UPDATED NEW 2023 ATI Maternal Newborn
Proctored/ ATI Maternal Newborn Proctored Exam/
RN Maternal Newborn 2019 Proctored Exam Updated
2023-2024
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress
test. The FHR is 130 without accelerations for the past 10 min. What action should the
nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds -------- Correct Answer ---------
d. use vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
activity because the fetus is most likely sleeping. Fetal movement should cause
accelerations in the FHR.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement -------- Correct Answer --------- a. auscultate for
a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
A nurse is caring for a client who is at 35 wks gestation and has severe pre-eclampsia.
What assessment provides the most accurate info regarding the client's fluid and
electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O -------- Correct Answer --------- a. daily wt
A nurse is teaching a client who is at 30 wks gestation about warning signs of
complications that she should report to her provider. What finding should the nurse
include in the teaching?
a. 10 fetal movements per hour
b. mild constipation
,c. vaginal bleeding
d. nasal congestion -------- Correct Answer --------- c. vaginal bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a
complication such as placental abruption, placenta previa, or preterm labor.
A nurse is teaching a client who is at 8 wks gestation and has a uterine fibroid about
potential effects of the fibroid during pregnancy. What info should the nurse include?
a. you will have to undergo a c-section birth because of the fibroid
b. the fibroid can increase the risk for postpartum hemorrhage
c. the fibroid will shrink during pregnancy
d. you will receive an injection of medroxyprogesterone acetate to shrink the fibroid ------
-- Correct Answer --------- b. the fibroid can increase the risk for postpartum hemorrhage
A nurse is caring for a client who is at 26 wks gestation and reports constipation. What
responses by the nurse is appropriate?
a. you should drink 1 ounce of mineral oil q morning
b. you should eat at least 3 ounces of red meat/day
c. you should walk for at least 30 minutes q day
d. you should stop taking your prenatal -------- Correct Answer --------- c. you should
walk for at least 30 minutes q day
The nurse should encourage the client to participate in moderate physical activity, such
as walking or swimming, every day. This activity increases intestinal peristalsis, which
will help alleviate constipation.
A nurse is planning care for a newborn who is receiving phototherapy for an elevated
bilirubin level. What action should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings -------- Correct Answer --------- c.
use photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to ensure the
newborn is receiving the appropriate amount to be effective.
A nurse is assessing a 4 hr old newborn who is to breastfeed and notes hands and feet
that are cool and slightly blue What action should the nurse take?
a. check the newborns temp using temporal thermometer
b. place the naked newborn on the mothers bare chest and cover both with a blanket
c. apply an o2 hood over the newborns head and neck
d. give the newborn glucose water between feedings -------- Correct Answer --------- b.
place the naked newborn on the mothers bare chest and cover both with a blanket
,Exposure to a cool environment causes vasoconstriction, which results in cool
extremities with a bluish discoloration. Placing the newborn skin-to-skin with his mother
helps stabilize his temperature and promotes bonding.
A nurse is caring for a newborn immediately following delivery. What actions should the
nurse take first?
a. place the newborn directly on the client's chest
b. administer erythromycin ophthalmic ointment
c. give the newborn vit K IM
d. perform a detailed physical assessment -------- Correct Answer --------- a. place the
newborn directly on the client's chest
the greatest risk to the newborn is cold stress, which increases the need for oxygen and
glucose. Placing the newborn directly on the client's chest will help maintain the
newborn's temperature.
A nurse is providing teaching to the parents of a newborn about home safety. What
statement by the parents indicates an understanding of the teaching?
a. I will use an infant carrier when I drive to places close to the house
b. I will tie my baby's pacifier around his neck with a piece of yarn
c. I will place my baby on his back when it is time for him to sleep
d. I will keep my babys crib close to heat vents to keep him warm -------- Correct Answer
--------- c. I will place my baby on his back when it is time for him to sleep
A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp 36, well
flexed extremities, responding to stimuli with a cry, blue hands and feet. What Apgar
score should the nurse assign to the newborn?
a. 10
b. 9
c. 8
d. 7 -------- Correct Answer --------- b. 9
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal
laceration. The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to
the right. The client reports a gush of blood when she ambulates and no bm since
delivery. What action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder -------- Correct Answer --------- d. assist the
client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate that her bladder is
full. The nurse should assist the client to empty her bladder to prevent uterine atony and
excessive lochia.
, 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
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
Proctored/ ATI Maternal Newborn Proctored Exam/
RN Maternal Newborn 2019 Proctored Exam Updated
2023-2024
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress
test. The FHR is 130 without accelerations for the past 10 min. What action should the
nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds -------- Correct Answer ---------
d. use vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
activity because the fetus is most likely sleeping. Fetal movement should cause
accelerations in the FHR.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement -------- Correct Answer --------- a. auscultate for
a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
A nurse is caring for a client who is at 35 wks gestation and has severe pre-eclampsia.
What assessment provides the most accurate info regarding the client's fluid and
electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O -------- Correct Answer --------- a. daily wt
A nurse is teaching a client who is at 30 wks gestation about warning signs of
complications that she should report to her provider. What finding should the nurse
include in the teaching?
a. 10 fetal movements per hour
b. mild constipation
,c. vaginal bleeding
d. nasal congestion -------- Correct Answer --------- c. vaginal bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a
complication such as placental abruption, placenta previa, or preterm labor.
A nurse is teaching a client who is at 8 wks gestation and has a uterine fibroid about
potential effects of the fibroid during pregnancy. What info should the nurse include?
a. you will have to undergo a c-section birth because of the fibroid
b. the fibroid can increase the risk for postpartum hemorrhage
c. the fibroid will shrink during pregnancy
d. you will receive an injection of medroxyprogesterone acetate to shrink the fibroid ------
-- Correct Answer --------- b. the fibroid can increase the risk for postpartum hemorrhage
A nurse is caring for a client who is at 26 wks gestation and reports constipation. What
responses by the nurse is appropriate?
a. you should drink 1 ounce of mineral oil q morning
b. you should eat at least 3 ounces of red meat/day
c. you should walk for at least 30 minutes q day
d. you should stop taking your prenatal -------- Correct Answer --------- c. you should
walk for at least 30 minutes q day
The nurse should encourage the client to participate in moderate physical activity, such
as walking or swimming, every day. This activity increases intestinal peristalsis, which
will help alleviate constipation.
A nurse is planning care for a newborn who is receiving phototherapy for an elevated
bilirubin level. What action should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings -------- Correct Answer --------- c.
use photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to ensure the
newborn is receiving the appropriate amount to be effective.
A nurse is assessing a 4 hr old newborn who is to breastfeed and notes hands and feet
that are cool and slightly blue What action should the nurse take?
a. check the newborns temp using temporal thermometer
b. place the naked newborn on the mothers bare chest and cover both with a blanket
c. apply an o2 hood over the newborns head and neck
d. give the newborn glucose water between feedings -------- Correct Answer --------- b.
place the naked newborn on the mothers bare chest and cover both with a blanket
,Exposure to a cool environment causes vasoconstriction, which results in cool
extremities with a bluish discoloration. Placing the newborn skin-to-skin with his mother
helps stabilize his temperature and promotes bonding.
A nurse is caring for a newborn immediately following delivery. What actions should the
nurse take first?
a. place the newborn directly on the client's chest
b. administer erythromycin ophthalmic ointment
c. give the newborn vit K IM
d. perform a detailed physical assessment -------- Correct Answer --------- a. place the
newborn directly on the client's chest
the greatest risk to the newborn is cold stress, which increases the need for oxygen and
glucose. Placing the newborn directly on the client's chest will help maintain the
newborn's temperature.
A nurse is providing teaching to the parents of a newborn about home safety. What
statement by the parents indicates an understanding of the teaching?
a. I will use an infant carrier when I drive to places close to the house
b. I will tie my baby's pacifier around his neck with a piece of yarn
c. I will place my baby on his back when it is time for him to sleep
d. I will keep my babys crib close to heat vents to keep him warm -------- Correct Answer
--------- c. I will place my baby on his back when it is time for him to sleep
A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp 36, well
flexed extremities, responding to stimuli with a cry, blue hands and feet. What Apgar
score should the nurse assign to the newborn?
a. 10
b. 9
c. 8
d. 7 -------- Correct Answer --------- b. 9
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal
laceration. The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to
the right. The client reports a gush of blood when she ambulates and no bm since
delivery. What action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder -------- Correct Answer --------- d. assist the
client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate that her bladder is
full. The nurse should assist the client to empty her bladder to prevent uterine atony and
excessive lochia.
, 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
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
