MATERNAL NEWBORN ATI PROCTORED
EXAM QUESTIONS WITH CORRECT
ANSWERS | EXPERT GRADED A+
2026/2027
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 - ANSWER-a. urine test for presence of
HCG
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 - ANSWER-a. palpable fetal movement
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 - ANSWER-a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma.
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 - ANSWER-b. dark brown vaginal discharge
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
Page 1 of 63
,number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge
is usually dark brown and can contain grapelike clusters.
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
2 4 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - ANSWER-a. 480 mL urine output in 24 hrs
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the
first trimester. What info should the nurse include in the teaching? a. you will need to
have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - ANSWER-a. you will need to
have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the pelvis
during the examination. Therefore, it is important to ensure that the client has a full bladder to
obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption. What
finding should the nurse expect? a. decreased urinary output b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - ANSWER-c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles rule,
the nurse should identify the client's estimated DOB as what? a. oct 15 b. april 15 c. oct 1
d. april 1 - ANSWER-b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of labor. The
nurse observes late decels in the FHR. What finding should the nurse identify as the cause of late
decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - ANSWER-c. uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium sulfate
via continuous IV infusion for severe pre-eclampsia. What finding should the nurse report to
the provider? a. DTR 2+ b. resp 16 c. BP 150/96
Page 2 of 63
,d. urinary output 20 mL/hr - ANSWER-d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal
perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can
also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of incompetent cervix
with cervical cerclage. What statement by the client indicates an understanding of teaching? a. I
should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER-a. I should go to the hospital if I
think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should
immediately go to a facility for evaluation if she experiences any manifestations of labor while
the cerclage is in place. If the client experiences preterm uterine contractions she might require
tocolytic therapy.
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 - ANSWER-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.
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
d. leg cramps when sleeping - ANSWER-b. blurred or double vision
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 - ANSWER-a. decrease the dose of oxytocin by half
Page 3 of 63
, The nurse should decrease the dose of oxytocin by half because the client is experiencing uterine
tachysystole.
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 - ANSWER-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.
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 - ANSWER-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.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a 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 - ANSWER-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.
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 - ANSWER-a. instruct the client to obtain a
rubella immunization after delivery
Page 4 of 63
EXAM QUESTIONS WITH CORRECT
ANSWERS | EXPERT GRADED A+
2026/2027
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 - ANSWER-a. urine test for presence of
HCG
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 - ANSWER-a. palpable fetal movement
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 - ANSWER-a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma.
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 - ANSWER-b. dark brown vaginal discharge
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
Page 1 of 63
,number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge
is usually dark brown and can contain grapelike clusters.
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
2 4 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - ANSWER-a. 480 mL urine output in 24 hrs
A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the
first trimester. What info should the nurse include in the teaching? a. you will need to
have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - ANSWER-a. you will need to
have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the pelvis
during the examination. Therefore, it is important to ensure that the client has a full bladder to
obtain the most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild placental abruption. What
finding should the nurse expect? a. decreased urinary output b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - ANSWER-c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8. Using Nageles rule,
the nurse should identify the client's estimated DOB as what? a. oct 15 b. april 15 c. oct 1
d. april 1 - ANSWER-b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of labor. The
nurse observes late decels in the FHR. What finding should the nurse identify as the cause of late
decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - ANSWER-c. uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium sulfate
via continuous IV infusion for severe pre-eclampsia. What finding should the nurse report to
the provider? a. DTR 2+ b. resp 16 c. BP 150/96
Page 2 of 63
,d. urinary output 20 mL/hr - ANSWER-d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal
perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can
also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of incompetent cervix
with cervical cerclage. What statement by the client indicates an understanding of teaching? a. I
should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER-a. I should go to the hospital if I
think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should
immediately go to a facility for evaluation if she experiences any manifestations of labor while
the cerclage is in place. If the client experiences preterm uterine contractions she might require
tocolytic therapy.
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 - ANSWER-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.
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
d. leg cramps when sleeping - ANSWER-b. blurred or double vision
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 - ANSWER-a. decrease the dose of oxytocin by half
Page 3 of 63
, The nurse should decrease the dose of oxytocin by half because the client is experiencing uterine
tachysystole.
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 - ANSWER-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.
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 - ANSWER-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.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a 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 - ANSWER-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.
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 - ANSWER-a. instruct the client to obtain a
rubella immunization after delivery
Page 4 of 63
