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ATI RN Maternal Newborn Proctored Exam 2025 With NGN:
120 Actual Exam Questions & Detailed Answers for
Guaranteed A+ on first Attempt
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first?
a. A client who is at 11 weeks of gestation and reports abdominal cramping
b. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand
c. A client who is at 20 weeks of gestation and reports constipation for the past 4 days
d. A client who is at 8 weeks of gestation and reports having three bloody noses in the past
week - ANSWER - a. A client who is at 11 weeks of gestation and reports abdominal
cramping
When using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is a client who is at 11 weeks of gestation and reports abdominal
cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of
spontaneous abortion. The nurse should request that the provider see this client first.
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following findings
should the nurse report to the provider? (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of
data.)
Exhibit 1: Graphic Record
Blood pressure 130/78 mm Hg, Respiratory rate 20/min, Heart rate 90/min
Exhibit 2: Diagnostic Results Hemoglobin 12 g/dL, Hematocrit 34%, 1-hr glucose tolerance
test 120 mg/dL
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Exhibit 3: Progress Notes
Fundal height 30 cm, Good fetal movement, Not experiencing headache, dizziness, blurred
vision, or vaginal bleeding, Fetal heart rate 110/min
a. 1-hr glucose tolerance test
b. Hematocrit
c. Fundal height measurement
d. Fetal heart rate (FHR) - ANSWER - d. Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider. Fundal height
should be measured in centimeters and is the same as the number of gestational weeks
plus or minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse should report
this finding to the provider.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
states that they are "happy one minute and crying the next." The nurse should interpret the
client's statement as an indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. Couvade syndrome - ANSWER - a. emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes that
occur during pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for
little or no reason.
A nurse is admitting a client to the labor and delivery unit when the client states, "My water
just broke." Which of the following interventions is the nurse's priority?
,3 of 42
a. Perform Nitrazine testing
b. Assess the fluid
c. Check cervical dilation
d. Begin FHR monitoring - ANSWER - d. Begin FHR monitoring
The greatest risk to the client and their fetus following a rupture of membranes is umbilical
cord prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore,
this is the priority action the nurse should take.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.
Which of the following findings should the nurse report to the provider?
a. Swelling of the face
b. Varicose veins in the calves
c. Nonpitting 1+ ankle edema
d. Hyperpigmentation of the cheeks - ANSWER - a. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia
purpura (ITP). Which of the following findings should the nurse expect?
a. Decreased platelet count
b. Increased erythrocyte sedimentation rate (ESR)
c. Decreased megakaryocytes
d. Increased WBC - ANSWER - a. Decreased platelet count
A client who has ITP has an autoimmune response that results in a decreased platelet
count.
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A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations
should the nurse report to the provider?
a. acrocyanosis
b. transient strabismus
c. jaundice
d. caput succedaneum - ANSWER - c. jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the
provider.
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain?
a. decreased heart rate
b. chin quivering
c. pinpoint pupils
d. slowed respirations - ANSWER - b. chin quivering
Behavioral responses to a newborn's pain include facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the
nurse report to the provider?
a. Substernal retractions
b. Acrocyanosis
c. Overlapping suture lines
d. Head circumference 33 (13 in) - ANSWER - a. Substernal retractions
ATI RN Maternal Newborn Proctored Exam 2025 With NGN:
120 Actual Exam Questions & Detailed Answers for
Guaranteed A+ on first Attempt
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurse see first?
a. A client who is at 11 weeks of gestation and reports abdominal cramping
b. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand
c. A client who is at 20 weeks of gestation and reports constipation for the past 4 days
d. A client who is at 8 weeks of gestation and reports having three bloody noses in the past
week - ANSWER - a. A client who is at 11 weeks of gestation and reports abdominal
cramping
When using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is a client who is at 11 weeks of gestation and reports abdominal
cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of
spontaneous abortion. The nurse should request that the provider see this client first.
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following findings
should the nurse report to the provider? (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of
data.)
Exhibit 1: Graphic Record
Blood pressure 130/78 mm Hg, Respiratory rate 20/min, Heart rate 90/min
Exhibit 2: Diagnostic Results Hemoglobin 12 g/dL, Hematocrit 34%, 1-hr glucose tolerance
test 120 mg/dL
,2 of 42
Exhibit 3: Progress Notes
Fundal height 30 cm, Good fetal movement, Not experiencing headache, dizziness, blurred
vision, or vaginal bleeding, Fetal heart rate 110/min
a. 1-hr glucose tolerance test
b. Hematocrit
c. Fundal height measurement
d. Fetal heart rate (FHR) - ANSWER - d. Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider. Fundal height
should be measured in centimeters and is the same as the number of gestational weeks
plus or minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse should report
this finding to the provider.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
states that they are "happy one minute and crying the next." The nurse should interpret the
client's statement as an indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. Couvade syndrome - ANSWER - a. emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes that
occur during pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for
little or no reason.
A nurse is admitting a client to the labor and delivery unit when the client states, "My water
just broke." Which of the following interventions is the nurse's priority?
,3 of 42
a. Perform Nitrazine testing
b. Assess the fluid
c. Check cervical dilation
d. Begin FHR monitoring - ANSWER - d. Begin FHR monitoring
The greatest risk to the client and their fetus following a rupture of membranes is umbilical
cord prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore,
this is the priority action the nurse should take.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.
Which of the following findings should the nurse report to the provider?
a. Swelling of the face
b. Varicose veins in the calves
c. Nonpitting 1+ ankle edema
d. Hyperpigmentation of the cheeks - ANSWER - a. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia
purpura (ITP). Which of the following findings should the nurse expect?
a. Decreased platelet count
b. Increased erythrocyte sedimentation rate (ESR)
c. Decreased megakaryocytes
d. Increased WBC - ANSWER - a. Decreased platelet count
A client who has ITP has an autoimmune response that results in a decreased platelet
count.
, 4 of 42
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations
should the nurse report to the provider?
a. acrocyanosis
b. transient strabismus
c. jaundice
d. caput succedaneum - ANSWER - c. jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the
provider.
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain?
a. decreased heart rate
b. chin quivering
c. pinpoint pupils
d. slowed respirations - ANSWER - b. chin quivering
Behavioral responses to a newborn's pain include facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the
nurse report to the provider?
a. Substernal retractions
b. Acrocyanosis
c. Overlapping suture lines
d. Head circumference 33 (13 in) - ANSWER - a. Substernal retractions
