ATI Capstone Maternal Newborn Assessment Exam
2026/2027 UPDATED QUESTIONS WITH ANSWERS
GRADED A+
• high probability for DVT? -✓✓ Wells Score >2
• high probability for PE? -✓✓ Wells criteria >6
• high risk for bleeding 0-3 months? -✓✓ >2 risk factors = no anticoagulation
• contraindicated in renal patients and mechanical heart valve patients? -✓✓ Factor Xa
inhibitors
• 1st line anticoagulation in cancer patients? -✓✓ LMWH
• all VTE treated in what patients? -✓✓ cancer patients
• CI in GFR <30 -✓✓ LMWH and Fondaparinux, prescribe heparin
• high risk for VTE via padua prediction? -✓✓ >4, need pharmacologics unless high risk
of bleeding >2
• low risk padua prediction <4 in nonsurgical patients? -✓✓ no prophylaxis needed
• prophylaxis in orthopedic patients? -✓✓ LMWH for 10-14 days
• most common inherited thrombophilia? -✓✓ Factor V Leiden
• PCR testing- G20210A? -✓✓ Prothrombin Mutation
• mutation on chromosome 3 -✓✓ PROS1 mutation in PRrotein S deficiency
• anticoagulants except heparin and LMWH & VTE within 3 months interferes with what
testing? -✓✓ free protein S levels, protein C function assay, and antithrombin functional
assay
• hemophilia A factor deficiency? -✓✓ factor VIII, sex linked recessive
• factor replacement and dDAVP treatment? -✓✓ hemophilia A
• factor ? in hemophilia B? -✓✓ factor IX
• ? prolonged in hemophilias? -✓✓ PTT
, • ADAMTS13 deficient <10% confirms Dx? -✓✓ Thrombotic thrombocytopenia purpura
TTP
• plasma vWF <30 and factor VIII normal? -✓✓ Von Willebrand Disease
• treatment of type 1 and some of type 2 vWD? -✓✓ dDAVP
• treatment of some type 2 and all type 3 vWD? -✓✓ recombinant vWF
• LDH high, bilirubin high? -✓✓ TTP and ITP
• dexamethasone slows destruction of plts in? -✓✓ TTP and ITP
• transfuse plt in TTP or ITP when? -✓✓ severe bleeding or plt <30,000
• plt destruction and the severe form? -✓✓ HIT 2
• DX of HIT 2? -✓✓ ELISA OD >1.5 and high 4T score probability and serotonin release
assay
• 1st choice DOAC in nonbleeding HIT 2 patients? -✓✓ Argatroban IV to reduce HIT
thrombosis
• prolonged PTT in any factor deficiency except? -✓✓ VII
• bleeding immediately after trauma, petechiae? -✓✓ Thrombocytopenia <150,000
• delayed bleeding in joints, tissue hematomas? -✓✓ Coagulopathies
• thrombocytopenia causes? -✓✓ post op within 2-4 days, cancer, cirrhosis, infections,
malignancy, SLE
• spontaneous bleeding, petechiae present? -✓✓ plt <10,000
• 1st diagnostic in ovarian cancer suspected patients? -✓✓ pelvic exam and
transvaginal US
• surgical exploration definitive dx in? -✓✓ ovarian cancer
• CA 125 >35 marker in 80%? -✓✓ ovarian cancer
• 1st line diagnostic in uterine cancer? -✓✓ pelvic sonogram; biopsy if lining >4mm
2026/2027 UPDATED QUESTIONS WITH ANSWERS
GRADED A+
• high probability for DVT? -✓✓ Wells Score >2
• high probability for PE? -✓✓ Wells criteria >6
• high risk for bleeding 0-3 months? -✓✓ >2 risk factors = no anticoagulation
• contraindicated in renal patients and mechanical heart valve patients? -✓✓ Factor Xa
inhibitors
• 1st line anticoagulation in cancer patients? -✓✓ LMWH
• all VTE treated in what patients? -✓✓ cancer patients
• CI in GFR <30 -✓✓ LMWH and Fondaparinux, prescribe heparin
• high risk for VTE via padua prediction? -✓✓ >4, need pharmacologics unless high risk
of bleeding >2
• low risk padua prediction <4 in nonsurgical patients? -✓✓ no prophylaxis needed
• prophylaxis in orthopedic patients? -✓✓ LMWH for 10-14 days
• most common inherited thrombophilia? -✓✓ Factor V Leiden
• PCR testing- G20210A? -✓✓ Prothrombin Mutation
• mutation on chromosome 3 -✓✓ PROS1 mutation in PRrotein S deficiency
• anticoagulants except heparin and LMWH & VTE within 3 months interferes with what
testing? -✓✓ free protein S levels, protein C function assay, and antithrombin functional
assay
• hemophilia A factor deficiency? -✓✓ factor VIII, sex linked recessive
• factor replacement and dDAVP treatment? -✓✓ hemophilia A
• factor ? in hemophilia B? -✓✓ factor IX
• ? prolonged in hemophilias? -✓✓ PTT
, • ADAMTS13 deficient <10% confirms Dx? -✓✓ Thrombotic thrombocytopenia purpura
TTP
• plasma vWF <30 and factor VIII normal? -✓✓ Von Willebrand Disease
• treatment of type 1 and some of type 2 vWD? -✓✓ dDAVP
• treatment of some type 2 and all type 3 vWD? -✓✓ recombinant vWF
• LDH high, bilirubin high? -✓✓ TTP and ITP
• dexamethasone slows destruction of plts in? -✓✓ TTP and ITP
• transfuse plt in TTP or ITP when? -✓✓ severe bleeding or plt <30,000
• plt destruction and the severe form? -✓✓ HIT 2
• DX of HIT 2? -✓✓ ELISA OD >1.5 and high 4T score probability and serotonin release
assay
• 1st choice DOAC in nonbleeding HIT 2 patients? -✓✓ Argatroban IV to reduce HIT
thrombosis
• prolonged PTT in any factor deficiency except? -✓✓ VII
• bleeding immediately after trauma, petechiae? -✓✓ Thrombocytopenia <150,000
• delayed bleeding in joints, tissue hematomas? -✓✓ Coagulopathies
• thrombocytopenia causes? -✓✓ post op within 2-4 days, cancer, cirrhosis, infections,
malignancy, SLE
• spontaneous bleeding, petechiae present? -✓✓ plt <10,000
• 1st diagnostic in ovarian cancer suspected patients? -✓✓ pelvic exam and
transvaginal US
• surgical exploration definitive dx in? -✓✓ ovarian cancer
• CA 125 >35 marker in 80%? -✓✓ ovarian cancer
• 1st line diagnostic in uterine cancer? -✓✓ pelvic sonogram; biopsy if lining >4mm
