ATI RN MATERNAL NEWBORN CMS
PROCTORED LATEST EXAM 2024-2025
ACTUAL EXAM ALL 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of
the following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease - Answer- c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states,
"I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the
house." Which of the following is the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born" - Answer- d) "Tell me how you
think your life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree
perineal laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally - Answer- c) apply cold ice packs to the
client's perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of
dizziness after lying on her back on the couch. Which of the following actions should the nurse
take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet - Answer- b) advise the client to lie on
her side
A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse
should monitor the client for which of the following potential adverse effects?
a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria - Answer- c) fetal asphyxia
,A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The
client asks about expected weight loss. Which of the following responses should the nurse make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable" - Answer- a) "Losing 2.2 pounds each
month would be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The
client states, "I am here to have my regular prenatal checkup, but I do not want any pictures taken
of my baby." Which of the following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
d) "You have the right to tell the doctor that you do not want the sonogram" - Answer- b) "I would
like to hear more about why you do not want the sonogram, including any cultural reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
a) effacement
b) dilation
c) lightening
d) quickening - Answer- c) lightening
A nurse is providing teaching about weight gain during pregnancy for a client who is 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"
d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40
pounds during pregnancy" - Answer- a) "You should plan to gain 25 to 35 pounds during your
pregnancy"
A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the
following statements should the nurse identify as an indication that the client understands the
instructions?
a) "I will put bumper pads in the crib"
b) "I will warm my baby's formula in the microwave on a low setting"
c) "I will place my baby on his stomach to sleep"
d) "I will purchase a firm mattress for the crib" - Answer- d) "I will purchase a firm mattress for the
crib"
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of
the following actions should the nurse take?
a) assist the client to ambulate in the hallway
b) instruct the client to splint the incision with a pillow
,c) have the client drink fluids through a straw
d) encourage the client to drink carbonated beverages - Answer- a) assist the client to ambulate in
the hallway
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings
should the nurse expect?
a) breast engorgement
b) hypothermia
c) urinary retention
d) rupture of membranes - Answer- c) urinary retention
A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that
she should report to her provider. Which of the following findings should the nurse include in the
teaching?
a) mild constipation
b) nasal congestion
c) vaginal bleeding
d) 10 fetal movements per hour - Answer- c) vaginal bleeding
The guardian of a 3-day-old female newborn tells the nurse that he noticed a small amount of
blood-tinged mucus discharge on the newborn's labia. Which of the following responses should
the nurse make?
a) "The blood-tinged mucus is a result of pseudomenstruation"
b) "The blood-tinged mucus indicates a urinary tract infection"
c) "The blood-tinged mucus is due to uric acid crystals"
d) "The blood-tinged mucus is a result of the initial genital examination" - Answer- a) "The blood-
tinged mucus is a result of pseudomenstruation"
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the
following responses by the nurse is appropriate?
a) "You should drink 1 oz of mineral oil every morning"
b) "You should walk for at least 30 minutes every day"
c) "You should eat at least 3 oz of red meat per day"
d) "You should stop taking your prenatal vitamin" - Answer- b) "You should walk for at least 30
minutes every day"
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse
report to the provider?
a) overlapping suture lines
b) generalized petechiae
c) acrocyanosis
d) transient strabismus - Answer- b) generalized petechiae
A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following
pieces of information should the nurse include about the hepatitis B immunization?
a) "The first dose should be administered at 3 months of age"
b) "Your baby will receive this immunization subcutaneously, which means under the skin"
c) "We will need your consent prior to administering the vaccine"
d) "Your baby will receive this vaccine in a series of 5 doses" - Answer- c) "We will need your
consent prior to administering the vaccine"
, A nurse is caring for a client at 35 weeks gestation who has severe pre-eclampsia. Which of the
following assessments provides the most accurate information regarding the client's fluid and
electrolyte status?
a) blood pressure
b) intake and output
c) daily weight
d) severity of edema - Answer- c) daily weight
A nurse is teaching a client about a nonstress test. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I know not to eat anything after midnight"
b) "I will have medication given to me to cause contractions"
c) "I should press the button on the handheld marker when my baby moves"
d) "I will have to stimulate my breast to cause contractions" - Answer- c) "I should press the button
on the handheld marker when my baby moves"
A nurse is providing education for a pregnant client about symptoms that should be reported
immediately to the provider. Which of the following client responses indicates an understanding of
the teaching?
a) "I should call my provider if I develop melasma"
b) "If I notice that my eyes are puffy, I should call my provider"
c) "I should call my provider if I notice that my feet and ankles are swollen"
d) "If I notice periodic numbness and tingling in my fingers, I should call my provider" - Answer- b)
"If I notice that my eyes are puffy, I should call my provider"
A nurse is caring for a client who is using patterned-paced breathing during the first stage of labor.
The client reports a lightheaded feeling and tingling of the fingers. Which of the following actions
should the nurse take?
a) instruct the client to hold her breath and bear down
b) ensure that the client's breathing rate is more than twice her normal rate
c) apply counter-pressure to the client's lower back
d) have the client breathe into a paper bag - Answer- d) have the client breathe into a paper bag
A nurse is teaching a parent of a newborn how to care for the newborn's umbilical cord stump.
Which of the following instructions should the nurse include?
a) "Cover the cord with the edge of the diaper"
b) "Clean the cord stump with tap water"
c) "Apply a damp cloth over the cord stump once each day"
d) "You should gently tug on the cord stump in 5 days if it has not yet fallen off" - Answer- b)
"Clean the cord stump with tap water"
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of
gestation. For which of the following results should the nurse notify the provider?
a) Hgb 11.3 g/dL
b) Platelet count 135,000/mm^3
c) WBC count 10,500/mm^3
d) Hct 38% - Answer- b) Platelet count 135,000/mm^3
PROCTORED LATEST EXAM 2024-2025
ACTUAL EXAM ALL 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of
the following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease - Answer- c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states,
"I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the
house." Which of the following is the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born" - Answer- d) "Tell me how you
think your life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree
perineal laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally - Answer- c) apply cold ice packs to the
client's perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of
dizziness after lying on her back on the couch. Which of the following actions should the nurse
take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet - Answer- b) advise the client to lie on
her side
A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse
should monitor the client for which of the following potential adverse effects?
a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria - Answer- c) fetal asphyxia
,A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The
client asks about expected weight loss. Which of the following responses should the nurse make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable" - Answer- a) "Losing 2.2 pounds each
month would be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The
client states, "I am here to have my regular prenatal checkup, but I do not want any pictures taken
of my baby." Which of the following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
d) "You have the right to tell the doctor that you do not want the sonogram" - Answer- b) "I would
like to hear more about why you do not want the sonogram, including any cultural reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
a) effacement
b) dilation
c) lightening
d) quickening - Answer- c) lightening
A nurse is providing teaching about weight gain during pregnancy for a client who is 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"
d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40
pounds during pregnancy" - Answer- a) "You should plan to gain 25 to 35 pounds during your
pregnancy"
A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the
following statements should the nurse identify as an indication that the client understands the
instructions?
a) "I will put bumper pads in the crib"
b) "I will warm my baby's formula in the microwave on a low setting"
c) "I will place my baby on his stomach to sleep"
d) "I will purchase a firm mattress for the crib" - Answer- d) "I will purchase a firm mattress for the
crib"
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of
the following actions should the nurse take?
a) assist the client to ambulate in the hallway
b) instruct the client to splint the incision with a pillow
,c) have the client drink fluids through a straw
d) encourage the client to drink carbonated beverages - Answer- a) assist the client to ambulate in
the hallway
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings
should the nurse expect?
a) breast engorgement
b) hypothermia
c) urinary retention
d) rupture of membranes - Answer- c) urinary retention
A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that
she should report to her provider. Which of the following findings should the nurse include in the
teaching?
a) mild constipation
b) nasal congestion
c) vaginal bleeding
d) 10 fetal movements per hour - Answer- c) vaginal bleeding
The guardian of a 3-day-old female newborn tells the nurse that he noticed a small amount of
blood-tinged mucus discharge on the newborn's labia. Which of the following responses should
the nurse make?
a) "The blood-tinged mucus is a result of pseudomenstruation"
b) "The blood-tinged mucus indicates a urinary tract infection"
c) "The blood-tinged mucus is due to uric acid crystals"
d) "The blood-tinged mucus is a result of the initial genital examination" - Answer- a) "The blood-
tinged mucus is a result of pseudomenstruation"
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the
following responses by the nurse is appropriate?
a) "You should drink 1 oz of mineral oil every morning"
b) "You should walk for at least 30 minutes every day"
c) "You should eat at least 3 oz of red meat per day"
d) "You should stop taking your prenatal vitamin" - Answer- b) "You should walk for at least 30
minutes every day"
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse
report to the provider?
a) overlapping suture lines
b) generalized petechiae
c) acrocyanosis
d) transient strabismus - Answer- b) generalized petechiae
A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following
pieces of information should the nurse include about the hepatitis B immunization?
a) "The first dose should be administered at 3 months of age"
b) "Your baby will receive this immunization subcutaneously, which means under the skin"
c) "We will need your consent prior to administering the vaccine"
d) "Your baby will receive this vaccine in a series of 5 doses" - Answer- c) "We will need your
consent prior to administering the vaccine"
, A nurse is caring for a client at 35 weeks gestation who has severe pre-eclampsia. Which of the
following assessments provides the most accurate information regarding the client's fluid and
electrolyte status?
a) blood pressure
b) intake and output
c) daily weight
d) severity of edema - Answer- c) daily weight
A nurse is teaching a client about a nonstress test. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I know not to eat anything after midnight"
b) "I will have medication given to me to cause contractions"
c) "I should press the button on the handheld marker when my baby moves"
d) "I will have to stimulate my breast to cause contractions" - Answer- c) "I should press the button
on the handheld marker when my baby moves"
A nurse is providing education for a pregnant client about symptoms that should be reported
immediately to the provider. Which of the following client responses indicates an understanding of
the teaching?
a) "I should call my provider if I develop melasma"
b) "If I notice that my eyes are puffy, I should call my provider"
c) "I should call my provider if I notice that my feet and ankles are swollen"
d) "If I notice periodic numbness and tingling in my fingers, I should call my provider" - Answer- b)
"If I notice that my eyes are puffy, I should call my provider"
A nurse is caring for a client who is using patterned-paced breathing during the first stage of labor.
The client reports a lightheaded feeling and tingling of the fingers. Which of the following actions
should the nurse take?
a) instruct the client to hold her breath and bear down
b) ensure that the client's breathing rate is more than twice her normal rate
c) apply counter-pressure to the client's lower back
d) have the client breathe into a paper bag - Answer- d) have the client breathe into a paper bag
A nurse is teaching a parent of a newborn how to care for the newborn's umbilical cord stump.
Which of the following instructions should the nurse include?
a) "Cover the cord with the edge of the diaper"
b) "Clean the cord stump with tap water"
c) "Apply a damp cloth over the cord stump once each day"
d) "You should gently tug on the cord stump in 5 days if it has not yet fallen off" - Answer- b)
"Clean the cord stump with tap water"
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of
gestation. For which of the following results should the nurse notify the provider?
a) Hgb 11.3 g/dL
b) Platelet count 135,000/mm^3
c) WBC count 10,500/mm^3
d) Hct 38% - Answer- b) Platelet count 135,000/mm^3
