ATI MATERNAL NEWBORN PROCTORED EXAM
2 ACTUAL TEST 2026 VERIFIED ANSWERS
GRADED A+
◉ Active phase of labor: Answer: 4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
◉ Transition phase of labor Answer: 8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
◉ Second stage of labor: Answer: Full dilation
Intense contractions
BIRTH!!
◉ Third stage of labor: Answer: Delivery of placenta
,◉ Fourth stage: Answer: Maternal stabilization of vital signs
◉ First stage pain: Answer: internal visceral
may be felt as back/leg pain
◉ Second stage pain: Answer: somatic
occurs with fetal descent and expulsion
◉ Third stage pain: Answer: similar to first stage pain
◉ Pain S&S: Answer: Increased BP
Tachycardia
Hyperventilation
◉ Absent or undetectable variability is considered: Answer: Non-
reasurring
◉ Minimal variability: Answer: > undetectable but <5/min
◉ Moderate variability: Answer: 6-25/min
◉ Marked variability: Answer: >25/min
, ◉ Accelerations mean: Answer: Healthy fetal/placental exchange
◉ Fetal bradycardia means (less than 60) Answer: Uteroplacental
insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
◉ Fetal tachycardia means: Answer: Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
◉ Decrease or loss of variability means: Answer: Meds that depress
the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
2 ACTUAL TEST 2026 VERIFIED ANSWERS
GRADED A+
◉ Active phase of labor: Answer: 4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
◉ Transition phase of labor Answer: 8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
◉ Second stage of labor: Answer: Full dilation
Intense contractions
BIRTH!!
◉ Third stage of labor: Answer: Delivery of placenta
,◉ Fourth stage: Answer: Maternal stabilization of vital signs
◉ First stage pain: Answer: internal visceral
may be felt as back/leg pain
◉ Second stage pain: Answer: somatic
occurs with fetal descent and expulsion
◉ Third stage pain: Answer: similar to first stage pain
◉ Pain S&S: Answer: Increased BP
Tachycardia
Hyperventilation
◉ Absent or undetectable variability is considered: Answer: Non-
reasurring
◉ Minimal variability: Answer: > undetectable but <5/min
◉ Moderate variability: Answer: 6-25/min
◉ Marked variability: Answer: >25/min
, ◉ Accelerations mean: Answer: Healthy fetal/placental exchange
◉ Fetal bradycardia means (less than 60) Answer: Uteroplacental
insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
◉ Fetal tachycardia means: Answer: Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
Maternal dehydration
◉ Decrease or loss of variability means: Answer: Meds that depress
the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
