ATI MATERNAL NEWBORN PROCTORED RETAKE 2 EXAM
2024/ ACTUAL EXAM WITH 70 2024 APPROVED QUESTIONS
AND CORRECT ANSWERS GRADED A+
When is Rhogam given?
- ANSWER-o Given at 28 weeks and also within 72 hours of delivery
o Also given after abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example.
- ANSWER-Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
What are presumptive signs of pregnancy?
- ANSWER-Perceived by the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands
Quickening
Define quickening. When does it occur?
- ANSWER-Quickening is the term used to describe when the mother first detects
fetal movements, usually at 18 to 20 weeks of gestation in a primigravida and 16
to 18 weeks of gestation in a multigravida.
What are probable signs of pregnancy?
- ANSWER-Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal outline felt by
examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's sign
What are Braxton Hicks contractions?
- ANSWER-false labor contractions that can begin as early as the sixth month of
pregnancy; painless, irregular, and usually relieved by walking or changing
position
- if contractions increase in intensity and frequency (true contractions) with
regularity, notify provider
What is ballottement?
- ANSWER-Light tap of examining finger on cervix causes fetus to rise in
amniotic fluid & then rebound to original position (16-18 wks); used to diagnose
pregnancy
,rebound of unengaged fetus
,Hegar's sign
- ANSWER-softening and compressibility of lower uterus
Goodell's sign
- ANSWER-softening of the cervix
Chadwick's sign –
ANSWER-Bluish purple discoloration of the cervix, vagina, and labia during
pregnancy as a result of increased vascular congestion.
What are positive signs of pregnancy?
- ANSWER-Fetal heart sounds
Fetal movement felt by examiner
Ultrasound visualization of fetus
During what week of pregnancy is the fetal heartbeat detectable?
- ANSWER-10 weeks; using a doppler device
How early can a fetus be visualized using an ultrasound?
- ANSWER-4-5weeks
What is the least effective method of contraception?
- ANSWER-Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
What is the rhythm method?
- ANSWER-Also known as the "calendar method"
Abstinence during fertile periods
Woman records her menstrual cycle by calculating her fertile period
most useful when combined with basal body temperature or cervical mucus
method
How is the fertile period calculate?
- ANSWER-Record the number of days in each menstrual cycle for atleast 6
cycles (From beginning of first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest cycle (start of
the fertile period)
Subtract 11 days from the number of days in the longest cycle (end of the fertile
period)
Example:
, Shortest cycle: 26-18 = 8th day
Longest cycle: 30-11=19th day
Fertile period: days 8-19; avoid intercourse
When does ovulation occur?
- ANSWER-14 days before the onset of the menstrual cycle
How long is the sperm and ovum viable?
- ANSWER-sperm: 48-72 hours; takes 24 hours to fertilize an egg
ovum: 24 hours
(after ovulation)
How is basal body temperature used as a natural contraceptive method?
- ANSWER-Temperature can drop slightly at the time of ovulation
Monitored by measuring oral temp prior to getting out of bed each morning
What is the cervical mucus method of contraception?
- ANSWER-Spinnbarkeit sign; the ability of the mucus to stretch between the
fingers is greatest during ovulation
Begin examining mucus from the last day of the of the menstrual cycle; mucus is
obtained from the vaginal introitus
Do not douche prior to assessment
What is the spinnbarkeit sign?
- ANSWER-The time of the month when mucus can stretch between fingers is the
greatest. Cervical mucous is thin and flexible to allow for sperm viability and
motility. It means you are ovulating.
What can the cervical mucus method diagnose?
- ANSWER-Self evaluation of cervical mucus can be helpful in determining the
start of ovulation while breastfeeding, noting the commencement of menopause,
and planning a desired pregnancy
What are the advantages of male condoms?
- ANSWER-Protects against STIs
Involves the male in the birth control method
Readily accessible
What are the disadvantages of male condoms?
- ANSWER-Can reduce spontaneity of intercourse
High rate of noncompliance
Penis must be erect to apply
2024/ ACTUAL EXAM WITH 70 2024 APPROVED QUESTIONS
AND CORRECT ANSWERS GRADED A+
When is Rhogam given?
- ANSWER-o Given at 28 weeks and also within 72 hours of delivery
o Also given after abortion, ectopic pregnancy, amniocentesis
What is gravidity? Example.
- ANSWER-Number of pregnancies
Nulligravida: never been pregnant
Primigravida: first pregnancy
What are presumptive signs of pregnancy?
- ANSWER-Perceived by the woman
Signs: amenorrhea, fatigue, nausea, vomiting
Urinary frequency, uterine enlargement
Breast changes (darkened areolae, enlarged Montgomery glands
Quickening
Define quickening. When does it occur?
- ANSWER-Quickening is the term used to describe when the mother first detects
fetal movements, usually at 18 to 20 weeks of gestation in a primigravida and 16
to 18 weeks of gestation in a multigravida.
What are probable signs of pregnancy?
- ANSWER-Perceived by the examiner
Signs: Abdominal enlargement, positive pregnancy test, fetal outline felt by
examiner
Braxton Hicks contractions, Ballottement
Hegar's sign, Goodell's sign, Chadwick's sign
What are Braxton Hicks contractions?
- ANSWER-false labor contractions that can begin as early as the sixth month of
pregnancy; painless, irregular, and usually relieved by walking or changing
position
- if contractions increase in intensity and frequency (true contractions) with
regularity, notify provider
What is ballottement?
- ANSWER-Light tap of examining finger on cervix causes fetus to rise in
amniotic fluid & then rebound to original position (16-18 wks); used to diagnose
pregnancy
,rebound of unengaged fetus
,Hegar's sign
- ANSWER-softening and compressibility of lower uterus
Goodell's sign
- ANSWER-softening of the cervix
Chadwick's sign –
ANSWER-Bluish purple discoloration of the cervix, vagina, and labia during
pregnancy as a result of increased vascular congestion.
What are positive signs of pregnancy?
- ANSWER-Fetal heart sounds
Fetal movement felt by examiner
Ultrasound visualization of fetus
During what week of pregnancy is the fetal heartbeat detectable?
- ANSWER-10 weeks; using a doppler device
How early can a fetus be visualized using an ultrasound?
- ANSWER-4-5weeks
What is the least effective method of contraception?
- ANSWER-Coitus interruptus (withdrawal)
Advantage: possible choice for monogamous couples
No protection against STIs
Usually influenced by male partner's control
What is the rhythm method?
- ANSWER-Also known as the "calendar method"
Abstinence during fertile periods
Woman records her menstrual cycle by calculating her fertile period
most useful when combined with basal body temperature or cervical mucus
method
How is the fertile period calculate?
- ANSWER-Record the number of days in each menstrual cycle for atleast 6
cycles (From beginning of first period to beginning of next period)
Subtract 18 days from the number of days in the woman's shortest cycle (start of
the fertile period)
Subtract 11 days from the number of days in the longest cycle (end of the fertile
period)
Example:
, Shortest cycle: 26-18 = 8th day
Longest cycle: 30-11=19th day
Fertile period: days 8-19; avoid intercourse
When does ovulation occur?
- ANSWER-14 days before the onset of the menstrual cycle
How long is the sperm and ovum viable?
- ANSWER-sperm: 48-72 hours; takes 24 hours to fertilize an egg
ovum: 24 hours
(after ovulation)
How is basal body temperature used as a natural contraceptive method?
- ANSWER-Temperature can drop slightly at the time of ovulation
Monitored by measuring oral temp prior to getting out of bed each morning
What is the cervical mucus method of contraception?
- ANSWER-Spinnbarkeit sign; the ability of the mucus to stretch between the
fingers is greatest during ovulation
Begin examining mucus from the last day of the of the menstrual cycle; mucus is
obtained from the vaginal introitus
Do not douche prior to assessment
What is the spinnbarkeit sign?
- ANSWER-The time of the month when mucus can stretch between fingers is the
greatest. Cervical mucous is thin and flexible to allow for sperm viability and
motility. It means you are ovulating.
What can the cervical mucus method diagnose?
- ANSWER-Self evaluation of cervical mucus can be helpful in determining the
start of ovulation while breastfeeding, noting the commencement of menopause,
and planning a desired pregnancy
What are the advantages of male condoms?
- ANSWER-Protects against STIs
Involves the male in the birth control method
Readily accessible
What are the disadvantages of male condoms?
- ANSWER-Can reduce spontaneity of intercourse
High rate of noncompliance
Penis must be erect to apply
