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ATI Maternal-Newborn Proctored Exam
Question 1
Which of the following is a normal finding in a newborn?
A) Heart rate of 60 bpm
B) Acrocyanosis
C) Respiratory rate of 30 breaths/min
D) Blood glucose level of 80 mg/dL
Correct Option: B) Acrocyanosis
Rationale: Acrocyanosis is a common and expected finding in newborns immediately after birth
due to the transition from fetal to extrauterine life. It usually resolves within a few hours to days.
Question 2
What is the primary purpose of administering Rho(D) immune globulin to a Rh-negative
mother?
A) To prevent iron deficiency anemia
B) To prevent Rh incompatibility in future pregnancies
C) To stimulate fetal lung maturity
D) To prevent gestational diabetes
Correct Option: B) To prevent Rh incompatibility in future pregnancies
Rationale: Rho(D) immune globulin is given to Rh-negative mothers who have given birth to an
Rh-positive infant to prevent the development of antibodies against Rh-positive blood in future
pregnancies.
Question 3
Which maternal position is best for promoting fetal oxygenation during labor?
,ATI Maternal-Newborn Proctored Exam 2026 Latest Version | ATI RN Maternal Newborn
Proctored Assessment Study Guide, Verified Questions and Answers, Comprehensive
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A) Supine
B) Lithotomy
C) Left lateral
D) Right lateral
Correct Option: C) Left lateral
Rationale: The left lateral position helps relieve pressure on the vena cava, improving
uteroplacental blood flow and enhancing fetal oxygenation during labor.
Question 4
What is the expected normal range for a newborn's weight?
A) 2-4 kg
B) 4-6 kg
C) 5-8 kg
D) 8-10 kg
Correct Option: A) 2-4 kg
Rationale: The average weight of a newborn is typically between 2.5 to 4 kg (5.5 to 8.8 lbs),
making option A the correct answer.
Question 5
During the assessment of a newborn, which of the following findings should be reported
immediately?
A) Reflexes are absent
B) Heart rate of 180 bpm
C) Temperature of 97.5°F
D) Slight jaundice within 24 hours of birth
Correct Option: A) Reflexes are absent
Rationale: The absence of reflexes in a newborn can indicate serious neurological concerns and
warrants immediate reporting and assessment
Question 6
What is the primary concern for a nurse caring for a newborn who is preterm?
, ATI Maternal-Newborn Proctored Exam 2026 Latest Version | ATI RN Maternal Newborn
Proctored Assessment Study Guide, Verified Questions and Answers, Comprehensive
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A) Hypoglycemia
B) Hyperthermia
C) Increased immunity
D) Communication skills
Correct Option: A) Hypoglycemia
Rationale: Preterm infants are at a higher risk for hypoglycemia due to insufficient glycogen
stores and immature metabolic response.
Question 7
When assessing a newborn, which of the following findings is considered abnormal?
A) Moro reflex
B) Caput succedaneum
C) A palpable abdominal mass
D) Positive grasp reflex
Correct Option: C) A palpable abdominal mass
Rationale: A palpable abdominal mass may indicate organ abnormalities or conditions such as
hydronephrosis and should be evaluated immediately.
Question 8
A nurse is teaching a client about breastfeeding. Which statement by the client indicates a
need for further teaching?
A) "I should breastfeed every 2-3 hours."
B) "I can give my baby water in the first week."
C) "I need to ensure a good latch."
D) "Breastfeeding helps to bond with my baby."
Correct Option: B) "I can give my baby water in the first week."
Rationale: Newborns do not need water in the first few weeks as breast milk provides all
necessary hydration and nutrition.
Question 9
Which sign is indicative of postpartum hemorrhage?