MATERNAL NEWBORN ATI UPDATED 2026 EXAM
SCRIPT QUESTIONS AND ANSWERS GRADED A+
✔✔The nurse must ensure that the client receiving a test with dye does not have hx or
allergy to __ or ___. - ✔✔iodine or seafood
✔✔Presumptive signs of pregnancy - ✔✔amenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
✔✔Probable signs of pregnancy - ✔✔abdominal enlargement, hegar sign (softening of
uterus), chadwick's sign (bluish color of cervix, Goodell's sign (softening of cervical tip),
ballottement (rebound of unengaged fetus), braxton hicks contractions, positive
pregnancy test, fetal outline felt by examiner
✔✔Positive signs of pregnancy - ✔✔hearing fetal heart sounds, see baby with ultra
sounds, feeling of movement in uterus
✔✔Presumptive signs can: - ✔✔be explained for problems other than pregnancy
✔✔Positive signs of pregnancy are: - ✔✔very distinct
✔✔Naegele's rule - ✔✔subtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
✔✔GTPAL - ✔✔G- gravitity (# of times woman has been pregnant, including the current
pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children
✔✔weight gain range for pregnant woman who is a normal weight - ✔✔25-35 pounds
✔✔weight gain range for woman who is overweight - ✔✔15-25 pounds
✔✔Weight gain range for woman who is underweight - ✔✔28-40 pounds
✔✔During 1st trimester, a woman shouldn't gain more than: - ✔✔2-4 lbs (1-2 kg)
✔✔Once past 1st trimster, weight gain is expected as ___ - ✔✔1 pound per week
✔✔Expected extra calories per day for 2nd trimester - ✔✔340 extra cal per day
✔✔Expected extra calories per day for 3rd trimester - ✔✔450 extra calories per day
,✔✔True or false: Mothers who are breastfeeding after pregnancy need extra daily
calories - ✔✔true
✔✔Range for extra daily calories when breastfeeding - ✔✔300-400 cal/day
✔✔Folic acid helps prevent: - ✔✔fetal neural tube defects
✔✔Pregnant women should drink how much water per day? - ✔✔2-3 L
✔✔Pregnant women should limit caffeine intake to ___ mg per day - ✔✔300 mg
✔✔Sources of folic acid: - ✔✔dark, green leafy veggies, orange juice
✔✔When client is having ultrasound, the bladder should be: - ✔✔full (helps sounds
waves resonate better)
✔✔When client is having diagnostic test where belly is being poked (amniocentesis),
the bladder should be: - ✔✔empty
✔✔Biophysical profile (BPP) - ✔✔-score given between 0-10
-measures reactive heart, breathing, body movements, fetal tone, and amniotic fluid
volume
- each section is given score of 2 if normal and 0 if not normal
✔✔Normal score for BPP - ✔✔between 8-10 (indicated healthy baby)
✔✔Nonstress test - ✔✔-non invasive
-measures fetal well being within the last trimester of pregnancy
-measures response of fetal heart rate to fetal movement (button given to woman to
press when she feels baby move and then HR is measured in response to the
movement)
✔✔Non stress test is considered reactive if: - ✔✔Fetal HR accelerates during
movement
✔✔True or false: Reactive non stress test is normal - ✔✔true
✔✔Non stress test is considered non reactive if: - ✔✔fetal HR does not accelerate
adequately
✔✔Is nonreactive non stress test good or bad? - ✔✔bad
, ✔✔If non stress test is nonreactive, what other tests may be performed? -
✔✔biophysical profile, contraction stress test (CST)
✔✔During a contraction stress test, contractions are brought on by the use of: -
✔✔pitocin (oxytocin) or nipple stimulation
✔✔What is monitored during the contraction of a contraction stress test? - ✔✔Fetal HR
to see if late deceleration occur
✔✔If no late decelerations occur during contraction stress test, then the result is: -
✔✔negative (what you want)
✔✔If late decelerations do occur during contraction stress test, the result is: -
✔✔positive (not a good thing)
✔✔Risk of contraction stress test - ✔✔can potentially send woman into preterm labor
✔✔When is amniocentesis usually done? - ✔✔14 wks
✔✔What does amniocentesis test for? - ✔✔genetic abnormalities
✔✔What is looked at for amniocentesis? - ✔✔AFP (alpha fetoprotein)
LS Ratio (lecithin sphingomyelin ratio)
✔✔If levels of afp are high, then it is associated with: - ✔✔neural tube defects
✔✔If levels of afp are low, then it is associated with: - ✔✔chromosomal disorders (Down
syndrome)
✔✔What does LS ratio test for? - ✔✔fetal lung maturity
✔✔Risks associated with amniocentesis: - ✔✔amniotic fluid embolism, hemorrhage,
infection, laking of amniotic fluid, ruptured membranes, or miscarriage
✔✔When can Chorionic villus sampling be done? - ✔✔10-12 wks
✔✔What does chorionic villus sampling test for? - ✔✔genetic abnormalities
✔✔Advantage of chorionic villus sampling as opposed to amniocentesis - ✔✔can be
done early to detect the genetic abnormalities
✔✔Ectopic pregnancy - ✔✔ovum is planted outside the uterus (often in fallopian tube)
SCRIPT QUESTIONS AND ANSWERS GRADED A+
✔✔The nurse must ensure that the client receiving a test with dye does not have hx or
allergy to __ or ___. - ✔✔iodine or seafood
✔✔Presumptive signs of pregnancy - ✔✔amenorrhea, fatigue, nausea, vomiting, urinary
frequency, breast changes, quickening
✔✔Probable signs of pregnancy - ✔✔abdominal enlargement, hegar sign (softening of
uterus), chadwick's sign (bluish color of cervix, Goodell's sign (softening of cervical tip),
ballottement (rebound of unengaged fetus), braxton hicks contractions, positive
pregnancy test, fetal outline felt by examiner
✔✔Positive signs of pregnancy - ✔✔hearing fetal heart sounds, see baby with ultra
sounds, feeling of movement in uterus
✔✔Presumptive signs can: - ✔✔be explained for problems other than pregnancy
✔✔Positive signs of pregnancy are: - ✔✔very distinct
✔✔Naegele's rule - ✔✔subtract 3 months, add 7 days, add 1 year
***Easier way: Add 9 months, add 1 week***
✔✔GTPAL - ✔✔G- gravitity (# of times woman has been pregnant, including the current
pregnancy)
T- pregnancies of 38 wks or more
P- pregnancies of less than 38 wks
A- abortions/miscarriages
L- living children
✔✔weight gain range for pregnant woman who is a normal weight - ✔✔25-35 pounds
✔✔weight gain range for woman who is overweight - ✔✔15-25 pounds
✔✔Weight gain range for woman who is underweight - ✔✔28-40 pounds
✔✔During 1st trimester, a woman shouldn't gain more than: - ✔✔2-4 lbs (1-2 kg)
✔✔Once past 1st trimster, weight gain is expected as ___ - ✔✔1 pound per week
✔✔Expected extra calories per day for 2nd trimester - ✔✔340 extra cal per day
✔✔Expected extra calories per day for 3rd trimester - ✔✔450 extra calories per day
,✔✔True or false: Mothers who are breastfeeding after pregnancy need extra daily
calories - ✔✔true
✔✔Range for extra daily calories when breastfeeding - ✔✔300-400 cal/day
✔✔Folic acid helps prevent: - ✔✔fetal neural tube defects
✔✔Pregnant women should drink how much water per day? - ✔✔2-3 L
✔✔Pregnant women should limit caffeine intake to ___ mg per day - ✔✔300 mg
✔✔Sources of folic acid: - ✔✔dark, green leafy veggies, orange juice
✔✔When client is having ultrasound, the bladder should be: - ✔✔full (helps sounds
waves resonate better)
✔✔When client is having diagnostic test where belly is being poked (amniocentesis),
the bladder should be: - ✔✔empty
✔✔Biophysical profile (BPP) - ✔✔-score given between 0-10
-measures reactive heart, breathing, body movements, fetal tone, and amniotic fluid
volume
- each section is given score of 2 if normal and 0 if not normal
✔✔Normal score for BPP - ✔✔between 8-10 (indicated healthy baby)
✔✔Nonstress test - ✔✔-non invasive
-measures fetal well being within the last trimester of pregnancy
-measures response of fetal heart rate to fetal movement (button given to woman to
press when she feels baby move and then HR is measured in response to the
movement)
✔✔Non stress test is considered reactive if: - ✔✔Fetal HR accelerates during
movement
✔✔True or false: Reactive non stress test is normal - ✔✔true
✔✔Non stress test is considered non reactive if: - ✔✔fetal HR does not accelerate
adequately
✔✔Is nonreactive non stress test good or bad? - ✔✔bad
, ✔✔If non stress test is nonreactive, what other tests may be performed? -
✔✔biophysical profile, contraction stress test (CST)
✔✔During a contraction stress test, contractions are brought on by the use of: -
✔✔pitocin (oxytocin) or nipple stimulation
✔✔What is monitored during the contraction of a contraction stress test? - ✔✔Fetal HR
to see if late deceleration occur
✔✔If no late decelerations occur during contraction stress test, then the result is: -
✔✔negative (what you want)
✔✔If late decelerations do occur during contraction stress test, the result is: -
✔✔positive (not a good thing)
✔✔Risk of contraction stress test - ✔✔can potentially send woman into preterm labor
✔✔When is amniocentesis usually done? - ✔✔14 wks
✔✔What does amniocentesis test for? - ✔✔genetic abnormalities
✔✔What is looked at for amniocentesis? - ✔✔AFP (alpha fetoprotein)
LS Ratio (lecithin sphingomyelin ratio)
✔✔If levels of afp are high, then it is associated with: - ✔✔neural tube defects
✔✔If levels of afp are low, then it is associated with: - ✔✔chromosomal disorders (Down
syndrome)
✔✔What does LS ratio test for? - ✔✔fetal lung maturity
✔✔Risks associated with amniocentesis: - ✔✔amniotic fluid embolism, hemorrhage,
infection, laking of amniotic fluid, ruptured membranes, or miscarriage
✔✔When can Chorionic villus sampling be done? - ✔✔10-12 wks
✔✔What does chorionic villus sampling test for? - ✔✔genetic abnormalities
✔✔Advantage of chorionic villus sampling as opposed to amniocentesis - ✔✔can be
done early to detect the genetic abnormalities
✔✔Ectopic pregnancy - ✔✔ovum is planted outside the uterus (often in fallopian tube)
