ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
ATI Maternal newborn proctored exam
b. betamethasone - ANS-A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
a. urine test for presence of HCG - ANS-A nurse at a prenatal clinic is caring for a client who
suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy.
The nurse should inform the client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
a. palpable fetal movement - ANS-A nurse is caring for a client who believes she may be
pregnant. What finding should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
a. renal agenesis - ANS-A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma. - ANS-A nurse is assessing a client who is at 37 wks gestation and has a suspected
pelvic fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
b. dark brown vaginal discharge
Page 1 ATI Maternal newborn proctored exam (1).pdf
,ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi,
which gives rise to multiple cysts. The products of conception transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters. - ANS-A nurse is assessing a client who is at 12
wks gestation and has hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
priority finding. - ANS-A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day
decreases the risk of transmission of HIV to her newborn. - ANS-A nurse is teaching a client
who is at 12 wks gestation and has HIV. What statement should the nurse include in the
teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
b. blurred or double vision - ANS-A nurse is providing teaching to a client who is at 8 wks
gestation about manifestations to report to the provider during pregnancy. What info should the
nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
Page 2 ATI Maternal newborn proctored exam (1).pdf
,ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
d. leg cramps when sleeping
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole. - ANS-A nurse is caring for a client who is in the latent phase of labor and
is receiving oxytocin via continuous IV infusion. The nurse notes that the client is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What
action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
c. prepare equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of the
newborn are readily available for every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardia after delivery. - ANS-A nurse is caring for a client who is in active labor
and has meconium staining of the amniotic fluid. The nurse notes a reassuring FHR tracing from
the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding. - ANS-A
nurse is reviewing the medical record of a client who is at 33 wks gestation and has placenta
previa and bleeding. What scripts should the nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
d. use vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity
because the fetus is most likely sleeping. Fetal movement should cause accelerations in the
FHR. - ANS-A nurse is caring for a client who is at 37 wks gestation and is undergoing a
Page 3 ATI Maternal newborn proctored exam (1).pdf
, ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
nonstress test. The FHR is 130 without accelerations for the past 10 min. What action should
the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds
a. instruct the client to obtain a rubella immunization after delivery - ANS-A nurse is reviewing
lab results for a client who is at 37 wks gestation. The nurse notes that the client is rubella
non-immune, positive for group A beta-hemolytic strep, and has a blood type O neg. What
action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios. - ANS-A nurse is reviewing the med record of a
client who is at 39 wks gestation and has polyhydramnios. What finding should the nurse
expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm
b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing. - ANS-A nurse is teaching a client who has pre-eclampsia and is
to receive magnesium sulfate via continuous IV infusion about expected adverse effects. What
adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity
d. apply pressure to the client's sacral area during contractions - ANS-A nurse is caring for a
client who is in the latent phase of labor and is experiencing low back pain. What action should
the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
Page 4 ATI Maternal newborn proctored exam (1).pdf
ATI Maternal newborn proctored exam
b. betamethasone - ANS-A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
a. urine test for presence of HCG - ANS-A nurse at a prenatal clinic is caring for a client who
suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy.
The nurse should inform the client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
a. palpable fetal movement - ANS-A nurse is caring for a client who believes she may be
pregnant. What finding should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
a. renal agenesis - ANS-A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma. - ANS-A nurse is assessing a client who is at 37 wks gestation and has a suspected
pelvic fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
b. dark brown vaginal discharge
Page 1 ATI Maternal newborn proctored exam (1).pdf
,ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi,
which gives rise to multiple cysts. The products of conception transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters. - ANS-A nurse is assessing a client who is at 12
wks gestation and has hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
priority finding. - ANS-A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day
decreases the risk of transmission of HIV to her newborn. - ANS-A nurse is teaching a client
who is at 12 wks gestation and has HIV. What statement should the nurse include in the
teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
b. blurred or double vision - ANS-A nurse is providing teaching to a client who is at 8 wks
gestation about manifestations to report to the provider during pregnancy. What info should the
nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
Page 2 ATI Maternal newborn proctored exam (1).pdf
,ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
d. leg cramps when sleeping
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole. - ANS-A nurse is caring for a client who is in the latent phase of labor and
is receiving oxytocin via continuous IV infusion. The nurse notes that the client is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What
action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
c. prepare equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of the
newborn are readily available for every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardia after delivery. - ANS-A nurse is caring for a client who is in active labor
and has meconium staining of the amniotic fluid. The nurse notes a reassuring FHR tracing from
the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding. - ANS-A
nurse is reviewing the medical record of a client who is at 33 wks gestation and has placenta
previa and bleeding. What scripts should the nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
d. use vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity
because the fetus is most likely sleeping. Fetal movement should cause accelerations in the
FHR. - ANS-A nurse is caring for a client who is at 37 wks gestation and is undergoing a
Page 3 ATI Maternal newborn proctored exam (1).pdf
, ATI Maternal newborn proctored exam (1) ATI Maternal newborn proctored exam (1) 2/18/2026
nonstress test. The FHR is 130 without accelerations for the past 10 min. What action should
the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds
a. instruct the client to obtain a rubella immunization after delivery - ANS-A nurse is reviewing
lab results for a client who is at 37 wks gestation. The nurse notes that the client is rubella
non-immune, positive for group A beta-hemolytic strep, and has a blood type O neg. What
action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios. - ANS-A nurse is reviewing the med record of a
client who is at 39 wks gestation and has polyhydramnios. What finding should the nurse
expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm
b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing. - ANS-A nurse is teaching a client who has pre-eclampsia and is
to receive magnesium sulfate via continuous IV infusion about expected adverse effects. What
adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity
d. apply pressure to the client's sacral area during contractions - ANS-A nurse is caring for a
client who is in the latent phase of labor and is experiencing low back pain. What action should
the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
Page 4 ATI Maternal newborn proctored exam (1).pdf
