ATI MATERNAL NEWBORN
PROCTORED EXAM 2026–2027
QUESTIONS AND ANSWERS
WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
1. A nurse is assessing a client at 38 weeks gestation. Which
finding should be reported to the provider?
A. Blood pressure 110/70 mm Hg
B. Respiratory rate of 28/min
C. 1+ pitting edema in ankles
D. FHR baseline 140/min
Rationale: Tachypnea (RR >24) at term can indicate respiratory distress, pulmonary
edema, or anemia. Normal pregnancy RR is 16–20/min.
2. A nurse is teaching a prenatal class about discomforts of
pregnancy. Which discomfort is caused by hormonal changes
and increased blood flow?
A. Sciatica
B. Nasal congestion
C. Lordosis
D. Diastasis recti
,Rationale: Elevated estrogen and increased vascularity cause nasal stuffiness and
epistaxis (rhinitis of pregnancy).
3. A client at 32 weeks reports intermittent abdominal
tightening. Which instruction should the nurse provide?
A. “Go to the hospital immediately.”
B. “Increase your fluid intake and rest.”
C. “Take an extra prenatal vitamin.”
D. “Empty your bladder and lie on your left side.”
Rationale: Interventions for suspected Braxton-Hicks contractions include hydration,
bladder emptying, and position change. If unresolved, further evaluation needed.
4. A nurse is reviewing lab results for a client at 24 weeks.
Which finding requires follow-up?
A. Hemoglobin 11.2 g/dL
B. Platelets 90,000/mm³
C. WBC 12,000/mm³
D. Fasting glucose 85 mg/dL
Rationale: Thrombocytopenia (<100,000) in pregnancy may indicate gestational
thrombocytopenia, HELLP, or ITP. Requires evaluation.
5. A nurse is auscultating fetal heart tones. Where should the
Doppler be placed to hear FHR most clearly in a breech
presentation?
A. Below the umbilicus
B. Above the umbilicus
C. Left lower quadrant
D. Right lower quadrant
, Rationale: In breech, the fetal back is often high, so heart tones are heard above the
maternal umbilicus.
6. A nurse is administering betamethasone to a client at 29
weeks. What is the purpose of this medication?
A. Stop preterm contractions
B. Prevent postpartum hemorrhage
C. Accelerate fetal lung maturity
D. Treat maternal anemia
Rationale: Betamethasone is a corticosteroid given to enhance surfactant production
and reduce RDS if preterm birth occurs.
7. A nurse is assessing a newborn 1 hour after birth. Which
finding is abnormal?
A. Caput succedaneum
B. Grunt on expiration
C. Mongolian spots
D. Milia
Rationale: Grunting indicates respiratory distress (e.g., TTN, RDS). Caput, mongolian
spots, and milia are normal newborn findings.
8. A client in active labor requests an epidural. Which condition
is a contraindication?
A. Gestational hypertension
B. Platelet count 80,000/mm³
C. Maternal fever 38.0°C
D. FHR variability moderate
PROCTORED EXAM 2026–2027
QUESTIONS AND ANSWERS
WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
1. A nurse is assessing a client at 38 weeks gestation. Which
finding should be reported to the provider?
A. Blood pressure 110/70 mm Hg
B. Respiratory rate of 28/min
C. 1+ pitting edema in ankles
D. FHR baseline 140/min
Rationale: Tachypnea (RR >24) at term can indicate respiratory distress, pulmonary
edema, or anemia. Normal pregnancy RR is 16–20/min.
2. A nurse is teaching a prenatal class about discomforts of
pregnancy. Which discomfort is caused by hormonal changes
and increased blood flow?
A. Sciatica
B. Nasal congestion
C. Lordosis
D. Diastasis recti
,Rationale: Elevated estrogen and increased vascularity cause nasal stuffiness and
epistaxis (rhinitis of pregnancy).
3. A client at 32 weeks reports intermittent abdominal
tightening. Which instruction should the nurse provide?
A. “Go to the hospital immediately.”
B. “Increase your fluid intake and rest.”
C. “Take an extra prenatal vitamin.”
D. “Empty your bladder and lie on your left side.”
Rationale: Interventions for suspected Braxton-Hicks contractions include hydration,
bladder emptying, and position change. If unresolved, further evaluation needed.
4. A nurse is reviewing lab results for a client at 24 weeks.
Which finding requires follow-up?
A. Hemoglobin 11.2 g/dL
B. Platelets 90,000/mm³
C. WBC 12,000/mm³
D. Fasting glucose 85 mg/dL
Rationale: Thrombocytopenia (<100,000) in pregnancy may indicate gestational
thrombocytopenia, HELLP, or ITP. Requires evaluation.
5. A nurse is auscultating fetal heart tones. Where should the
Doppler be placed to hear FHR most clearly in a breech
presentation?
A. Below the umbilicus
B. Above the umbilicus
C. Left lower quadrant
D. Right lower quadrant
, Rationale: In breech, the fetal back is often high, so heart tones are heard above the
maternal umbilicus.
6. A nurse is administering betamethasone to a client at 29
weeks. What is the purpose of this medication?
A. Stop preterm contractions
B. Prevent postpartum hemorrhage
C. Accelerate fetal lung maturity
D. Treat maternal anemia
Rationale: Betamethasone is a corticosteroid given to enhance surfactant production
and reduce RDS if preterm birth occurs.
7. A nurse is assessing a newborn 1 hour after birth. Which
finding is abnormal?
A. Caput succedaneum
B. Grunt on expiration
C. Mongolian spots
D. Milia
Rationale: Grunting indicates respiratory distress (e.g., TTN, RDS). Caput, mongolian
spots, and milia are normal newborn findings.
8. A client in active labor requests an epidural. Which condition
is a contraindication?
A. Gestational hypertension
B. Platelet count 80,000/mm³
C. Maternal fever 38.0°C
D. FHR variability moderate
