ATI Maternal Newborn Nursing Proctored Exam
Study Guide by Assessment with NGN with latest
question and answers
Empty bladder prior to coitus Transdermal contraceptive
patch - ANSWER//Patch applied to dry skin overlying
subQ tissue, excluding breast Depo-Provera -
ANSWER//IM injection given every 11-13 weeks (start
should be during first 5 days of clients menstrual cycle)
Essure - ANSWER//Insertion of agent resulting in
development of scar tissue in Fallopian tubes. Not
reversible Female sterilization - ANSWER//Burning or
blocking the Fallopian tubes. Not reversible Vasectomy -
ANSWER//Ligation and severance of vas deferens. Need
alternate form of birth control for 20 ejaculations
RhoGAM - ANSWER//Administered at 28 weeks
gestation to a mother who is Rh-negative and gives birth
to an Rh-positive infant. Recommended following an
amniocentesis Oxytocin (Pitocin) - ANSWER//Monitor
for water intoxication (lightheaded, n/v, headache,
malaise) which can lead to cerebral edema, seizures,
coma, and death. Contraindicated based on late
decelerations 3 hour glucose tolerance test -
ANSWER//Screens for gestational diabetes and is done
at 28 weeks of gestation Rubella titer -
ANSWER//Obtained at initial prenatal visit (about 6
weeks gestation) Betamethasone (Celestone) -
ANSWER//Glucocorticoid administered IM in 2
injections 24 hr apart, given to stimulate fetal lung
maturity if early delivery is anticipated and to prevent
respiratory distress. Can cause pulmonary edema
,(crackles, chest pain, SOB) Leopold Maneuver -
ANSWER//Abdominal palpation of fetus, lie, attitude,
helps nurse assess the position of the fetus to determine
the optimal placement of the fetal monitoring transducer.
Empty bladder beforehand, supine positioning Steps of
Leopold Maneuver - ANSWER//Palpate client's fundus,
determine location of fetal back, palpate fetal part
presenting at the inlet, and palpate the cephalic
prominence to identify the attitude of the head Ferning
test - ANSWER//If positive, indicates rupture of
membranes Expected newborn temp - ANSWER//36.5-
37.2 Expected newborn HR - ANSWER//120-160
Expected newborn RR - ANSWER//30-60 Expected
newborn BP - ANSWER//60-80 S, 40-50 D Expected
newborn length - ANSWER//45-55 cm Expected
newborn weight - ANSWER//2,500-4,000 g What is
effleurage? - ANSWER//Client strokes abdomen using
circular motion during contractions Maternal Serum
Alpha-Fetoprotein - ANSWER//Screening tool for neural
tube defects that is effective between 15 and 22 weeks.
levels above indicate the need for an ultrasound Position
for transvaginal ultrasound - ANSWER//Lithotomy
position Biophysical profile assesses? - ANSWER//Fetal
HR, breathing, body movements, fetal tone, and
qualitative amniotic fluid volume What does biophysical
profile indicate? - ANSWER//The risk of asphyxia
Nonstress test - ANSWER//Client presses a button
whenever they feel fetal movement which allows nurse
to assess FHR in relationship to the fetal movement
Reactive stress test - ANSWER//FHR has moderate
variability, accelerated to 15 beats/min for at least 15
seconds and occurs two or more times during a 20
minute period Nonreactive stress test - ANSWER//FHR
, does not accelerate adequately with fetal movement.
Does not meet criteria after 40 minutes. Contraction
stress test or biophysical profile is indicated Contraction
stress test - ANSWER//FHR in response to contractions
which decreases placental blood flow Amniocentesis -
ANSWER//Performed after 14 weeks gestation, empty
bladder beforehand, client in supine position High levels
of AFP - ANSWER//Alpha-Fetoprotein is measured
between 16 and 18 weeks and is used to detect neural
tube defects (anencephaly), spina bifida, and
omphalocele Low levels AFP -
ANSWER//Chromosomal disorders (Down syndrome)
Fetal lung tests - ANSWER//Lecithin/sphingomyelin
ratio- 2:1 indicating lung maturity or 3:1 for diabetes
mellitus Percutaneous blood sampling -
ANSWER//Obtains fetal blood from umbilical cord
which evaluates isoimmune fetal hemolytic anemia and
assesses need for fetal blood transfusion Chorionic Villus
sampling - ANSWER//Alternative to amniocentesis (10-
12 weeks gestation) Quad marker screening -
ANSWER//Blood test that ascertains info about
likelihood of fetal birth defects. Includes AFP, hCG,
Estriol, Inhibin-A Placenta previa - ANSWER//Placenta
abnormally implants in the lower segment of the uterus
near or over the cervix. Results in abnormal bleeding
during the 3rd trimester as cervix begins to dilate
Placenta previa- marginal or low lying -
ANSWER//Placenta is attached to lower uterine segment
but does not reach cervix Signs of placenta previa -
ANSWER//Painless vaginal bleeding Abruptio placenta -
ANSWER//Premature separation of placenta from uterus.
Can occur after 20 weeks gestation Signs of abruptio
placenta - ANSWER//Sudden onset of dark red vaginal
Study Guide by Assessment with NGN with latest
question and answers
Empty bladder prior to coitus Transdermal contraceptive
patch - ANSWER//Patch applied to dry skin overlying
subQ tissue, excluding breast Depo-Provera -
ANSWER//IM injection given every 11-13 weeks (start
should be during first 5 days of clients menstrual cycle)
Essure - ANSWER//Insertion of agent resulting in
development of scar tissue in Fallopian tubes. Not
reversible Female sterilization - ANSWER//Burning or
blocking the Fallopian tubes. Not reversible Vasectomy -
ANSWER//Ligation and severance of vas deferens. Need
alternate form of birth control for 20 ejaculations
RhoGAM - ANSWER//Administered at 28 weeks
gestation to a mother who is Rh-negative and gives birth
to an Rh-positive infant. Recommended following an
amniocentesis Oxytocin (Pitocin) - ANSWER//Monitor
for water intoxication (lightheaded, n/v, headache,
malaise) which can lead to cerebral edema, seizures,
coma, and death. Contraindicated based on late
decelerations 3 hour glucose tolerance test -
ANSWER//Screens for gestational diabetes and is done
at 28 weeks of gestation Rubella titer -
ANSWER//Obtained at initial prenatal visit (about 6
weeks gestation) Betamethasone (Celestone) -
ANSWER//Glucocorticoid administered IM in 2
injections 24 hr apart, given to stimulate fetal lung
maturity if early delivery is anticipated and to prevent
respiratory distress. Can cause pulmonary edema
,(crackles, chest pain, SOB) Leopold Maneuver -
ANSWER//Abdominal palpation of fetus, lie, attitude,
helps nurse assess the position of the fetus to determine
the optimal placement of the fetal monitoring transducer.
Empty bladder beforehand, supine positioning Steps of
Leopold Maneuver - ANSWER//Palpate client's fundus,
determine location of fetal back, palpate fetal part
presenting at the inlet, and palpate the cephalic
prominence to identify the attitude of the head Ferning
test - ANSWER//If positive, indicates rupture of
membranes Expected newborn temp - ANSWER//36.5-
37.2 Expected newborn HR - ANSWER//120-160
Expected newborn RR - ANSWER//30-60 Expected
newborn BP - ANSWER//60-80 S, 40-50 D Expected
newborn length - ANSWER//45-55 cm Expected
newborn weight - ANSWER//2,500-4,000 g What is
effleurage? - ANSWER//Client strokes abdomen using
circular motion during contractions Maternal Serum
Alpha-Fetoprotein - ANSWER//Screening tool for neural
tube defects that is effective between 15 and 22 weeks.
levels above indicate the need for an ultrasound Position
for transvaginal ultrasound - ANSWER//Lithotomy
position Biophysical profile assesses? - ANSWER//Fetal
HR, breathing, body movements, fetal tone, and
qualitative amniotic fluid volume What does biophysical
profile indicate? - ANSWER//The risk of asphyxia
Nonstress test - ANSWER//Client presses a button
whenever they feel fetal movement which allows nurse
to assess FHR in relationship to the fetal movement
Reactive stress test - ANSWER//FHR has moderate
variability, accelerated to 15 beats/min for at least 15
seconds and occurs two or more times during a 20
minute period Nonreactive stress test - ANSWER//FHR
, does not accelerate adequately with fetal movement.
Does not meet criteria after 40 minutes. Contraction
stress test or biophysical profile is indicated Contraction
stress test - ANSWER//FHR in response to contractions
which decreases placental blood flow Amniocentesis -
ANSWER//Performed after 14 weeks gestation, empty
bladder beforehand, client in supine position High levels
of AFP - ANSWER//Alpha-Fetoprotein is measured
between 16 and 18 weeks and is used to detect neural
tube defects (anencephaly), spina bifida, and
omphalocele Low levels AFP -
ANSWER//Chromosomal disorders (Down syndrome)
Fetal lung tests - ANSWER//Lecithin/sphingomyelin
ratio- 2:1 indicating lung maturity or 3:1 for diabetes
mellitus Percutaneous blood sampling -
ANSWER//Obtains fetal blood from umbilical cord
which evaluates isoimmune fetal hemolytic anemia and
assesses need for fetal blood transfusion Chorionic Villus
sampling - ANSWER//Alternative to amniocentesis (10-
12 weeks gestation) Quad marker screening -
ANSWER//Blood test that ascertains info about
likelihood of fetal birth defects. Includes AFP, hCG,
Estriol, Inhibin-A Placenta previa - ANSWER//Placenta
abnormally implants in the lower segment of the uterus
near or over the cervix. Results in abnormal bleeding
during the 3rd trimester as cervix begins to dilate
Placenta previa- marginal or low lying -
ANSWER//Placenta is attached to lower uterine segment
but does not reach cervix Signs of placenta previa -
ANSWER//Painless vaginal bleeding Abruptio placenta -
ANSWER//Premature separation of placenta from uterus.
Can occur after 20 weeks gestation Signs of abruptio
placenta - ANSWER//Sudden onset of dark red vaginal
