Maternity ATI Questions And Answers
With Verified Solutions Graded A+ Latest
Update 2025.
Chapter 11 - ANSWER
What are some physiologic changes preceding labor (premonitory signs)? - ANSWER 1.
Backache
2. Weight loss (1-3lbs)
3. Lightening
4. Contractions
5. Bloody show
6. Energy burst (sometimes called nesting response)
7. GI changes
8. Rupture of the membranes
What is lightening - ANSWER When the fetal head descends into true pelvis about 14 days
before labor
Once the membranes rupture when does labor usually occur - ANSWER Within 24 hours
Prolonged rupture of membranes greater than 24 hours before delivery may lead to - ANSWER
An infection
What should a nurse assess immediately following the rupture of membranes - ANSWER The
FHR for abrupt decelerations, which are indicative of fetal distress to rule out umbilical cord prolapse
Assessment of amniotic fluid is completed once the membranes ruptured. How should the amniotic fluid
appear? - ANSWER 1. Should be watery, clear and pale to straw yellow in color
2. Odor should not be foul
3. Volume is between 500 and 1200 ML
Nitrazine paper should be used by a nurse to confirm that amniotic fluid is present. How does this work? -
ANSWER Amniotic fluid is alkaline: Nitrazine paper should be deep blue
Urine is slightly acidic: nitrazine remains yellow
What are the five p's - ANSWER Passenger
Passageway
Powers
,Position
Psychological response
Passenger consists of the fetus and the placenta. It is determined by - ANSWER 1. The size of
the fetal head
2. Fetal presentation
3. Lie
4. Attitude
5. Position
The presentation is the part of the fetus that is entering the pelvic inlet first. It can be - ANSWER
1. Occiput
2. Mentum
3. Shoulder
4. Breach
What is the lie - ANSWER The relationship of the maternal longitudinal axis to the fetal
longitudinal axis (spine)
The attitude is the relationship of fetal body parts to one another such as blank and blank -
ANSWER 1. Fetal flexion: chin flexed to chest, extremities flexed into torso
2. Fetal extension: chin extended away from chest, extremities extended
Fetopelvic or fetal position is the relationship of the presenting part of the fetus in reference to its
directional position as it relates to one of the four maternal pelvic quadrants. It is labeled with three
letters. What does each letter represent? - ANSWER 1. The first letter references either the right
or left side of the maternal pelvis
2. The second letter references the presenting part of the fetus such as M for mentum
3. The third letter references either the anterior (A), posterior (P) or transverse (T) part of the maternal
pelvis
The passageway is the birth canal that is composed of the bony pelvis, cervix, pelvic floor, vagina and
introitus (vaginal opening). The size and shape of the bony pelvis must be adequate to allow -
ANSWER The fetus to pass through
What are powers? - ANSWER Uterine contractions cause effacement and dilation of the cervix
and descent of the fetus
Position refers to the woman who is in labor. The patient should engage in frequent position changes
during labor to - ANSWER Increase comfort, relieve fatigue and promote circulation
Psychological response refers to - ANSWER Maternal stress, tension and anxiety that can
produce physiological changes that impair the progress of labor
, Station is the measurement of fetal descent in centimeters with Station zero being at the level of an
imaginary line at the level of the ischial spines. What are the minus stations and plus stations? -
ANSWER Minus stations superior to the ischial spines
Plus stations inferior to the ischial spine
What is an external electronic monitoring device (tocotransducer)? - ANSWER Separate
transducer applied to the maternal abdomen over the fundus that measures uterine activity
When does a patient normally get screened for group B strep - ANSWER Week 36 to 37
Proteinuria can be indicative of - ANSWER Gestational hypertension
How often should you check the maternal temperature if the membranes are ruptured - ANSWER
Every 1 to 2 hours
A prolonged contraction duration, greater than 90 seconds, or too frequent contractions, more than five in
a 10 minute period, without sufficient time for uterine relaxation in between can reduce blood flow to the
placenta. This can result in - ANSWER Fetal hypoxia and decreased FHR
Characteristics of true versus false labor chart - ANSWER
Mechanism of labor is the adaptations the fetus makes as it progresses through the birth canal during the
birthing process. It begins with engagement which is - ANSWER The presenting part, usually
biparietal (largest) diameter of the fetal head passes the pelvic inlet at the level of the ischial spines.
Referred to as station zero. Next comes descent.
Descent is the progress of the presenting part (preferably the occiput) through the pelvis. It is measured
by - ANSWER Station during a vaginal examination. Next comes flexion
Flexion is when the fetal head meets resistance of the cervix, pelvic wall or pelvic floor. The head flexes,
causing - ANSWER The chin to push against the chest, presenting a smaller diameter to pass
through the pelvis.
The fetal occiput ideally rotates to a lateral anterior position as it progresses from the ischial spines to the
lower pelvis in a corkscrew motion to pass through the pelvis. This is called - ANSWER
Internal rotation. Next is extension
Extension is when the fetal occiput passes under the symphysis pubis and then the head is deflected
anteriorly and is born by - ANSWER Extension of the chin away from the fetal chest
What are the two last mechanisms of labor - ANSWER Restitution/external rotation and
expulsion
In general how long is the first stage of labor - ANSWER 12.5 hours. 1 cm/hour for patients
who are primigravida and 1.5 cm/hour for patients who are multigravida
Stages of labor chart - ANSWER
What do Braxton hicks contractions decrease with - ANSWER Hydration and walking
Chapter 13 - ANSWER
With Verified Solutions Graded A+ Latest
Update 2025.
Chapter 11 - ANSWER
What are some physiologic changes preceding labor (premonitory signs)? - ANSWER 1.
Backache
2. Weight loss (1-3lbs)
3. Lightening
4. Contractions
5. Bloody show
6. Energy burst (sometimes called nesting response)
7. GI changes
8. Rupture of the membranes
What is lightening - ANSWER When the fetal head descends into true pelvis about 14 days
before labor
Once the membranes rupture when does labor usually occur - ANSWER Within 24 hours
Prolonged rupture of membranes greater than 24 hours before delivery may lead to - ANSWER
An infection
What should a nurse assess immediately following the rupture of membranes - ANSWER The
FHR for abrupt decelerations, which are indicative of fetal distress to rule out umbilical cord prolapse
Assessment of amniotic fluid is completed once the membranes ruptured. How should the amniotic fluid
appear? - ANSWER 1. Should be watery, clear and pale to straw yellow in color
2. Odor should not be foul
3. Volume is between 500 and 1200 ML
Nitrazine paper should be used by a nurse to confirm that amniotic fluid is present. How does this work? -
ANSWER Amniotic fluid is alkaline: Nitrazine paper should be deep blue
Urine is slightly acidic: nitrazine remains yellow
What are the five p's - ANSWER Passenger
Passageway
Powers
,Position
Psychological response
Passenger consists of the fetus and the placenta. It is determined by - ANSWER 1. The size of
the fetal head
2. Fetal presentation
3. Lie
4. Attitude
5. Position
The presentation is the part of the fetus that is entering the pelvic inlet first. It can be - ANSWER
1. Occiput
2. Mentum
3. Shoulder
4. Breach
What is the lie - ANSWER The relationship of the maternal longitudinal axis to the fetal
longitudinal axis (spine)
The attitude is the relationship of fetal body parts to one another such as blank and blank -
ANSWER 1. Fetal flexion: chin flexed to chest, extremities flexed into torso
2. Fetal extension: chin extended away from chest, extremities extended
Fetopelvic or fetal position is the relationship of the presenting part of the fetus in reference to its
directional position as it relates to one of the four maternal pelvic quadrants. It is labeled with three
letters. What does each letter represent? - ANSWER 1. The first letter references either the right
or left side of the maternal pelvis
2. The second letter references the presenting part of the fetus such as M for mentum
3. The third letter references either the anterior (A), posterior (P) or transverse (T) part of the maternal
pelvis
The passageway is the birth canal that is composed of the bony pelvis, cervix, pelvic floor, vagina and
introitus (vaginal opening). The size and shape of the bony pelvis must be adequate to allow -
ANSWER The fetus to pass through
What are powers? - ANSWER Uterine contractions cause effacement and dilation of the cervix
and descent of the fetus
Position refers to the woman who is in labor. The patient should engage in frequent position changes
during labor to - ANSWER Increase comfort, relieve fatigue and promote circulation
Psychological response refers to - ANSWER Maternal stress, tension and anxiety that can
produce physiological changes that impair the progress of labor
, Station is the measurement of fetal descent in centimeters with Station zero being at the level of an
imaginary line at the level of the ischial spines. What are the minus stations and plus stations? -
ANSWER Minus stations superior to the ischial spines
Plus stations inferior to the ischial spine
What is an external electronic monitoring device (tocotransducer)? - ANSWER Separate
transducer applied to the maternal abdomen over the fundus that measures uterine activity
When does a patient normally get screened for group B strep - ANSWER Week 36 to 37
Proteinuria can be indicative of - ANSWER Gestational hypertension
How often should you check the maternal temperature if the membranes are ruptured - ANSWER
Every 1 to 2 hours
A prolonged contraction duration, greater than 90 seconds, or too frequent contractions, more than five in
a 10 minute period, without sufficient time for uterine relaxation in between can reduce blood flow to the
placenta. This can result in - ANSWER Fetal hypoxia and decreased FHR
Characteristics of true versus false labor chart - ANSWER
Mechanism of labor is the adaptations the fetus makes as it progresses through the birth canal during the
birthing process. It begins with engagement which is - ANSWER The presenting part, usually
biparietal (largest) diameter of the fetal head passes the pelvic inlet at the level of the ischial spines.
Referred to as station zero. Next comes descent.
Descent is the progress of the presenting part (preferably the occiput) through the pelvis. It is measured
by - ANSWER Station during a vaginal examination. Next comes flexion
Flexion is when the fetal head meets resistance of the cervix, pelvic wall or pelvic floor. The head flexes,
causing - ANSWER The chin to push against the chest, presenting a smaller diameter to pass
through the pelvis.
The fetal occiput ideally rotates to a lateral anterior position as it progresses from the ischial spines to the
lower pelvis in a corkscrew motion to pass through the pelvis. This is called - ANSWER
Internal rotation. Next is extension
Extension is when the fetal occiput passes under the symphysis pubis and then the head is deflected
anteriorly and is born by - ANSWER Extension of the chin away from the fetal chest
What are the two last mechanisms of labor - ANSWER Restitution/external rotation and
expulsion
In general how long is the first stage of labor - ANSWER 12.5 hours. 1 cm/hour for patients
who are primigravida and 1.5 cm/hour for patients who are multigravida
Stages of labor chart - ANSWER
What do Braxton hicks contractions decrease with - ANSWER Hydration and walking
Chapter 13 - ANSWER
