FINALLIZED ATI MATERNITY
EXAM
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.
, Phototherapy - CORRECT ANSWER -Used for hyperbilirubinemia. Do not apply lotion or creams, they can
absorb heat and lead to burns. Do not discontinue therapy if a baby develops a rash because this is
normal during therapy. DO remove all clothing except diaper while under phototherapy.
What is epigastric pain a clinical manifestation of? - CORRECT ANSWER -Preeclampsia and indicates
hepatic involvement, which is an urgent finding.
Terbutaline - CORRECT ANSWER -Helps slow and control contractions in preterm labor.
Admininistered Sc Q4hr, for no longer than 24 hours. Adverse effect is hyperglycemia, hypokalemia, and
hypotension.
Parvovirus B19 (fifth disease) - CORRECT ANSWER -There are no antiviral meds that treat this. The nurse
should schedule a serial ultrasound examination to monitor the fetus during the pregnancy to detect the
possible development of fetal hydrops.
Betamethasone - CORRECT ANSWER -Glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
When a client is getting an amniocentesis, why do they also get an ultrasound? - CORRECT ANSWER -To
locate a pocket of amniotic fluid and the placenta prior to an amniocentesis. This decreased the risk of
injury to the fetus.
Elevating the client's legs is an acceptable intervention for which type of decelerations associated with
maternal hypertension? - CORRECT ANSWER -late
Nitrazine paper test - CORRECT ANSWER -Used to assess components (pH level) of vagialf luid to
determine if the membranes have ruptured.
DTR - CORRECT ANSWER -Indication of the balance between the cerebral cortex and the spinal cord.
Should be 2+, 4+ indicated hyperreflexia.
What is the hight of the fundus from weeks 18-32? - CORRECT ANSWER -It is equal to the number of
weeks of gestation plus or minus 2cm.
EXAM
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.
, Phototherapy - CORRECT ANSWER -Used for hyperbilirubinemia. Do not apply lotion or creams, they can
absorb heat and lead to burns. Do not discontinue therapy if a baby develops a rash because this is
normal during therapy. DO remove all clothing except diaper while under phototherapy.
What is epigastric pain a clinical manifestation of? - CORRECT ANSWER -Preeclampsia and indicates
hepatic involvement, which is an urgent finding.
Terbutaline - CORRECT ANSWER -Helps slow and control contractions in preterm labor.
Admininistered Sc Q4hr, for no longer than 24 hours. Adverse effect is hyperglycemia, hypokalemia, and
hypotension.
Parvovirus B19 (fifth disease) - CORRECT ANSWER -There are no antiviral meds that treat this. The nurse
should schedule a serial ultrasound examination to monitor the fetus during the pregnancy to detect the
possible development of fetal hydrops.
Betamethasone - CORRECT ANSWER -Glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
When a client is getting an amniocentesis, why do they also get an ultrasound? - CORRECT ANSWER -To
locate a pocket of amniotic fluid and the placenta prior to an amniocentesis. This decreased the risk of
injury to the fetus.
Elevating the client's legs is an acceptable intervention for which type of decelerations associated with
maternal hypertension? - CORRECT ANSWER -late
Nitrazine paper test - CORRECT ANSWER -Used to assess components (pH level) of vagialf luid to
determine if the membranes have ruptured.
DTR - CORRECT ANSWER -Indication of the balance between the cerebral cortex and the spinal cord.
Should be 2+, 4+ indicated hyperreflexia.
What is the hight of the fundus from weeks 18-32? - CORRECT ANSWER -It is equal to the number of
weeks of gestation plus or minus 2cm.
