ATI MATERNAL NEWBORN PROCTORED EXAM
QUESTIONS AND CORRECT ANSWERS (100%
VERIFIED ANSWERS) Q&A 2026 |INSTANT
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1. A nurse is assessing a client in labor. Which finding indicates true labor?
A. Contractions stop when the client walks
B. Contractions are irregular and mild
C. Contractions become stronger and regular
D. Pain is felt only in the abdomen
Correct Answer: C
Rationale: True labor is characterized by regular, increasing intensity and
frequency of contractions that do not decrease with activity.
2. Which sign indicates placenta separation after delivery?
A. Umbilical cord shortens
B. Sudden gush of dark blood
C. Decreased fundal height
D. Soft, boggy uterus
Correct Answer: B
Rationale: A sudden gush of blood indicates placenta detachment from the uterine
wall.
3. A newborn has a heart rate of 90 bpm. What is the priority action?
A. Continue monitoring
B. Begin chest compressions
,C. Stimulate and reassess
D. Give oxygen via mask
Correct Answer: C
Rationale: A heart rate below 100 bpm requires stimulation first according to
neonatal resuscitation guidelines.
4. Which hormone maintains pregnancy during the first trimester?
A. Oxytocin
B. Estrogen
C. Progesterone
D. Prolactin
Correct Answer: C
Rationale: Progesterone maintains the uterine lining and prevents contractions in
early pregnancy.
5. A client at 32 weeks reports painless vaginal bleeding. What is suspected?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Ectopic pregnancy
Correct Answer: A
Rationale: Painless bright red bleeding in the third trimester suggests placenta
previa.
6. What is the priority nursing action for a client with postpartum hemorrhage?
A. Increase IV fluids
B. Massage the fundus
,C. Apply oxygen
D. Prepare for surgery
Correct Answer: B
Rationale: Fundal massage helps contract the uterus and reduce bleeding.
7. A newborn’s Apgar score of 7 at 1 minute indicates:
A. Severe distress
B. Moderate adjustment difficulty
C. Good condition
D. Immediate resuscitation needed
Correct Answer: C
Rationale: Scores of 7–10 indicate a healthy newborn adapting well.
8. Which finding is expected in preeclampsia?
A. Hypotension
B. Proteinuria
C. Bradycardia
D. Hypoglycemia
Correct Answer: B
Rationale: Proteinuria is a hallmark sign of preeclampsia.
9. What is the priority action for a client with eclampsia seizure?
A. Insert oral airway
B. Restrain the client
C. Turn client to side
D. Administer IV insulin
, Correct Answer: C
Rationale: Side-lying position prevents aspiration during seizures.
10. Which intervention prevents infection in episiotomy care?
A. Ice packs for 24 hours
B. Sitz baths after 12 hours
C. Clean from back to front
D. Apply heat continuously
Correct Answer: B
Rationale: Sitz baths promote healing and reduce infection risk.
11. A newborn with jaundice is most likely treated with:
A. Oxygen therapy
B. Phototherapy
C. Antibiotics
D. IV fluids only
Correct Answer: B
Rationale: Phototherapy breaks down bilirubin in newborn jaundice.
12. Which fetal heart rate pattern is reassuring?
A. Late decelerations
B. Variable decelerations
C. Moderate variability
D. Bradycardia
Correct Answer: C
Rationale: Moderate variability indicates adequate oxygenation.
QUESTIONS AND CORRECT ANSWERS (100%
VERIFIED ANSWERS) Q&A 2026 |INSTANT
DOWNLOAD PDF
1. A nurse is assessing a client in labor. Which finding indicates true labor?
A. Contractions stop when the client walks
B. Contractions are irregular and mild
C. Contractions become stronger and regular
D. Pain is felt only in the abdomen
Correct Answer: C
Rationale: True labor is characterized by regular, increasing intensity and
frequency of contractions that do not decrease with activity.
2. Which sign indicates placenta separation after delivery?
A. Umbilical cord shortens
B. Sudden gush of dark blood
C. Decreased fundal height
D. Soft, boggy uterus
Correct Answer: B
Rationale: A sudden gush of blood indicates placenta detachment from the uterine
wall.
3. A newborn has a heart rate of 90 bpm. What is the priority action?
A. Continue monitoring
B. Begin chest compressions
,C. Stimulate and reassess
D. Give oxygen via mask
Correct Answer: C
Rationale: A heart rate below 100 bpm requires stimulation first according to
neonatal resuscitation guidelines.
4. Which hormone maintains pregnancy during the first trimester?
A. Oxytocin
B. Estrogen
C. Progesterone
D. Prolactin
Correct Answer: C
Rationale: Progesterone maintains the uterine lining and prevents contractions in
early pregnancy.
5. A client at 32 weeks reports painless vaginal bleeding. What is suspected?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Ectopic pregnancy
Correct Answer: A
Rationale: Painless bright red bleeding in the third trimester suggests placenta
previa.
6. What is the priority nursing action for a client with postpartum hemorrhage?
A. Increase IV fluids
B. Massage the fundus
,C. Apply oxygen
D. Prepare for surgery
Correct Answer: B
Rationale: Fundal massage helps contract the uterus and reduce bleeding.
7. A newborn’s Apgar score of 7 at 1 minute indicates:
A. Severe distress
B. Moderate adjustment difficulty
C. Good condition
D. Immediate resuscitation needed
Correct Answer: C
Rationale: Scores of 7–10 indicate a healthy newborn adapting well.
8. Which finding is expected in preeclampsia?
A. Hypotension
B. Proteinuria
C. Bradycardia
D. Hypoglycemia
Correct Answer: B
Rationale: Proteinuria is a hallmark sign of preeclampsia.
9. What is the priority action for a client with eclampsia seizure?
A. Insert oral airway
B. Restrain the client
C. Turn client to side
D. Administer IV insulin
, Correct Answer: C
Rationale: Side-lying position prevents aspiration during seizures.
10. Which intervention prevents infection in episiotomy care?
A. Ice packs for 24 hours
B. Sitz baths after 12 hours
C. Clean from back to front
D. Apply heat continuously
Correct Answer: B
Rationale: Sitz baths promote healing and reduce infection risk.
11. A newborn with jaundice is most likely treated with:
A. Oxygen therapy
B. Phototherapy
C. Antibiotics
D. IV fluids only
Correct Answer: B
Rationale: Phototherapy breaks down bilirubin in newborn jaundice.
12. Which fetal heart rate pattern is reassuring?
A. Late decelerations
B. Variable decelerations
C. Moderate variability
D. Bradycardia
Correct Answer: C
Rationale: Moderate variability indicates adequate oxygenation.
