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RN Maternal newborn ati proctored exam 2025 EXAM 2025- 2026 Review
GRADED A+ QUESTIONS WIT H CORRECT ANSWERS GRADED A+
A nurse is caring for a client who is at 16 weeks of gestation and has severe
iron deficiency anemia. The provider prescribes an injection of iron dextran IM.
Which of the following methods should the nurse use to administer the
medication?
Use a 20-gauge needle, and administer the medication using the Z-track
method.
Use a 22-gauge needle, and administer the medication deep into the thigh.
Use a 25-gauge needle, and administer the medication into the deltoid muscle.
Use an 18-gauge needle, and administer the medication into the rectus femoris
muscle
Use a 20-guage needle, and administer the medication using the Z track method
The nurse should administer iron using the Z-track method to prevent staining of
tissue. A 20-gauge needle is the correct size.
A nurse in an antepartum clinic answers a phone call from a client who is at 37
weeks of gestation and reports, "I become very dizzy while lying in bed this
morning, but the feeling went away when I turned on my side." Which of the
following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client.
Instruct the client about vena cava syndrome and measures to prevent it
This is the typical finding of vena cava syndrome, or hypotension that occurs in
clients who are pregnant upon assuming a supine position. It is caused by
compression of the inferior vena cava by the gravid uterus with a consequent
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reduction in venous return. A side lying position promotes uterine perfusion and
fetoplacental oxygenation.
A nurse is teaching a client about a nonstress test. Which of the following
statements by the client indicates an understanding of the teaching?
"I know not to eat anything after midnight."
"I will have medication given to me to cause contractions."
"I should press the button on the handheld marker when my baby moves."
"I will have to stimulate my breast to cause contractions."
I should press the button on the handheld marker when my baby moves
The purpose of the test is to assess fetal well-being. The client should press the
button on the handheld marker when she feels fetal movement.
A nurse is caring for a client who is at 36 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse identify as the
priority?
1+ proteinuria
Blood pressure 140/98 mm Hg
Nonreactive nonstress test
Fundal height 33 cm
Nonreactive nonstress test
In a nonreactive nonstress test, there are no accelerations. Absence of FHR
accelerations suggests that the fetus might be going into distress.
A nurse is caring for a client who is in labor. The client questions the
application of an internal fetal scalp monitor. Which of the following responses
should the nurse make?
"Don't worry. Your baby is fine."
"You will need to ask your provider."
"Your provider feels it would be best."
"We need to observe your baby more closely."
We need to observe your baby more closely
The client has asked an information-seeking question. This therapeutic response
provides information to the client in an honest, nonthreatening manner. The use of
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an internal fetal scalp monitor, or an internal spiral electrode, provides a more
accurate assessment of fetal well-being during labor.
A nurse is assessing a client who is receiving magnesium sulfate as treatment
for preeclampsia. Which of the following clinical findings is the nurse's
priority?
Respirations 16/min
Urinary output 40 mL in 2 hr
Reflexes +2
Fetal heart rate 158/min
Urinary output 40ml in 2 hours
Urinary output is critical to the excretion of magnesium from the body. The nurse
should discontinue the magnesium sulfate if the hourly output is less than 30 mL/hr
A nurse is speaking with an expectant father who says that he feels resentful
of the added attention others are giving to his wife since the pregnancy was
announced several weeks ago. Which of the following responses should the
nurse make?
"Has your wife sensed your anger toward her and the baby?"
"These feelings are common to expectant fathers in early pregnancy."
"I'm sure that it's really hard to accept this when it's your baby, too."
"It would be wise for you to speak to a therapist about these feelings."
These feelings are common to expectant fathers in early pregnancy
A nurse is caring for a client who is receiving oxytocin for induction of labor.
Which of the following actions should the nurse take?
Perform continuous fetal heart rate monitoring.
Measure maternal temperature every hour.
Evaluate maternal contraction pattern every hour.
Check blood pressure every 5 min.
Perform continuous fetal heart rate monitoring
When oxytocin is administered to an antepartum client, the fetal monitor must be
used to continuously monitor the fetal heart rate and maternal contractions.
A nurse is discussing diaphragm use with a client. Which of the following
statements by the client indicates an understanding of the teaching?
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"I should clean my diaphragm with alcohol each time I use it."
"I should leave the diaphragm in place 4 hours after intercourse."
"I should replace my diaphragm every 2 years."
"I should use a vaginal lubricant to insert my diaphragm."
I should replace my diaphragm every 2 years
The diaphragm is a flexible rubber cup that is filled with spermicide and is inserted
over the cervix prior to intercourse. The diaphragm is a prescribed device fitted by
the provider. It should be replaced every 2 years.
A nurse is caring for a newborn who has irregular respirations of 52/minute
with several periods of apnea lasting approximately 5 seconds. The newborn
is pink with acrocyanosis. Which of the following actions should the nurse
take?
Administer oxygen.
Place the newborn in an isolette.
Continue to routinely monitor the newborn.
Assess the newborn's blood glucose.
Continue to routinely monitor the newborn
A nurse is caring for a preterm newborn who is receiving oxygen therapy.
Which of the following findings should the nurse identify as a potential
complication from the oxygen therapy?
Atelectasis
Retinopathy
Interstitial emphysema
Necrotizing enterocolitis
Retinopathy
Oxygen therapy can cause retinopathy of prematurity, especially in preterm
newborns. It is a disorder of retinal blood vessel development in the premature
newborn. In newborns who develop retinopathy of prematurity, the vessels grow
abnormally from the retina into the clear gel that fills the back of the eye. It can
reduce vision or result in complete blindness.
A nurse is assessing a client who has gestational diabetes mellitus and is
experiencing hyperglycemia. Which of the following findings should the nurse
expect?
RN Maternal newborn ati proctored exam 2025 EXAM 2025- 2026 Review
GRADED A+ QUESTIONS WIT H CORRECT ANSWERS GRADED A+
A nurse is caring for a client who is at 16 weeks of gestation and has severe
iron deficiency anemia. The provider prescribes an injection of iron dextran IM.
Which of the following methods should the nurse use to administer the
medication?
Use a 20-gauge needle, and administer the medication using the Z-track
method.
Use a 22-gauge needle, and administer the medication deep into the thigh.
Use a 25-gauge needle, and administer the medication into the deltoid muscle.
Use an 18-gauge needle, and administer the medication into the rectus femoris
muscle
Use a 20-guage needle, and administer the medication using the Z track method
The nurse should administer iron using the Z-track method to prevent staining of
tissue. A 20-gauge needle is the correct size.
A nurse in an antepartum clinic answers a phone call from a client who is at 37
weeks of gestation and reports, "I become very dizzy while lying in bed this
morning, but the feeling went away when I turned on my side." Which of the
following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client.
Instruct the client about vena cava syndrome and measures to prevent it
This is the typical finding of vena cava syndrome, or hypotension that occurs in
clients who are pregnant upon assuming a supine position. It is caused by
compression of the inferior vena cava by the gravid uterus with a consequent
, Page 2 of 94
reduction in venous return. A side lying position promotes uterine perfusion and
fetoplacental oxygenation.
A nurse is teaching a client about a nonstress test. Which of the following
statements by the client indicates an understanding of the teaching?
"I know not to eat anything after midnight."
"I will have medication given to me to cause contractions."
"I should press the button on the handheld marker when my baby moves."
"I will have to stimulate my breast to cause contractions."
I should press the button on the handheld marker when my baby moves
The purpose of the test is to assess fetal well-being. The client should press the
button on the handheld marker when she feels fetal movement.
A nurse is caring for a client who is at 36 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse identify as the
priority?
1+ proteinuria
Blood pressure 140/98 mm Hg
Nonreactive nonstress test
Fundal height 33 cm
Nonreactive nonstress test
In a nonreactive nonstress test, there are no accelerations. Absence of FHR
accelerations suggests that the fetus might be going into distress.
A nurse is caring for a client who is in labor. The client questions the
application of an internal fetal scalp monitor. Which of the following responses
should the nurse make?
"Don't worry. Your baby is fine."
"You will need to ask your provider."
"Your provider feels it would be best."
"We need to observe your baby more closely."
We need to observe your baby more closely
The client has asked an information-seeking question. This therapeutic response
provides information to the client in an honest, nonthreatening manner. The use of
, Page 3 of 94
an internal fetal scalp monitor, or an internal spiral electrode, provides a more
accurate assessment of fetal well-being during labor.
A nurse is assessing a client who is receiving magnesium sulfate as treatment
for preeclampsia. Which of the following clinical findings is the nurse's
priority?
Respirations 16/min
Urinary output 40 mL in 2 hr
Reflexes +2
Fetal heart rate 158/min
Urinary output 40ml in 2 hours
Urinary output is critical to the excretion of magnesium from the body. The nurse
should discontinue the magnesium sulfate if the hourly output is less than 30 mL/hr
A nurse is speaking with an expectant father who says that he feels resentful
of the added attention others are giving to his wife since the pregnancy was
announced several weeks ago. Which of the following responses should the
nurse make?
"Has your wife sensed your anger toward her and the baby?"
"These feelings are common to expectant fathers in early pregnancy."
"I'm sure that it's really hard to accept this when it's your baby, too."
"It would be wise for you to speak to a therapist about these feelings."
These feelings are common to expectant fathers in early pregnancy
A nurse is caring for a client who is receiving oxytocin for induction of labor.
Which of the following actions should the nurse take?
Perform continuous fetal heart rate monitoring.
Measure maternal temperature every hour.
Evaluate maternal contraction pattern every hour.
Check blood pressure every 5 min.
Perform continuous fetal heart rate monitoring
When oxytocin is administered to an antepartum client, the fetal monitor must be
used to continuously monitor the fetal heart rate and maternal contractions.
A nurse is discussing diaphragm use with a client. Which of the following
statements by the client indicates an understanding of the teaching?
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"I should clean my diaphragm with alcohol each time I use it."
"I should leave the diaphragm in place 4 hours after intercourse."
"I should replace my diaphragm every 2 years."
"I should use a vaginal lubricant to insert my diaphragm."
I should replace my diaphragm every 2 years
The diaphragm is a flexible rubber cup that is filled with spermicide and is inserted
over the cervix prior to intercourse. The diaphragm is a prescribed device fitted by
the provider. It should be replaced every 2 years.
A nurse is caring for a newborn who has irregular respirations of 52/minute
with several periods of apnea lasting approximately 5 seconds. The newborn
is pink with acrocyanosis. Which of the following actions should the nurse
take?
Administer oxygen.
Place the newborn in an isolette.
Continue to routinely monitor the newborn.
Assess the newborn's blood glucose.
Continue to routinely monitor the newborn
A nurse is caring for a preterm newborn who is receiving oxygen therapy.
Which of the following findings should the nurse identify as a potential
complication from the oxygen therapy?
Atelectasis
Retinopathy
Interstitial emphysema
Necrotizing enterocolitis
Retinopathy
Oxygen therapy can cause retinopathy of prematurity, especially in preterm
newborns. It is a disorder of retinal blood vessel development in the premature
newborn. In newborns who develop retinopathy of prematurity, the vessels grow
abnormally from the retina into the clear gel that fills the back of the eye. It can
reduce vision or result in complete blindness.
A nurse is assessing a client who has gestational diabetes mellitus and is
experiencing hyperglycemia. Which of the following findings should the nurse
expect?
