ATI MATERNAL NEWBORN PROCTORED RN EXAM
NEWEST 2026 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
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.
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,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 - 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
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, 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
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.
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NEWEST 2026 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
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
1|Page
,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.
2|Page
,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 - 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
3|Page
, 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
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.
4|Page
