ATI PN MATERNAL NEWBORN PROCTORED
REVIEW CORE CONTENT OUTLINE 2026
◉ Oral contraceptive danger indications. Answer: Shortness of
breath can indicate pulmonary embolism or myocardial infarction
◉ IUD (intrauterine device). Answer: Check for presence of IUD
strings following each menstruation to ensure the device is still
present. A change in the length of the strings should be reported to
the provider
◉ Implantable progestins adverse effects. Answer: Irregular vaginal
bleeding
weight gain
breast changes
◉ medroxyprogesterone. Answer: clients should take calcium and
vitamin D o prevent loss of bone density
can cause irregular bleeding
◉ Signs of pregnancy: Presumptive. Answer: changes might be
subjective or objective:
amenorrhea (no periods)
,fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks
gestation)
abdominal enlargement
◉ Signs of Pregnancy: Probable. Answer: changes that make the
examiner suspect pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
◉ Signs of Pregnancy: Positive. Answer: those explained only by
pregnancy:
fetal heart sounds
,visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
◉ hCG blood / urine test. Answer: Human chorionic gonadotropin:
can start as early as day of implantation and can be detected about 8
days after conception.
peaks about day 60-70, declines til day 100-130 then incline until
term
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
◉ Gravidity. Answer: Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
◉ Parity. Answer: Number of pregnancies which fetus reached 20
weeks ( includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
◉ Viability. Answer: Point at which a fetus can survive outside the
womb.
, ◉ GTPAL. Answer: Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
◉ Physiological changes. Answer: stretch marks
hyperpigmentation
◉ Supine hypotensive syndrome. Answer: Low blood pressure
resulting from compression of the inferior vena cava by the weight
of the pregnant uterus when the mother is supine.
lie on left side with head elevated on a pillow
◉ pulse during pregnancy. Answer: increases 10 to 15/min around
32 weeks until term
◉ FHR. Answer: 110-160 beats/min
◉ Cardiovasuclar changes. Answer: Output increases
REVIEW CORE CONTENT OUTLINE 2026
◉ Oral contraceptive danger indications. Answer: Shortness of
breath can indicate pulmonary embolism or myocardial infarction
◉ IUD (intrauterine device). Answer: Check for presence of IUD
strings following each menstruation to ensure the device is still
present. A change in the length of the strings should be reported to
the provider
◉ Implantable progestins adverse effects. Answer: Irregular vaginal
bleeding
weight gain
breast changes
◉ medroxyprogesterone. Answer: clients should take calcium and
vitamin D o prevent loss of bone density
can cause irregular bleeding
◉ Signs of pregnancy: Presumptive. Answer: changes might be
subjective or objective:
amenorrhea (no periods)
,fatigue
nausea and vomiting
urinary frequency
breast changes
quickening (fluttering movements of a fetus 16 to 20 weeks
gestation)
abdominal enlargement
◉ Signs of Pregnancy: Probable. Answer: changes that make the
examiner suspect pregnancy:
uterine enlargement
Hegar's sign (soft lower uterus)
chadwick's sign ( bluish cervix)
goodell's sign ( softening cervix tip)
ballottement
braxton Hickscontractions
positive pregnancy test
fetal outline felt by examiner
◉ Signs of Pregnancy: Positive. Answer: those explained only by
pregnancy:
fetal heart sounds
,visualization of fetus by ultrasound
fetal movement palpated by experienced examiner
◉ hCG blood / urine test. Answer: Human chorionic gonadotropin:
can start as early as day of implantation and can be detected about 8
days after conception.
peaks about day 60-70, declines til day 100-130 then incline until
term
raised levels=multifetal, ectopic, hydatidiform mole
low level= miscarriage, ectopic
◉ Gravidity. Answer: Nulligravida: never been pregnant
Primigravida: this is first pregnancy
Multigravida: two or more
◉ Parity. Answer: Number of pregnancies which fetus reached 20
weeks ( includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more
◉ Viability. Answer: Point at which a fetus can survive outside the
womb.
, ◉ GTPAL. Answer: Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living
◉ Physiological changes. Answer: stretch marks
hyperpigmentation
◉ Supine hypotensive syndrome. Answer: Low blood pressure
resulting from compression of the inferior vena cava by the weight
of the pregnant uterus when the mother is supine.
lie on left side with head elevated on a pillow
◉ pulse during pregnancy. Answer: increases 10 to 15/min around
32 weeks until term
◉ FHR. Answer: 110-160 beats/min
◉ Cardiovasuclar changes. Answer: Output increases
