ATI Maternal Newborn Nursing With
Complete Update Solution (2023-2024)
Diaphragm - answerSpermicide must be applied with each act of sexual intercourse and should
remain in place 6 hrs after. Empty bladder prior to coitus
Transdermal contraceptive patch - answerPatch applied to dry skin overlying subQ tissue, excluding
breast
Depo-Provera - answerIM injection given every 11-13 weeks (start should be during first 5 days of
clients menstrual cycle)
Essure - answerInsertion of agent resulting in development of scar tissue in Fallopian tubes. Not
reversible
Female sterilization - answerBurning or blocking the Fallopian tubes. Not reversible
Vasectomy - answerLigation and severance of vas deferens. Need alternate form of birth control for
20 ejaculations
RhoGAM - answerAdministered 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) - answerMonitor 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 - answerScreens for gestational diabetes and is done at 28 weeks of
gestation
Rubella titer - answerObtained at initial prenatal visit (about 6 weeks gestation)
Betamethasone (Celestone) - answerGlucocorticoid 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)
,ATI Maternal Newborn Nursing With
Complete Update Solution (2023-2024)
Leopold Maneuver - answerAbdominal 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 - answerPalpate 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 - answerIf positive, indicates rupture of membranes
Expected newborn temp - answer36.5-37.2
Expected newborn HR - answer120-160
Expected newborn RR - answer30-60
Expected newborn BP - answer60-80 S, 40-50 D
Expected newborn length - answer45-55 cm
Expected newborn weight - answer2,500-4,000 g
What is effleurage? - answerClient strokes abdomen using circular motion during contractions
Maternal Serum Alpha-Fetoprotein - answerScreening 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 - answerLithotomy position
Biophysical profile assesses? - answerFetal
HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume
, ATI Maternal Newborn Nursing With
Complete Update Solution (2023-2024)
What does biophysical profile indicate? - answerThe risk of asphyxia
Nonstress test - answerClient presses a button whenever they feel fetal movement which allows
nurse to assess FHR in relationship to the fetal movement
Reactive stress test - answerFHR 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 - answerFHR 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 - answerFHR in response to contractions which decreases placental blood
flow
Amniocentesis - answerPerformed after 14 weeks gestation, empty bladder beforehand, client in
supine position
High levels of AFP - answerAlpha-Fetoprotein is measured between 16 and 18 weeks and is used to
detect neural tube defects (anencephaly), spina bifida, and omphalocele
Low levels AFP - answerChromosomal disorders (Down syndrome)
Fetal lung tests - answerLecithin/sphingomyelin ratio- 2:1 indicating lung maturity or 3:1 for diabetes
mellitus
Percutaneous blood sampling - answerObtains fetal blood from umbilical cord which evaluates
isoimmune fetal hemolytic anemia and assesses need for fetal blood transfusion
Chorionic Villus sampling - answerAlternative to amniocentesis (10-12 weeks gestation)
Quad marker screening - answerBlood test that ascertains info about likelihood of fetal birth defects.
Includes AFP, hCG, Estriol, Inhibin-A
Complete Update Solution (2023-2024)
Diaphragm - answerSpermicide must be applied with each act of sexual intercourse and should
remain in place 6 hrs after. Empty bladder prior to coitus
Transdermal contraceptive patch - answerPatch applied to dry skin overlying subQ tissue, excluding
breast
Depo-Provera - answerIM injection given every 11-13 weeks (start should be during first 5 days of
clients menstrual cycle)
Essure - answerInsertion of agent resulting in development of scar tissue in Fallopian tubes. Not
reversible
Female sterilization - answerBurning or blocking the Fallopian tubes. Not reversible
Vasectomy - answerLigation and severance of vas deferens. Need alternate form of birth control for
20 ejaculations
RhoGAM - answerAdministered 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) - answerMonitor 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 - answerScreens for gestational diabetes and is done at 28 weeks of
gestation
Rubella titer - answerObtained at initial prenatal visit (about 6 weeks gestation)
Betamethasone (Celestone) - answerGlucocorticoid 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)
,ATI Maternal Newborn Nursing With
Complete Update Solution (2023-2024)
Leopold Maneuver - answerAbdominal 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 - answerPalpate 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 - answerIf positive, indicates rupture of membranes
Expected newborn temp - answer36.5-37.2
Expected newborn HR - answer120-160
Expected newborn RR - answer30-60
Expected newborn BP - answer60-80 S, 40-50 D
Expected newborn length - answer45-55 cm
Expected newborn weight - answer2,500-4,000 g
What is effleurage? - answerClient strokes abdomen using circular motion during contractions
Maternal Serum Alpha-Fetoprotein - answerScreening 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 - answerLithotomy position
Biophysical profile assesses? - answerFetal
HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume
, ATI Maternal Newborn Nursing With
Complete Update Solution (2023-2024)
What does biophysical profile indicate? - answerThe risk of asphyxia
Nonstress test - answerClient presses a button whenever they feel fetal movement which allows
nurse to assess FHR in relationship to the fetal movement
Reactive stress test - answerFHR 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 - answerFHR 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 - answerFHR in response to contractions which decreases placental blood
flow
Amniocentesis - answerPerformed after 14 weeks gestation, empty bladder beforehand, client in
supine position
High levels of AFP - answerAlpha-Fetoprotein is measured between 16 and 18 weeks and is used to
detect neural tube defects (anencephaly), spina bifida, and omphalocele
Low levels AFP - answerChromosomal disorders (Down syndrome)
Fetal lung tests - answerLecithin/sphingomyelin ratio- 2:1 indicating lung maturity or 3:1 for diabetes
mellitus
Percutaneous blood sampling - answerObtains fetal blood from umbilical cord which evaluates
isoimmune fetal hemolytic anemia and assesses need for fetal blood transfusion
Chorionic Villus sampling - answerAlternative to amniocentesis (10-12 weeks gestation)
Quad marker screening - answerBlood test that ascertains info about likelihood of fetal birth defects.
Includes AFP, hCG, Estriol, Inhibin-A
