ATI RN MATERNAL NEWBORN PROCTORED
RETAKE EXAM 4 2026 NEWBORN ASSESSMENT
WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ A nurse is assessing a client who is suspected of having
hyperemesis gravidarum. Which of the following laboratory tests
should
the nurse check first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin level
D. Urine ketones.
Answer: D. Urine ketones
◉ A nurse is caring for a client who is pregnant and has a rupture of
membranes. The nurse notes the presence of meconiumstained
fluid. Which of the following actions should the nurse take?
A. Gather equipment for neonatal resuscitation
B. Discontinue oxytocin infusion
,C. Prepare for emergency cesarean delivery
D. Position the parent to facilitate the McRoberts maneuver.
Answer: A. Gather equipment for neonatal resuscitation
◉ A nurse is caring for a client who is in labor and is receiving IV
oxytocin. The nurse notes contractions lasting 3 min each. What
action should the nurse take?
A. Stop the oxytocin infusion
B. Apply oxygen at 2 L/min via nasal cannula
C. Administer methylergonovine intramuscularly
D. Prepare for an emergent cesarean birth.
Answer: A. Stop the oxytocin infusion
◉ A nurse is assessing an 18-hour-old newborn. Which of the
following findings should be reported to the provider?
A. Blood-tinged discharge from the vagina
B. Overlapping sutures on the skull
C. Subconjunctival hemorrhage
D. Yellow-tinged skin.
Answer: D. Yellow-tinged skin
,◉ A nurse is caring for a term newborn 90 minutes after a scheduled
cesarean birth. The newborn's 1-minute Apgar score was 9.
The newborn's heart rate is 120/min, and his respiratory rate is
70/min. There are no indications of retractions, grunting, or nasal
flaring. Which of the following actions should the nurse take?
A. Request a prescription for continuous positive airway pressure
(CPAP)
B. Initiate close observation of the newborn for indications of
respiratory distress
C. Consult a respiratory therapist for chest physiotherapy
D. Request an order for nitric oxide therapy.
Answer: B. Initiate close observation of the newborn for indications
of respiratory distress
◉ A nurse is caring for a client who is at 33 weeks of gestation and
reports dark red vaginal bleeding and contractions that do not
stop. Which of the following actions should the nurse take first?
A. Check the fetal heart tones
B. Assess the uterine contraction pattern
C. Measure maternal vital signs
, D. Obtain a biophysical profile.
Answer: A. Check the fetal heart tones
◉ A nurse is providing care to a client who is in labor and
experienced a spontaneous rupture of membranes. Which of the
following findings requires intervention by the nurse?
A. Intense contractions lasting less than 30 seconds
B. Rest periods between contractions lasting longer than 90 seconds
C. Fetal heart rate decreased by 15/min
D. Maternal temperature of 37.8°C (100°F) after ruptured
membranes.
Answer: C. Fetal heart rate decreased by 15/min
◉ A nurse is providing teaching about weight gain during pregnancy
for a client who is a primigravida of normal pre-pregnancy
weight. Which of the following statements should the nurse include?
A. "You should plan to gain 25 to 35 pounds during your pregnancy."
B. "You should plan to gain 11 to 20 pounds during your pregnancy."
C. "Because you started pregnancy at a normal BMI and weight, your
weight gain is not limited as long as you follow a
healthy, balanced diet."
RETAKE EXAM 4 2026 NEWBORN ASSESSMENT
WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ A nurse is assessing a client who is suspected of having
hyperemesis gravidarum. Which of the following laboratory tests
should
the nurse check first?
A. Complete blood count
B. Liver enzymes
C. Bilirubin level
D. Urine ketones.
Answer: D. Urine ketones
◉ A nurse is caring for a client who is pregnant and has a rupture of
membranes. The nurse notes the presence of meconiumstained
fluid. Which of the following actions should the nurse take?
A. Gather equipment for neonatal resuscitation
B. Discontinue oxytocin infusion
,C. Prepare for emergency cesarean delivery
D. Position the parent to facilitate the McRoberts maneuver.
Answer: A. Gather equipment for neonatal resuscitation
◉ A nurse is caring for a client who is in labor and is receiving IV
oxytocin. The nurse notes contractions lasting 3 min each. What
action should the nurse take?
A. Stop the oxytocin infusion
B. Apply oxygen at 2 L/min via nasal cannula
C. Administer methylergonovine intramuscularly
D. Prepare for an emergent cesarean birth.
Answer: A. Stop the oxytocin infusion
◉ A nurse is assessing an 18-hour-old newborn. Which of the
following findings should be reported to the provider?
A. Blood-tinged discharge from the vagina
B. Overlapping sutures on the skull
C. Subconjunctival hemorrhage
D. Yellow-tinged skin.
Answer: D. Yellow-tinged skin
,◉ A nurse is caring for a term newborn 90 minutes after a scheduled
cesarean birth. The newborn's 1-minute Apgar score was 9.
The newborn's heart rate is 120/min, and his respiratory rate is
70/min. There are no indications of retractions, grunting, or nasal
flaring. Which of the following actions should the nurse take?
A. Request a prescription for continuous positive airway pressure
(CPAP)
B. Initiate close observation of the newborn for indications of
respiratory distress
C. Consult a respiratory therapist for chest physiotherapy
D. Request an order for nitric oxide therapy.
Answer: B. Initiate close observation of the newborn for indications
of respiratory distress
◉ A nurse is caring for a client who is at 33 weeks of gestation and
reports dark red vaginal bleeding and contractions that do not
stop. Which of the following actions should the nurse take first?
A. Check the fetal heart tones
B. Assess the uterine contraction pattern
C. Measure maternal vital signs
, D. Obtain a biophysical profile.
Answer: A. Check the fetal heart tones
◉ A nurse is providing care to a client who is in labor and
experienced a spontaneous rupture of membranes. Which of the
following findings requires intervention by the nurse?
A. Intense contractions lasting less than 30 seconds
B. Rest periods between contractions lasting longer than 90 seconds
C. Fetal heart rate decreased by 15/min
D. Maternal temperature of 37.8°C (100°F) after ruptured
membranes.
Answer: C. Fetal heart rate decreased by 15/min
◉ A nurse is providing teaching about weight gain during pregnancy
for a client who is a primigravida of normal pre-pregnancy
weight. Which of the following statements should the nurse include?
A. "You should plan to gain 25 to 35 pounds during your pregnancy."
B. "You should plan to gain 11 to 20 pounds during your pregnancy."
C. "Because you started pregnancy at a normal BMI and weight, your
weight gain is not limited as long as you follow a
healthy, balanced diet."
