ATI OB Proctored Study Guide

1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes 

neonateimplications of IUGR, Encephalopathy

Exposure to toxoplasmosis, rubella, cytomegalovirus, herpessimplex, and hepatitis B may

adversely affect pregnancy and fetal outcome. TORCH

Cytomegalovirus (CMV) belongs to the herpes simplex virus group and causes both congenital 

and acquired disorders. The significance of this virus in pregnancy is related to its ability to be

transmitted byasymptomatic women across the placenta to the fetus or by the cervical route

during birth.

the virusis usually innocuousin adults and children,itmaybefataltothefetus.

Asymptomatic CMV infection is particularly 

commoninchildrenandgravidwomen.Transmissioniscommonindaycarecenters

2) Who see first? 190 sugar, FHR 160

3) Which food has highest fiber? Oatmeal, asparagus

A: oatmeal, avavados, bananas, pears,split peas, lentils

4) Client who reported abdominal pain upon breast

feedingWhy Does It Happen?

The uterus is a muscle, and each pregnancy over-stretches the muscle. Nipple

stimulation duringbreastfeeding causes a hormone known as oxytocin to be released 

into your bloodstream. This hormone causes the contraction of all smooth muscles and 

helps your uterus contract back intoits pre-pregnancy shape and size. These 

contractions also help reduce postpartum blood loss, soalthough you may be

uncomfortable, this cramping is helping your body heal.

What Can You Do?

Don’t be afraid to ask for pain medication while still in the hospital – it will be safe for

you andyour baby. You can also give yourself a gentle lower-stomach massage. These 

afterbirth painsalmost always subside within a few days, but if they continue longer than 

that or if the pain becomes intense, reach out to your healthcare provider.

5) Signs of neonate abstinent syndrome

- NAS may occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone

(Oxycontin), methadone, or buprenorphine.

Tremors (trembling)

Irritability (excessive

crying)Sleep problems.

High-pitched 

crying Tight 

muscle tone.

Hyperactive 

reflexes.Seizures.

Yawning,stuffy nose, and sneezing