OB proctored ATI exit exam with questions and verified answers

,FHR can be heard by Doppler at: - CORRECT ANSWERS -10-12 weeks GA

When should you start measuring a woman's fundal height? - CORRECT ANSWERS -
After 12 weeks GA

Between 18 and 30 weeks the fundal height should measure what? - CORRECT
ANSWERS -It should equal the week of gestation

MSAFP screening is done: - CORRECT ANSWERS -15-22 weeks of gestation

Smoking tobacco during pregnancy is associated with : - CORRECT ANSWERS -Low
Birth Weight

Pregnant mothers should consume how much water each day? - CORRECT
ANSWERS -2 to 3 Liters of water from food and beverage sources.

Regarding kick counts, what are signs that a woman needs further evaluation? -
CORRECT ANSWERS -Fetal movements of less than 3 in one hour
No fetal movement for 12 hours

The recommended weight gain during pregnancy is usually: - CORRECT ANSWERS -
25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters

Foods high in folic acid are: - CORRECT ANSWERS -Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice

It is recommended that _____ mcg of folic acid be taken during pregnancy. - CORRECT
ANSWERS -600

It is recommended that clients who are lactating consume ____ mcg of folic acid. -
CORRECT ANSWERS -500

What vitamin aids in the absorption of Iron? - CORRECT ANSWERS -Vitamin C

The clients bladder needs to be _____ before an ultrasound. - CORRECT ANSWERS -
Full

BPP: normal score is - CORRECT ANSWERS -8-10

BPP abnormal score is - CORRECT ANSWERS -<4

,If a BPP comes back as 6..... - CORRECT ANSWERS -It should be retested

BPP assess for - CORRECT ANSWERS -Fetal well being

NST - CORRECT ANSWERS -most widely used technique for antepartum evaluation of
fetal well being performed during the third trimester.

Reactive NST - CORRECT ANSWERS -FHR is a normal baseline rate with moderate
variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period

A non reactive NST would indicate what about the fetus? - CORRECT ANSWERS -The
fetal heart rate does not accelerate adequately with fetal movement.
-A BPP or CST will need to be done now

Positive CST is normal or abnormal - CORRECT ANSWERS -abnormal

Positive CST is indicated when: - CORRECT ANSWERS -Persistent and consistent late
decels on more than half of the contractions.

An amniocentesis may be performed when? - CORRECT ANSWERS -After 14 weeks
gestation

AFP can be measured from the amniotic fluid between: - CORRECT ANSWERS -16
and 18 weeks

Presence of PG on a fetal lung test is associated with: - CORRECT ANSWERS -
Respiratory distress

CVS can be done at - CORRECT ANSWERS -10-12 weeks

Quad screen can be done when? - CORRECT ANSWERS -15-20 weeks GA

MSAFP can be done when? - CORRECT ANSWERS -16-18 weeks of gestation

Amniocentesis requires the bladder to be: - CORRECT ANSWERS -empty

Labor usually occurs ___ hrs after ROM. - CORRECT ANSWERS -24

First stage of labor: - CORRECT ANSWERS -1-1.5 cm (onset of labor)

Latent phase of labor: - CORRECT ANSWERS -0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec

, Active phase of labor: - CORRECT ANSWERS -4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec

Transition phase of labor - CORRECT ANSWERS -8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec

Second stage of labor: - CORRECT ANSWERS -Full dilation
Intense contractions
BIRTH!!

Third stage of labor: - CORRECT ANSWERS -Delivery of placenta

Fourth stage: - CORRECT ANSWERS -Maternal stabilization of vital signs

First stage pain: - CORRECT ANSWERS -internal visceral
may be felt as back/leg pain

Second stage pain: - CORRECT ANSWERS -somatic
occurs with fetal descent and expulsion

Third stage pain: - CORRECT ANSWERS -similar to first stage pain

Pain S&S: - CORRECT ANSWERS -Increased BP
Tachycardia
Hyperventilation

Absent or undetectable variability is considered: - CORRECT ANSWERS -Non-
reasurring

Minimal variability: - CORRECT ANSWERS -> undetectable but <5/min

Moderate variability: - CORRECT ANSWERS -6-25/min

Marked variability: - CORRECT ANSWERS ->25/min

Accelerations mean: - CORRECT ANSWERS -Healthy fetal/placental exchange

Fetal bradycardia means (less than 60) - CORRECT ANSWERS -Uteroplacental
insufficiency
Umbilical cord prolapse