RN MATERNAL NEWBORN ATI PROCTORED
EXAM UPDATED ANSWERS 2025
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - CORRECT ANSWER -b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn fetus. Gastrointestinal malformations and neurologic
disorders are expected findings for a fetus experiencing the effects of
polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - CORRECT ANSWER -b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take?
a. position the client supine with legs elevated
,b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions -
CORRECT ANSWER -d. apply pressure to the client's sacral area
during contractions
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to her
provider. What info should the nurse include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - CORRECT ANSWER -c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound in the first trimester. What info should the nurse include in the
teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound -
CORRECT ANSWER -a. you will need to have a full bladder during
the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid
uterus out of the pelvis during the examination. Therefore, it is important
to ensure that the client has a full bladder to obtain the most accurate
image of the fetus.
,A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - CORRECT ANSWER -c. dark red
vaginal bleeding
The nurse should expect the client who has a mild placental abruption to
have minimal dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8.
Using Nageles rule, the nurse should identify the client's estimated DOB
as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - CORRECT ANSWER -b. april 15
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - CORRECT ANSWER -b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may
be pregnant and asks the nurse how the provider will confirm her
pregnancy. The nurse should inform the client that what lab test will be
used to confirm her pregnancy?
, a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - CORRECT
ANSWER -a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What
finding should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - CORRECT ANSWER -a. palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - CORRECT ANSWER -a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings should
the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - CORRECT ANSWER -a. uterine contractions
EXAM UPDATED ANSWERS 2025
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - CORRECT ANSWER -b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding
the unborn fetus. Gastrointestinal malformations and neurologic
disorders are expected findings for a fetus experiencing the effects of
polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected adverse
effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - CORRECT ANSWER -b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over
her body while the magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take?
a. position the client supine with legs elevated
,b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions -
CORRECT ANSWER -d. apply pressure to the client's sacral area
during contractions
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to her
provider. What info should the nurse include in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - CORRECT ANSWER -c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound in the first trimester. What info should the nurse include in the
teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound -
CORRECT ANSWER -a. you will need to have a full bladder during
the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid
uterus out of the pelvis during the examination. Therefore, it is important
to ensure that the client has a full bladder to obtain the most accurate
image of the fetus.
,A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - CORRECT ANSWER -c. dark red
vaginal bleeding
The nurse should expect the client who has a mild placental abruption to
have minimal dark red vaginal bleeding.
A nurse is caring for a client whose last menstrual period began july 8.
Using Nageles rule, the nurse should identify the client's estimated DOB
as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - CORRECT ANSWER -b. april 15
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - CORRECT ANSWER -b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may
be pregnant and asks the nurse how the provider will confirm her
pregnancy. The nurse should inform the client that what lab test will be
used to confirm her pregnancy?
, a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone - CORRECT
ANSWER -a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What
finding should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - CORRECT ANSWER -a. palpable fetal
movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus - CORRECT ANSWER -a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings should
the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - CORRECT ANSWER -a. uterine contractions
