ATI / VATI Maternal–Newborn Nursing
Enhanced Remediation & Final Review — 2022 Topic-Informed Edition
Study-use note: This is an original expanded reviewer based on the accessible public preview of the referenced Stuvia
document and standard maternal-newborn nursing concepts. It does not reproduce paid/locked material or claim to contain actual
current exam questions.
Preview topic signals: prolapsed umbilical cord interventions, prevention of meconium aspiration, contraction stress testing,
fundal height, infant-abduction prevention, nonstress testing, mastitis, Nägele’s rule, pregnancy warning signs, iron
supplementation, hyperemesis/dehydration, hydrotherapy during labor, Rh issues, newborn screening, cesarean gas pain, fetal
kick counts, and gestational-diabetes hypoglycemia teaching.
HIGH-YIELD PRIORITY MAP
Maternal emergencies: postpartum hemorrhage, severe hypertension/preeclampsia, placental abruption/previa, prolapsed cord,
ectopic pregnancy, infection/sepsis, and thromboembolism.
Fetal surveillance: fetal movement, NST/BPP concepts, contraction stress testing, baseline FHR, variability, accelerations,
decelerations, and intrauterine resuscitation principles.
Newborn priorities: airway/breathing, temperature, glucose risk, infection prevention, feeding, jaundice, safe sleep, screening,
and parent education.
ATI/VATI Maternal–Newborn Enhanced Remediation Reviewer Page 1
, 1. ANTENATAL ASSESSMENT & PREGNANCY WARNING SIGNS
Q1. What is fundal height used to assess?
A: After approximately 20 weeks, fundal height in centimeters can provide a rough estimate of gestational growth and
help identify deviations that warrant further assessment. It is a screening tool, not a definitive measurement of fetal
growth.
Q2. How is Nägele’s rule used?
A: Start with the first day of the last menstrual period, subtract 3 months, then add 7 days and adjust the year as
needed. The result is an estimated date of birth; ultrasound may provide a more accurate estimate when clinically
appropriate.
Q3. Which pregnancy symptoms should prompt urgent provider evaluation?
A: Examples include vaginal bleeding, leaking fluid, severe or persistent abdominal pain, severe headache or visual
changes, decreased fetal movement, fever, seizures, chest pain, dyspnea, or signs of preterm labor.
Q4. Why is sudden facial/hand swelling concerning when combined with headache or visual changes?
A: These findings can accompany hypertensive disorders of pregnancy, particularly preeclampsia. The nurse should
assess blood pressure and symptoms promptly and escalate concerning findings.
Q5. What is hyperemesis gravidarum?
A: Severe persistent nausea and vomiting during pregnancy that can cause dehydration, electrolyte abnormalities,
weight loss, ketonuria, and nutritional deficits. Management focuses on hydration, symptom control, nutrition, and
monitoring.
Q6. What objective findings support dehydration?
A: Poor skin turgor, dry mucous membranes, tachycardia, orthostatic changes, decreased urine output, concentrated
urine, weight loss, and abnormal electrolytes may occur.
ATI/VATI Maternal–Newborn Enhanced Remediation Reviewer Page 2
Enhanced Remediation & Final Review — 2022 Topic-Informed Edition
Study-use note: This is an original expanded reviewer based on the accessible public preview of the referenced Stuvia
document and standard maternal-newborn nursing concepts. It does not reproduce paid/locked material or claim to contain actual
current exam questions.
Preview topic signals: prolapsed umbilical cord interventions, prevention of meconium aspiration, contraction stress testing,
fundal height, infant-abduction prevention, nonstress testing, mastitis, Nägele’s rule, pregnancy warning signs, iron
supplementation, hyperemesis/dehydration, hydrotherapy during labor, Rh issues, newborn screening, cesarean gas pain, fetal
kick counts, and gestational-diabetes hypoglycemia teaching.
HIGH-YIELD PRIORITY MAP
Maternal emergencies: postpartum hemorrhage, severe hypertension/preeclampsia, placental abruption/previa, prolapsed cord,
ectopic pregnancy, infection/sepsis, and thromboembolism.
Fetal surveillance: fetal movement, NST/BPP concepts, contraction stress testing, baseline FHR, variability, accelerations,
decelerations, and intrauterine resuscitation principles.
Newborn priorities: airway/breathing, temperature, glucose risk, infection prevention, feeding, jaundice, safe sleep, screening,
and parent education.
ATI/VATI Maternal–Newborn Enhanced Remediation Reviewer Page 1
, 1. ANTENATAL ASSESSMENT & PREGNANCY WARNING SIGNS
Q1. What is fundal height used to assess?
A: After approximately 20 weeks, fundal height in centimeters can provide a rough estimate of gestational growth and
help identify deviations that warrant further assessment. It is a screening tool, not a definitive measurement of fetal
growth.
Q2. How is Nägele’s rule used?
A: Start with the first day of the last menstrual period, subtract 3 months, then add 7 days and adjust the year as
needed. The result is an estimated date of birth; ultrasound may provide a more accurate estimate when clinically
appropriate.
Q3. Which pregnancy symptoms should prompt urgent provider evaluation?
A: Examples include vaginal bleeding, leaking fluid, severe or persistent abdominal pain, severe headache or visual
changes, decreased fetal movement, fever, seizures, chest pain, dyspnea, or signs of preterm labor.
Q4. Why is sudden facial/hand swelling concerning when combined with headache or visual changes?
A: These findings can accompany hypertensive disorders of pregnancy, particularly preeclampsia. The nurse should
assess blood pressure and symptoms promptly and escalate concerning findings.
Q5. What is hyperemesis gravidarum?
A: Severe persistent nausea and vomiting during pregnancy that can cause dehydration, electrolyte abnormalities,
weight loss, ketonuria, and nutritional deficits. Management focuses on hydration, symptom control, nutrition, and
monitoring.
Q6. What objective findings support dehydration?
A: Poor skin turgor, dry mucous membranes, tachycardia, orthostatic changes, decreased urine output, concentrated
urine, weight loss, and abnormal electrolytes may occur.
ATI/VATI Maternal–Newborn Enhanced Remediation Reviewer Page 2
