ATI Maternal Newborn Proctored Exam test bank
2025/2026
Q&A for Guaranteed pass
A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER-A
newborn who is large for gestational age
Large for gestational age (LGA) newborns are those
newborns whose weight is at or above the 90th percentile.
One of the most common etiologies of LGA newborns is a
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mother who is diabetic. LGA newborns, especially those
born to mothers who have diabetes, are at increased risk
for hypoglycemia. Other newborns at risk for
hypoglycemia are small for gestational age (SGA)
newborns (those below the 10th percentile), premature
newborns, and newborns who have perinatal hypoxia.
A nurse is caring for a client who is 2 hours postpartum.
The nurse notes the client's perineal pad has a large
amount of lochia rubra with several clots. Which of the
following actions should the nurse take first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
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Administer carboprost IM. - ANSWER-Massage the fundus
The primary cause of early postpartum bleeding is uterine
atony manifested by a relaxed, boggy uterus. Thus, the
greatest risk for the client is hemorrhage. The nurse
should massage the client's fundus first.
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.
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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 - 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.