1|Page
ATI Maternal Newborn Proctored Exam 2025
Ultimate Maternal & Neonatal Nursing Success
Review
Pregnancy, Labor, Postpartum & Newborn Care
Master Guide
What is the expected reference range for hematocrit (Hct) in a
postpartum client? - . . ANSWER ✓✓ An Hct of 39% is within the
expected reference range.
What does a serum albumin level of 4.5 g/dL indicate for a client with
mild preeclampsia? - . . ANSWER ✓✓ It is within the expected
reference range and does not indicate worsening of the condition.
What is the expected reference range for white blood cells (WBC)
postpartum? - . . ANSWER ✓✓ A WBC of 9,000/mm3 is within the
expected reference range.
What external indications should a nurse look for to identify spina bifida
occulta? - . . ANSWER ✓✓ A dimpled area over the defect, a birthmark,
or a hairy patch above the area.
What medication should a nurse plan to administer for a client
experiencing preterm labor at 32 weeks gestation? - . . ANSWER ✓✓
Betamethasone
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What lab test will confirm a client's pregnancy? - . . ANSWER ✓✓
Urine test for presence of HCG
What is a positive sign of pregnancy that a nurse should identify? - . .
ANSWER ✓✓ Palpable fetal movement
What fetal anomaly should a nurse expect in a client with
oligohydramnios? - . . ANSWER ✓✓ Renal agenesis
What findings should a nurse expect in a client at 37 weeks gestation
with suspected pelvic fracture due to blunt abdominal trauma? - . .
ANSWER ✓✓ Uterine contractions
What finding should a nurse expect in a client with hydatidiform mole at
12 weeks gestation? - . . ANSWER ✓✓ Dark brown vaginal discharge
What is the priority finding for a client at 35 weeks of gestation with
mild gestational hypertension? - . . ANSWER ✓✓ 480 mL urine output
in 24 hours
What statement should a nurse include when teaching a client with HIV
at 12 weeks gestation? - . . ANSWER ✓✓ You should continue to take
zidovudine throughout the pregnancy.
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What should a client continue to take throughout pregnancy if they are
HIV positive? - . . ANSWER ✓✓ Zidovudine.
How can HIV be transmitted from a mother to her child? - . . ANSWER
✓✓ Through breastfeeding.
What is the effect of taking prescription antiviral medication daily
during pregnancy for an HIV positive client? - . . ANSWER ✓✓ It
decreases the risk of transmission of HIV to the newborn.
What manifestation should a nurse instruct a client at 8 weeks gestation
to report? - . . ANSWER ✓✓ Blurred or double vision.
What action should a nurse take if a client in the latent phase of labor is
having contractions every 2 minutes lasting 100-110 seconds? - . .
ANSWER ✓✓ Decrease the dose of oxytocin by half.
Why should the nurse decrease the dose of oxytocin for a client
experiencing frequent contractions? - . . ANSWER ✓✓ Because the
client is experiencing uterine tachysystole.
What action should a nurse take when caring for a client with meconium
staining of the amniotic fluid and a reassuring fetal heart rate? - . .
ANSWER ✓✓ Prepare equipment needed for newborn resuscitation.
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When should endotracheal suctioning be performed in cases of
meconium staining? - . . ANSWER ✓✓ Only if the newborn has poor
respiratory effort, decreased muscle tone, and bradycardia after delivery.
What prescription should a nurse clarify for a client with placenta
previa? - . . ANSWER ✓✓ Perform a vaginal exam.
Why should a vaginal exam be avoided in clients with placenta previa? -
. . ANSWER ✓✓ It can cause tearing of the placenta and increased
bleeding.
What should a nurse do if a client at 37 weeks gestation has a
nonreactive nonstress test? - . . ANSWER ✓✓ Use vibroacoustic
stimulation on the client's abdomen for 3 seconds.
What is the purpose of using vibroacoustic stimulation during a
nonstress test? - . . ANSWER ✓✓ To elicit fetal activity and cause
accelerations in the fetal heart rate.
What should a nurse instruct a client who is rubella non-immune and at
37 weeks gestation? - . . ANSWER ✓✓ Obtain a rubella immunization
after delivery.
ATI Maternal Newborn Proctored Exam 2025
Ultimate Maternal & Neonatal Nursing Success
Review
Pregnancy, Labor, Postpartum & Newborn Care
Master Guide
What is the expected reference range for hematocrit (Hct) in a
postpartum client? - . . ANSWER ✓✓ An Hct of 39% is within the
expected reference range.
What does a serum albumin level of 4.5 g/dL indicate for a client with
mild preeclampsia? - . . ANSWER ✓✓ It is within the expected
reference range and does not indicate worsening of the condition.
What is the expected reference range for white blood cells (WBC)
postpartum? - . . ANSWER ✓✓ A WBC of 9,000/mm3 is within the
expected reference range.
What external indications should a nurse look for to identify spina bifida
occulta? - . . ANSWER ✓✓ A dimpled area over the defect, a birthmark,
or a hairy patch above the area.
What medication should a nurse plan to administer for a client
experiencing preterm labor at 32 weeks gestation? - . . ANSWER ✓✓
Betamethasone
,2|Page
What lab test will confirm a client's pregnancy? - . . ANSWER ✓✓
Urine test for presence of HCG
What is a positive sign of pregnancy that a nurse should identify? - . .
ANSWER ✓✓ Palpable fetal movement
What fetal anomaly should a nurse expect in a client with
oligohydramnios? - . . ANSWER ✓✓ Renal agenesis
What findings should a nurse expect in a client at 37 weeks gestation
with suspected pelvic fracture due to blunt abdominal trauma? - . .
ANSWER ✓✓ Uterine contractions
What finding should a nurse expect in a client with hydatidiform mole at
12 weeks gestation? - . . ANSWER ✓✓ Dark brown vaginal discharge
What is the priority finding for a client at 35 weeks of gestation with
mild gestational hypertension? - . . ANSWER ✓✓ 480 mL urine output
in 24 hours
What statement should a nurse include when teaching a client with HIV
at 12 weeks gestation? - . . ANSWER ✓✓ You should continue to take
zidovudine throughout the pregnancy.
,3|Page
What should a client continue to take throughout pregnancy if they are
HIV positive? - . . ANSWER ✓✓ Zidovudine.
How can HIV be transmitted from a mother to her child? - . . ANSWER
✓✓ Through breastfeeding.
What is the effect of taking prescription antiviral medication daily
during pregnancy for an HIV positive client? - . . ANSWER ✓✓ It
decreases the risk of transmission of HIV to the newborn.
What manifestation should a nurse instruct a client at 8 weeks gestation
to report? - . . ANSWER ✓✓ Blurred or double vision.
What action should a nurse take if a client in the latent phase of labor is
having contractions every 2 minutes lasting 100-110 seconds? - . .
ANSWER ✓✓ Decrease the dose of oxytocin by half.
Why should the nurse decrease the dose of oxytocin for a client
experiencing frequent contractions? - . . ANSWER ✓✓ Because the
client is experiencing uterine tachysystole.
What action should a nurse take when caring for a client with meconium
staining of the amniotic fluid and a reassuring fetal heart rate? - . .
ANSWER ✓✓ Prepare equipment needed for newborn resuscitation.
, 4|Page
When should endotracheal suctioning be performed in cases of
meconium staining? - . . ANSWER ✓✓ Only if the newborn has poor
respiratory effort, decreased muscle tone, and bradycardia after delivery.
What prescription should a nurse clarify for a client with placenta
previa? - . . ANSWER ✓✓ Perform a vaginal exam.
Why should a vaginal exam be avoided in clients with placenta previa? -
. . ANSWER ✓✓ It can cause tearing of the placenta and increased
bleeding.
What should a nurse do if a client at 37 weeks gestation has a
nonreactive nonstress test? - . . ANSWER ✓✓ Use vibroacoustic
stimulation on the client's abdomen for 3 seconds.
What is the purpose of using vibroacoustic stimulation during a
nonstress test? - . . ANSWER ✓✓ To elicit fetal activity and cause
accelerations in the fetal heart rate.
What should a nurse instruct a client who is rubella non-immune and at
37 weeks gestation? - . . ANSWER ✓✓ Obtain a rubella immunization
after delivery.
