ATI MATERNAL NEWBORN
PROCTORED EXAM 2025/2026
BANK 2 VERSIONS over 300
ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED
QUESTIONS AND Answers
A nurse is caring for a client who is at 32 wks gestation b. betamethasone
and is experiencing preterm labor. What meds should the
nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
A nurse at a prenatal clinic is caring for a client who a. urine test for presence of HCG
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 nurse is caring for a client who believes she may be a. palpable fetal movement
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
A nurse is caring for a client who has oligohydraminios. a. renal agenesis
What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client who is at 37 wks gestation a. uterine contractions
and has a suspected pelvic fracture due to blunt abd
trauma. What findings should the nurse expect? The nurse should expect the client to be experiencing uterine contractions due to
a. uterine contractions abdominal trauma.
b. bradycardia
c. seizures
d. bradypnea
A nurse is assessing a client who is at 12 wks gestation b. dark brown vaginal discharge
and has hydatidiform mole. What findings should the
nurse expect? A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
a. hypothermia chorionic villi, which gives rise to multiple cysts. The products of conception
b. dark brown vaginal discharge transform into a large number of edematous, fluid-filled vesicles. As cells slough
c. fetal heart tones off the uterine wall, vaginal discharge is usually dark brown and can contain
d. decreased urinary output grapelike clusters.
A nurse is assessing a client who is at 35 weeks of a. 480 mL urine output in 24 hrs
gestation and has mild gestational HTN. What finding
should the nurse identify as the priority? When using the urgent vs. nonurgent approach to client care, the nurse should
a. 480 mL urine output in 24 hrs determine that the priority finding is 480 mL of urine output in 24 hr because the
b. 1+ protein in the urine minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
c. +2 edema of the feet progression of preeclampsia to preeclampsia with severe features, which requires
d. BP 144/92 immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and d. you should continue to take zidovudine throughout the pregnancy
has HIV. What statement should the nurse include in the
teaching? -can be transmitted through breastfeeding
a. you will be in isolation after delivery -she can continue to have sex
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity The nurse should inform the client that taking prescription antiviral medication
d. you should continue to take zidovudine throughout the every day decreases the risk of transmission of HIV to her newborn.
pregnancy
,A nurse is providing teaching to a client who is at 8 wks b. blurred or double vision
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 nurse is caring for a client who is in the latent phase of a. decrease the dose of oxytocin by half
labor and is receiving oxytocin via continuous IV infusion.
The nurse notes that the client is having contractions The nurse should decrease the dose of oxytocin by half because the client is
every 2 min which last 100-110 seconds that the fetal heart experiencing uterine tachysystole.
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
A nurse is caring for a client who is in active labor and has c. prepare equipment needed for newborn resuscitation
meconium staining of the amniotic fluid. The nurse notes
a reassuring FHR tracing from the external fetal monitor. The nurse should ensure that all supplies and equipment needed for resuscitation
What action should the nurse take? of the newborn are readily available for every delivery. Endotracheal suctioning is
a. prepare the client for emergency c-section recommended in cases of meconium staining only if the newborn has poor
b. perform endotrach suctioning as soon as the fetal respiratory effort, decreased muscle tone, and bradycardia after delivery.
head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
A nurse is reviewing the medical record of a client who is b. perform a vaginal exam
at 33 wks gestation and has placenta previa and
bleeding. What scripts should the nurse clarify with the When a client has a placenta previa, the placenta implants in the lower part of the
provider? uterus and obstructs the cervical os (the opening to the vagina). The nurse should
a. insert a large-bore IV catheter clarify this prescription because any manipulation can cause tearing of the
b. perform a vaginal exam placenta and increased bleeding.
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
A nurse is caring for a client who is at 37 wks gestation d. use vibroacoustic stim on the client's abd for 3 seconds
and is undergoing a nonstress test. The FHR is 130 without
accelerations for the past 10 min. What action should the The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit
nurse take? fetal activity because the fetus is most likely sleeping. Fetal movement should
a. request a script for an internal fetal scalp electrode cause accelerations in the FHR.
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
, A nurse is reviewing lab results for a client who is at 37 a. instruct the client to obtain a rubella immunization after delivery
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
A nurse is reviewing the med record of a client who is at b. fetal GI anomaly
39 wks gestation and has polyhydramnios. What finding
should the nurse expect? Polyhydramnios is the presence of excessive amniotic fluid surrounding the
a. total pregnancy wt gain of 3.6 kg unborn fetus. Gastrointestinal malformations and neurologic disorders are
b. fetal GI anomaly expected findings for a fetus experiencing the effects of polyhydramnios.
c. gestational HTN
d. fundal height of 34 cm
A nurse is teaching a client who has pre-eclampsia and is b. feeling of warmth
to receive magnesium sulfate via continuous IV infusion
about expected adverse effects. What adverse effects The nurse should tell the client to expect the feeling of warmth all over her body
should the nurse include in the teaching? while the magnesium sulfate is infusing.
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity
A nurse is caring for a client who is in the latent phase of d. apply pressure to the client's sacral area during contractions
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
A nurse is teaching a client who is at 12 wks gestation c. swelling of the face
about manifestations of potential complications that she
should report to her provider. What info should the nurse
include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency
PROCTORED EXAM 2025/2026
BANK 2 VERSIONS over 300
ACCURATE ACTUAL EXAM WITH
FREQUENTLY TESTED
QUESTIONS AND Answers
A nurse is caring for a client who is at 32 wks gestation b. betamethasone
and is experiencing preterm labor. What meds should the
nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
A nurse at a prenatal clinic is caring for a client who a. urine test for presence of HCG
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 nurse is caring for a client who believes she may be a. palpable fetal movement
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
A nurse is caring for a client who has oligohydraminios. a. renal agenesis
What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
A nurse is assessing a client who is at 37 wks gestation a. uterine contractions
and has a suspected pelvic fracture due to blunt abd
trauma. What findings should the nurse expect? The nurse should expect the client to be experiencing uterine contractions due to
a. uterine contractions abdominal trauma.
b. bradycardia
c. seizures
d. bradypnea
A nurse is assessing a client who is at 12 wks gestation b. dark brown vaginal discharge
and has hydatidiform mole. What findings should the
nurse expect? A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
a. hypothermia chorionic villi, which gives rise to multiple cysts. The products of conception
b. dark brown vaginal discharge transform into a large number of edematous, fluid-filled vesicles. As cells slough
c. fetal heart tones off the uterine wall, vaginal discharge is usually dark brown and can contain
d. decreased urinary output grapelike clusters.
A nurse is assessing a client who is at 35 weeks of a. 480 mL urine output in 24 hrs
gestation and has mild gestational HTN. What finding
should the nurse identify as the priority? When using the urgent vs. nonurgent approach to client care, the nurse should
a. 480 mL urine output in 24 hrs determine that the priority finding is 480 mL of urine output in 24 hr because the
b. 1+ protein in the urine minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
c. +2 edema of the feet progression of preeclampsia to preeclampsia with severe features, which requires
d. BP 144/92 immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and d. you should continue to take zidovudine throughout the pregnancy
has HIV. What statement should the nurse include in the
teaching? -can be transmitted through breastfeeding
a. you will be in isolation after delivery -she can continue to have sex
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity The nurse should inform the client that taking prescription antiviral medication
d. you should continue to take zidovudine throughout the every day decreases the risk of transmission of HIV to her newborn.
pregnancy
,A nurse is providing teaching to a client who is at 8 wks b. blurred or double vision
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 nurse is caring for a client who is in the latent phase of a. decrease the dose of oxytocin by half
labor and is receiving oxytocin via continuous IV infusion.
The nurse notes that the client is having contractions The nurse should decrease the dose of oxytocin by half because the client is
every 2 min which last 100-110 seconds that the fetal heart experiencing uterine tachysystole.
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
A nurse is caring for a client who is in active labor and has c. prepare equipment needed for newborn resuscitation
meconium staining of the amniotic fluid. The nurse notes
a reassuring FHR tracing from the external fetal monitor. The nurse should ensure that all supplies and equipment needed for resuscitation
What action should the nurse take? of the newborn are readily available for every delivery. Endotracheal suctioning is
a. prepare the client for emergency c-section recommended in cases of meconium staining only if the newborn has poor
b. perform endotrach suctioning as soon as the fetal respiratory effort, decreased muscle tone, and bradycardia after delivery.
head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
A nurse is reviewing the medical record of a client who is b. perform a vaginal exam
at 33 wks gestation and has placenta previa and
bleeding. What scripts should the nurse clarify with the When a client has a placenta previa, the placenta implants in the lower part of the
provider? uterus and obstructs the cervical os (the opening to the vagina). The nurse should
a. insert a large-bore IV catheter clarify this prescription because any manipulation can cause tearing of the
b. perform a vaginal exam placenta and increased bleeding.
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
A nurse is caring for a client who is at 37 wks gestation d. use vibroacoustic stim on the client's abd for 3 seconds
and is undergoing a nonstress test. The FHR is 130 without
accelerations for the past 10 min. What action should the The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit
nurse take? fetal activity because the fetus is most likely sleeping. Fetal movement should
a. request a script for an internal fetal scalp electrode cause accelerations in the FHR.
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
, A nurse is reviewing lab results for a client who is at 37 a. instruct the client to obtain a rubella immunization after delivery
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
A nurse is reviewing the med record of a client who is at b. fetal GI anomaly
39 wks gestation and has polyhydramnios. What finding
should the nurse expect? Polyhydramnios is the presence of excessive amniotic fluid surrounding the
a. total pregnancy wt gain of 3.6 kg unborn fetus. Gastrointestinal malformations and neurologic disorders are
b. fetal GI anomaly expected findings for a fetus experiencing the effects of polyhydramnios.
c. gestational HTN
d. fundal height of 34 cm
A nurse is teaching a client who has pre-eclampsia and is b. feeling of warmth
to receive magnesium sulfate via continuous IV infusion
about expected adverse effects. What adverse effects The nurse should tell the client to expect the feeling of warmth all over her body
should the nurse include in the teaching? while the magnesium sulfate is infusing.
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity
A nurse is caring for a client who is in the latent phase of d. apply pressure to the client's sacral area during contractions
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
A nurse is teaching a client who is at 12 wks gestation c. swelling of the face
about manifestations of potential complications that she
should report to her provider. What info should the nurse
include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency
