ATI MATERNAL NEWBORN PROCTORED EXAM PREP
NEWEST 2025/2026 ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) WITH DETAILED RATIONALES |ALREADY
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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 - Correct 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.
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
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c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - Correct 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 - Correct 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
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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 - Correct 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 - Correct 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 - Correct Answer-b. fetal GI anomaly
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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.
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 - Correct 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.
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 - Correct Answer-d.
apply pressure to the client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about manifestations of
potential complications that she should report to her provider. What info should
the nurse include in the teaching?
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