ATI Maternal Newborn Proctored Exam Study Guide (2025
Updated)
1. Fetal Heart Rate (FHR) Patterns
Pattern Meaning Nursing Action
Baseline 110–160 Normal Continue monitoring
Tachycardia >160 Infection, hypoxia Fluids, O₂, notify provider
Bradycardia <110 Cord compression, maternal Reposition, O₂, stop Pitocin
hypotension
Early Decels Head compression Benign, no action
Variable Decels Cord compression Reposition first, then O₂
Late Decels Placental insufficiency Stop Pitocin, O₂, side-lying, IV
fluids
KEY TEST MEMORY TRIGGER:
VEAL CHOP
Variable → Cord compression
Early → Head compression
Accels → Okay
Late → Placental perfusion problem
2. Stages of Labor
Stage Description Nursing Focus
1st Stage Cervical dilation (0–10 cm) Breathing, comfort, fetal monitoring
2nd Stage Full dilation → Birth Support pushing, FHR monitoring
3rd Stage Delivery of placenta Assess bleeding, fundal massage
4th Stage Immediate postpartum (2 hrs) Vitals, lochia, uterine tone
FUNDUS SHOULD BE:
Firm, midline, at umbilicus immediately postpartum.
If boggy → Perform fundal massage.
Updated)
1. Fetal Heart Rate (FHR) Patterns
Pattern Meaning Nursing Action
Baseline 110–160 Normal Continue monitoring
Tachycardia >160 Infection, hypoxia Fluids, O₂, notify provider
Bradycardia <110 Cord compression, maternal Reposition, O₂, stop Pitocin
hypotension
Early Decels Head compression Benign, no action
Variable Decels Cord compression Reposition first, then O₂
Late Decels Placental insufficiency Stop Pitocin, O₂, side-lying, IV
fluids
KEY TEST MEMORY TRIGGER:
VEAL CHOP
Variable → Cord compression
Early → Head compression
Accels → Okay
Late → Placental perfusion problem
2. Stages of Labor
Stage Description Nursing Focus
1st Stage Cervical dilation (0–10 cm) Breathing, comfort, fetal monitoring
2nd Stage Full dilation → Birth Support pushing, FHR monitoring
3rd Stage Delivery of placenta Assess bleeding, fundal massage
4th Stage Immediate postpartum (2 hrs) Vitals, lochia, uterine tone
FUNDUS SHOULD BE:
Firm, midline, at umbilicus immediately postpartum.
If boggy → Perform fundal massage.
