTPAL T-
Term
P-
preterm
A-
Abortio
n
L - Living Children
Probable signs of Goodell's sign, ballottement, Chadwick's sign, Hegar's
pregnancy - changes that sign, Abdominal enlargement related to changes in
make the examiner suspect a uterine size, shape, & position, fetal outline felt by
woman is pregnant (related examiner, Braxton Hicks contractions, Positive
to physical changes of the pregnancy test
uterus).
Hegar's sign Softening and compressibility of the lower uterus
Deepened violet-bluish color of
vaginal mucosa secondary to
Chadwick's sign
increased vascularity of the area.
Goodell's sign Softening of cervical tip
1/33
,5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
Rebound of unengaged fetus
Ballottement
Braxton Hicks Painless, irregular contractions that are usually relieved with
walking
Quickening Slight fluttering movements of fetus felt by a woman
Mask of pregnancy (pigmentation
increases on the face)
Chloasma
Dark line of pigmentation from
the umbilicus to the pubic area.
Linea nigra
Stretch marks most often found
on the abdomen and thighs
Striae gravidarum
A RN is teaching a group of Perform the pelvic rock
women who are pregnant exercise every day. Use
about measures to relieve good body mechanics.
backache during
pregnancy. The nurse
should teach the women...
A RN is teaching a group of the client states "I can have a drink of
clients who are pregnant wine with dinner." No alcohol should
about behaviors to avoid be consumed during pregnancy.
during pregnancy. The client
needs further instruction
when
A client who is at 8 weeks of stating, "It is normal to have feelings during the first few
gestation tells the RN that months of pregnancy." Ambivalence during the first
she isn't sure she is happy trimester is a normal response. The client usually
about being pregnant. The overcomes ambivalence before the second trimester.
RN should respond to the
client by
A client who is pregnant Vaginal bleeding
should promptly report *Vaginal bleeding during pregnancy is always a
which of the following dangerous sign and the client should notify her primary
2/33
,5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
symptoms to the primary care provider.
care provider?
A client who is at 7 weeks Eat crackers or plain toast before getting out of bed.
of gestation is experiencing Nausea and vomiting may occur during the first
N/V in the morning. The trimester. The client should eat crackers or dry toast ½ to
nurse in the prenatal clinic 1 hr before rising in the morning to relieve discomfort.
provides teaching that
should include:
Dark green, leafy vegetables
RN working in a prenatal clinic
*Calcium is very important to a developing fetus. It is
is providing education to a
involved in bone and teeth formation.
client who is pregnant. The
Good sources of calcium include calcium-fortified
client states that she hates
orange juice, nuts, legumes, and low oxalate, dark
milk. A good source of
green, leafy vegetables.
calcium
Which of the following A client who has gained 3.6 kg (8 lb) in her first
clients should the nurse be trimester has gained too much weight.
concerned about regarding Recommended weight gain during pregnancy is usually 11.2 to
15.9 kg (25 to 35 lb).
weight gain? A client who
has gained
3/33
, 5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
A prenatal nurse Folic acid supplements are recommended to prevent
recommends folic acid neural tube defects in the fetus. It is recommended that
supplements to a client who all women of childbearing age take this supplement.
is 18. Which of the following Fresh green, leafy vegetables, liver, peanuts, cereals,
defects can occur in the and wholegrain breads.
fetus or neonate as a result
of folic acid deficiency?
A pregnant client is Take the iron supplements with orange juice because
diagnosed with iron Orange juice contains vitamin C, which aids in the
deficiency anemia and has absorption of iron.
been prescribed iron
supplements. The rn should
advise the client to
A nurse is evaluating a client's BPP assesses the fetal well-being by measuring, fetal
biophysical profile (BPP). breathing, tone, reactive FHR, amniotic fluid volume,
Which of the following are and gross body movements with a score of 2 for each
variables should be included normal finding, and 0 for each abnormal finding for
in this test? each variable.
Which of the following is An L/S ratio of 2:1 indicates fetal lung maturity (2.5:1 or
a test for fetal lung 3:1 for a client who has diabetes mellitus).
maturity?
A client who is undergoing a Awaken the sleeping fetus.
nonstress test asks a RN to *If there is no fetal movement (fetus sleeping),
explain why use an acoustic vibroacoustic stimulation (sound source, usually a
vibration device. The RN laryngeal stimulator) is activated for 3 seconds on the
states that the device is used maternal abdomen over the fetal head to awaken a
to: sleeping fetus
A nurse determines that a "I need to have a full bladder for the procedure to be done."
client who is pregnant *An amniocentesis requires an empty bladder to
needs further instructions prevent an inadvertent puncture from occurring.
about an amniocentesis
when the client states,
Which findings from a client Decreased fetal movement, Intrauterine growth
who is pregnant should restriction (IUGR), Postmaturity, Advanced maternal
indicate to a nurse that the age, are all findings that require interventions.
client should undergo a Assessing fetal well-being by performing a CST
4/33
ATI RN MATERNAL NEWBORN PRACTICE /RN ATI
Maternal Newborn OB/ EIGTH EDITION BY {Sharon
Murray, and Emily McKinney,} Clinical Judgment
Content And Questions For The Next Generation-
Prepare Student For The Exam Updated Content
Naegele's Test Menstrual period date minus 3 months, plus 7 days and 1 year
G-
Gravida
GTPAL T-
Term
P-
preterm
A-
Abortio
n
L - Living Children
Probable signs of Goodell's sign, ballottement, Chadwick's sign, Hegar's
pregnancy - changes that sign, Abdominal enlargement related to changes in
make the examiner suspect a uterine size, shape, & position, fetal outline felt by
woman is pregnant (related examiner, Braxton Hicks contractions, Positive
to physical changes of the pregnancy test
uterus).
Hegar's sign Softening and compressibility of the lower uterus
Deepened violet-bluish color of
vaginal mucosa secondary to
Chadwick's sign
increased vascularity of the area.
Goodell's sign Softening of cervical tip
1/33
,5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
Rebound of unengaged fetus
Ballottement
Braxton Hicks Painless, irregular contractions that are usually relieved with
walking
Quickening Slight fluttering movements of fetus felt by a woman
Mask of pregnancy (pigmentation
increases on the face)
Chloasma
Dark line of pigmentation from
the umbilicus to the pubic area.
Linea nigra
Stretch marks most often found
on the abdomen and thighs
Striae gravidarum
A RN is teaching a group of Perform the pelvic rock
women who are pregnant exercise every day. Use
about measures to relieve good body mechanics.
backache during
pregnancy. The nurse
should teach the women...
A RN is teaching a group of the client states "I can have a drink of
clients who are pregnant wine with dinner." No alcohol should
about behaviors to avoid be consumed during pregnancy.
during pregnancy. The client
needs further instruction
when
A client who is at 8 weeks of stating, "It is normal to have feelings during the first few
gestation tells the RN that months of pregnancy." Ambivalence during the first
she isn't sure she is happy trimester is a normal response. The client usually
about being pregnant. The overcomes ambivalence before the second trimester.
RN should respond to the
client by
A client who is pregnant Vaginal bleeding
should promptly report *Vaginal bleeding during pregnancy is always a
which of the following dangerous sign and the client should notify her primary
2/33
,5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
symptoms to the primary care provider.
care provider?
A client who is at 7 weeks Eat crackers or plain toast before getting out of bed.
of gestation is experiencing Nausea and vomiting may occur during the first
N/V in the morning. The trimester. The client should eat crackers or dry toast ½ to
nurse in the prenatal clinic 1 hr before rising in the morning to relieve discomfort.
provides teaching that
should include:
Dark green, leafy vegetables
RN working in a prenatal clinic
*Calcium is very important to a developing fetus. It is
is providing education to a
involved in bone and teeth formation.
client who is pregnant. The
Good sources of calcium include calcium-fortified
client states that she hates
orange juice, nuts, legumes, and low oxalate, dark
milk. A good source of
green, leafy vegetables.
calcium
Which of the following A client who has gained 3.6 kg (8 lb) in her first
clients should the nurse be trimester has gained too much weight.
concerned about regarding Recommended weight gain during pregnancy is usually 11.2 to
15.9 kg (25 to 35 lb).
weight gain? A client who
has gained
3/33
, 5/18/25, 8:56 PM ATI RN MATERNAL NEWBORN PRACTICE /RN ATI Maternal Newborn OB/ EIGTH EDITION BY {Sharon Murray, and Emily McKi…
A prenatal nurse Folic acid supplements are recommended to prevent
recommends folic acid neural tube defects in the fetus. It is recommended that
supplements to a client who all women of childbearing age take this supplement.
is 18. Which of the following Fresh green, leafy vegetables, liver, peanuts, cereals,
defects can occur in the and wholegrain breads.
fetus or neonate as a result
of folic acid deficiency?
A pregnant client is Take the iron supplements with orange juice because
diagnosed with iron Orange juice contains vitamin C, which aids in the
deficiency anemia and has absorption of iron.
been prescribed iron
supplements. The rn should
advise the client to
A nurse is evaluating a client's BPP assesses the fetal well-being by measuring, fetal
biophysical profile (BPP). breathing, tone, reactive FHR, amniotic fluid volume,
Which of the following are and gross body movements with a score of 2 for each
variables should be included normal finding, and 0 for each abnormal finding for
in this test? each variable.
Which of the following is An L/S ratio of 2:1 indicates fetal lung maturity (2.5:1 or
a test for fetal lung 3:1 for a client who has diabetes mellitus).
maturity?
A client who is undergoing a Awaken the sleeping fetus.
nonstress test asks a RN to *If there is no fetal movement (fetus sleeping),
explain why use an acoustic vibroacoustic stimulation (sound source, usually a
vibration device. The RN laryngeal stimulator) is activated for 3 seconds on the
states that the device is used maternal abdomen over the fetal head to awaken a
to: sleeping fetus
A nurse determines that a "I need to have a full bladder for the procedure to be done."
client who is pregnant *An amniocentesis requires an empty bladder to
needs further instructions prevent an inadvertent puncture from occurring.
about an amniocentesis
when the client states,
Which findings from a client Decreased fetal movement, Intrauterine growth
who is pregnant should restriction (IUGR), Postmaturity, Advanced maternal
indicate to a nurse that the age, are all findings that require interventions.
client should undergo a Assessing fetal well-being by performing a CST
4/33
