ATI Maternal Newborn Proctored Exam –
High-Yield Practice Questions (270 Verified
Q&A with Rationales) | 2026
1. A nurse is teaching a client who is at 12 weeks’ gestation and has HIV.
What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstains 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.
2. 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
,The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
3. 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.
4. 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.
,5. 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.
6. A nurse is reviewing lab results for a client who is at 37 weeks’ 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
inform the client that she will have to deliver via c-section
c. administer a dose of Pho(D) immune globulin
- ANSWER-a. instruct the client to obtain a rubella immunization after
delivery
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
ANSWER-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.
7. A nurse is providing teaching to a client who is at 8 weeks’ 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
8. 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
ANSWER-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.
9. 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
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions
ANSWER-d. apply pressure to the client's sacral area during contractions
High-Yield Practice Questions (270 Verified
Q&A with Rationales) | 2026
1. A nurse is teaching a client who is at 12 weeks’ gestation and has HIV.
What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstains 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.
2. 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
,The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
3. 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.
4. 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.
,5. 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.
6. A nurse is reviewing lab results for a client who is at 37 weeks’ 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
inform the client that she will have to deliver via c-section
c. administer a dose of Pho(D) immune globulin
- ANSWER-a. instruct the client to obtain a rubella immunization after
delivery
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
ANSWER-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.
7. A nurse is providing teaching to a client who is at 8 weeks’ 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
8. 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
ANSWER-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.
9. 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
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions
ANSWER-d. apply pressure to the client's sacral area during contractions
