1
2025 RN Maternal Newborn ATI Proctored Exam Forms A, B,
C & Retake | 180+ Verified Qs & Rationales | 100% Pass
Guarantee
1.
A nurse is caring for a postpartum client who is 2 hours post-vaginal delivery. The
nurse notes a boggy uterus that is displaced above and to the right of the umbilicus.
Which of the following actions should the nurse take first?
A. Administer oxytocin IV as prescribed
B. Document the findings and reassess in 15 minutes
C. Assist the client to void
D. Notify the provider immediately
, 2
Rationale: A boggy uterus that is displaced to the right suggests a full bladder
interfering with uterine contraction. The nurse should first help the client void to
promote uterine involution and prevent postpartum hemorrhage.
2.
A nurse is reinforcing discharge teaching to a client who is breastfeeding. Which
statement by the client indicates a need for further teaching?
A. “I will wash my nipples with soap and water daily.”
B. “I will feed my baby at least every 2 to 3 hours.”
C. “I will allow the baby to nurse on demand.”
D. “I will alternate breasts with each feeding.”
Rationale: Washing nipples with soap can cause drying and cracking. The client
should clean with warm water only. This indicates a need for further education.
3.
A nurse is assessing a newborn who is 12 hours old. Which of the following
findings requires immediate intervention?
, 3
A. Acrocyanosis
B. Slight tremors during crying
C. Nasal flaring
D. Vernix caseosa on the skin
Rationale: Nasal flaring is a sign of respiratory distress in a newborn and requires
immediate assessment and possible intervention. Acrocyanosis and vernix are
normal.
4.
A nurse is caring for a client who is 36 weeks gestation and experiencing painless
vaginal bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Uterine rupture
C. Placenta previa
D. Preterm labor
Rationale: Painless bright red vaginal bleeding in the third trimester is
characteristic of placenta previa. Placental abruption usually involves pain and
dark bleeding.
, 4
5.
A postpartum client reports pain and a firm lump in her right breast. The nurse
observes redness and warmth over the area. What should the nurse suspect?
A. Mastitis
B. Plugged milk duct
C. Engorgement
D. Fibrocystic changes
Rationale: Mastitis presents with localized pain, warmth, redness, and sometimes
fever. It's often unilateral and occurs in breastfeeding clients.
6.
Which of the following newborn assessment findings should the nurse report to the
provider?
A. Heart rate of 140/min
B. Respiratory rate of 72/min
C. Positive Babinski reflex
D. Weight loss of 7% from birthweight
2025 RN Maternal Newborn ATI Proctored Exam Forms A, B,
C & Retake | 180+ Verified Qs & Rationales | 100% Pass
Guarantee
1.
A nurse is caring for a postpartum client who is 2 hours post-vaginal delivery. The
nurse notes a boggy uterus that is displaced above and to the right of the umbilicus.
Which of the following actions should the nurse take first?
A. Administer oxytocin IV as prescribed
B. Document the findings and reassess in 15 minutes
C. Assist the client to void
D. Notify the provider immediately
, 2
Rationale: A boggy uterus that is displaced to the right suggests a full bladder
interfering with uterine contraction. The nurse should first help the client void to
promote uterine involution and prevent postpartum hemorrhage.
2.
A nurse is reinforcing discharge teaching to a client who is breastfeeding. Which
statement by the client indicates a need for further teaching?
A. “I will wash my nipples with soap and water daily.”
B. “I will feed my baby at least every 2 to 3 hours.”
C. “I will allow the baby to nurse on demand.”
D. “I will alternate breasts with each feeding.”
Rationale: Washing nipples with soap can cause drying and cracking. The client
should clean with warm water only. This indicates a need for further education.
3.
A nurse is assessing a newborn who is 12 hours old. Which of the following
findings requires immediate intervention?
, 3
A. Acrocyanosis
B. Slight tremors during crying
C. Nasal flaring
D. Vernix caseosa on the skin
Rationale: Nasal flaring is a sign of respiratory distress in a newborn and requires
immediate assessment and possible intervention. Acrocyanosis and vernix are
normal.
4.
A nurse is caring for a client who is 36 weeks gestation and experiencing painless
vaginal bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Uterine rupture
C. Placenta previa
D. Preterm labor
Rationale: Painless bright red vaginal bleeding in the third trimester is
characteristic of placenta previa. Placental abruption usually involves pain and
dark bleeding.
, 4
5.
A postpartum client reports pain and a firm lump in her right breast. The nurse
observes redness and warmth over the area. What should the nurse suspect?
A. Mastitis
B. Plugged milk duct
C. Engorgement
D. Fibrocystic changes
Rationale: Mastitis presents with localized pain, warmth, redness, and sometimes
fever. It's often unilateral and occurs in breastfeeding clients.
6.
Which of the following newborn assessment findings should the nurse report to the
provider?
A. Heart rate of 140/min
B. Respiratory rate of 72/min
C. Positive Babinski reflex
D. Weight loss of 7% from birthweight
