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ATI Maternal Newborn Proctored Exam Test Bank
2026/2027: Comprehensive Q&A with Rationales for
First-Attempt Success.
b. betamethasone - ANSWER-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 - ANSWER-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 - ANSWER-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
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a. renal agenesis - ANSWER-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. - ANSWER-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
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. -
ANSWER-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
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with severe features, which requires immediate intervention. Therefore,
this is the priority finding. - ANSWER-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. - ANSWER-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 - ANSWER-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
a. decrease the dose of oxytocin by half
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The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole. - ANSWER-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. - ANSWER-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. -
ANSWER-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?
ATI Maternal Newborn Proctored Exam Test Bank
2026/2027: Comprehensive Q&A with Rationales for
First-Attempt Success.
b. betamethasone - ANSWER-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 - ANSWER-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 - ANSWER-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
,2|Page
a. renal agenesis - ANSWER-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. - ANSWER-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
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. -
ANSWER-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
,3|Page
with severe features, which requires immediate intervention. Therefore,
this is the priority finding. - ANSWER-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. - ANSWER-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 - ANSWER-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
a. decrease the dose of oxytocin by half
, 4|Page
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole. - ANSWER-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. - ANSWER-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. -
ANSWER-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?
