ATI MATERNAL NEWBORN PRACTICE
EXAM 2026 FINAL REVIEW BUNDLED
SOLUTION PACKAGE
⫸ A nurse is caring for a client who is to receive oxytocin to augment
her labor. Which of the following findings contraindicates the initiation
of the oxytocin infusion and should be reported to the provider?
a) Late decelerations
b) Moderate variability of the FHR
c) Cessation of uterine dilation
d) Prolonged active phase of labor Answer: A) Late decelerations
Late decelerations are indicative of uteroplacental insufficiency.
Therefore, this is a contraindication for the administration of oxytocin
and should be reported to the provider.
Moderate variability of the FHR is an expected assessment finding
associated with normal fetal acid-base balance. It is not a
contraindication to the administration of oxytocin.
Cessation of uterine dilation is an indication for the initiation of an
oxytocin infusion to augment the client's labor progression.
,A prolonged active phase of labor is an indication for the initiation of an
oxytocin infusion to augment the client's labor progression.
⫸ A nurse is assessing a client who has severe preeclampsia. Which of
the following manifestations should the nurse expect?
a) 2+ deep tendon reflexes
b) Proteinuria of 200 mg in a 24-hr specimen
c) Polyuria
d) Blurred vision Answer: d) Blurred vision
The nurse should identify that a client who has severe preeclampsia can
have arteriolar vasospasms and decreased blood flow to the retina which
can lead to visual disturbances, such as blurred vision, double vision, or
dark spots in the visual field.
Patient would have 3+ or 4+ DTRs, proteinuria >500 mg, decreased
urine output of 20 mL/hr
⫸ A nurse is assessing a client who is 1 day postpartum and has a
vaginal hematoma. Which of the following manifestations should the
nurse expect?
a) Lochia serosa vaginal drainage
,b) Vaginal pressure
c) Intermittent vaginal pain
d) Yellow exudate vaginal drainage Answer: b) Vaginal pressure
The nurse should expect a client who has a vaginal hematoma to report
pressure in the vagina due to the blood that leaked into the tissues.
Patient will report persistent, not intermittent pain and lochia rubra.
⫸ A nurse is caring for a client who is at 36 weeks of gestation and has
as positive contraction stress test. The nurse should plan to prepare the
client for which of the following diagnostic tests?
a) Biophysical profile
b) Amniocentesis
c) Cordocentesis
d) Kleihauer-Betke test Answer: a) Biophysical profile
A positive contraction stress test indicates that further evaluation of the
fetus is necessary. A biophysical profile will provide further evaluation
with a real-time ultrasound.
An amniocentesis is used to determine lung maturity, detect congenital
anomalies, and diagnose fetal hemolytic disease.
, A cordocentesis is used to identify fetal blood type and RBC when there
is a risk of isoimmune hemolytic anemia.
The Kleihauer-Betke test is used to determine the amount of fetal blood
in the maternal circulation when there is a risk of Rh-isoimmunization.
⫸ A nurse is providing teaching for a client who has a new prescription
for combined oral contraceptives. Which of the following findings
should the nurse include as an adverse effect of this medication?
a) Depression
b) Polyuria
c) Hypotension
d) Urticaria Answer: a) Depression
The nurse should instruct the client that depression is a common adverse
effect of combined oral contraceptives. Other common adverse effects of
the medication include amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness.
Fluid retention can occur due to an excess of estrogen. Polyuria is not a
common adverse effect of the medication.
EXAM 2026 FINAL REVIEW BUNDLED
SOLUTION PACKAGE
⫸ A nurse is caring for a client who is to receive oxytocin to augment
her labor. Which of the following findings contraindicates the initiation
of the oxytocin infusion and should be reported to the provider?
a) Late decelerations
b) Moderate variability of the FHR
c) Cessation of uterine dilation
d) Prolonged active phase of labor Answer: A) Late decelerations
Late decelerations are indicative of uteroplacental insufficiency.
Therefore, this is a contraindication for the administration of oxytocin
and should be reported to the provider.
Moderate variability of the FHR is an expected assessment finding
associated with normal fetal acid-base balance. It is not a
contraindication to the administration of oxytocin.
Cessation of uterine dilation is an indication for the initiation of an
oxytocin infusion to augment the client's labor progression.
,A prolonged active phase of labor is an indication for the initiation of an
oxytocin infusion to augment the client's labor progression.
⫸ A nurse is assessing a client who has severe preeclampsia. Which of
the following manifestations should the nurse expect?
a) 2+ deep tendon reflexes
b) Proteinuria of 200 mg in a 24-hr specimen
c) Polyuria
d) Blurred vision Answer: d) Blurred vision
The nurse should identify that a client who has severe preeclampsia can
have arteriolar vasospasms and decreased blood flow to the retina which
can lead to visual disturbances, such as blurred vision, double vision, or
dark spots in the visual field.
Patient would have 3+ or 4+ DTRs, proteinuria >500 mg, decreased
urine output of 20 mL/hr
⫸ A nurse is assessing a client who is 1 day postpartum and has a
vaginal hematoma. Which of the following manifestations should the
nurse expect?
a) Lochia serosa vaginal drainage
,b) Vaginal pressure
c) Intermittent vaginal pain
d) Yellow exudate vaginal drainage Answer: b) Vaginal pressure
The nurse should expect a client who has a vaginal hematoma to report
pressure in the vagina due to the blood that leaked into the tissues.
Patient will report persistent, not intermittent pain and lochia rubra.
⫸ A nurse is caring for a client who is at 36 weeks of gestation and has
as positive contraction stress test. The nurse should plan to prepare the
client for which of the following diagnostic tests?
a) Biophysical profile
b) Amniocentesis
c) Cordocentesis
d) Kleihauer-Betke test Answer: a) Biophysical profile
A positive contraction stress test indicates that further evaluation of the
fetus is necessary. A biophysical profile will provide further evaluation
with a real-time ultrasound.
An amniocentesis is used to determine lung maturity, detect congenital
anomalies, and diagnose fetal hemolytic disease.
, A cordocentesis is used to identify fetal blood type and RBC when there
is a risk of isoimmune hemolytic anemia.
The Kleihauer-Betke test is used to determine the amount of fetal blood
in the maternal circulation when there is a risk of Rh-isoimmunization.
⫸ A nurse is providing teaching for a client who has a new prescription
for combined oral contraceptives. Which of the following findings
should the nurse include as an adverse effect of this medication?
a) Depression
b) Polyuria
c) Hypotension
d) Urticaria Answer: a) Depression
The nurse should instruct the client that depression is a common adverse
effect of combined oral contraceptives. Other common adverse effects of
the medication include amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness.
Fluid retention can occur due to an excess of estrogen. Polyuria is not a
common adverse effect of the medication.
