ATI RN Maternal Newborn Proctored Exam 2026 | Actual
study Questions and Answers + Expert Rationales |
2026/27 Updated | 100% Pass Guarantee
1. A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abr
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
uption. Which of the following findings should the nurse expect?
xc xc xc xc xc xc xc xc xc
A) Bright red vaginal bleeding xc xc xc
B) Dark red vaginal bleeding xc xc xc
C) Painless vaginal bleeding xc xc
D) Profuse gushing of clear fluid xc xc xc xc
Correct Answer: B) Dark red vaginal bleeding
xc xc xc xc xc xc
Expert Rationale: Placental abruption is the premature separation of the placenta from the uterin
xc xc xc xc xc xc xc xc xc xc xc xc xc
e wall. The bleeding is typically dark red due to blood that has been trapped behind the placenta. Pai
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
n is usually present, distinguishing it from placenta previa which presents with painless bright red b
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
leeding.
2. A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
r. Which of the following medications should the nurse plan to administer?
xc xc xc xc xc xc xc xc xc xc xc
A) Misoprostol
B) Betamethasone
C) Poractant alfa xc
D) Methylergonovine
Correct Answer: B) Betamethasone xc xc xc
Expert Rationale: Betamethasone is a glucocorticoid administered to stimulate fetal lung maturity
xc xc xc xc xc xc xc xc xc xc xc xc
and reduce the risk of respiratory distress syndrome in preterm infants. It is typically given to women
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
between 24 and 34 weeks of gestation who are at risk for preterm delivery.
xc xc xc xc xc xc xc xc xc xc xc xc xc
3. A nurse is teaching a client who is at 30 weeks of gestation about warning signs of complicat
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ions that she should report to her provider. Which of the following findings should the nurse incl
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ude in the teaching?
xc xc xc
A) Mild ankle edema xc xc
B) Vaginal bleeding xc
, C) Braxton Hicks contractions xc xc
D) Heartburn
Correct Answer: B) Vaginal bleeding xc xc xc xc
Expert Rationale: Vaginal bleeding during pregnancy can indicate serious complications such as pla
xc xc xc xc xc xc xc xc xc xc xc xc
cental abruption, placenta previa, or preterm labor. Clients should be instructed to report any vagi
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
nal bleeding immediately to their provider.
xc xc xc xc xc
4. A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has poly
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
hydramnios. Which of the following findings should the nurse expect? xc xc xc xc xc xc xc xc xc
A) Renal agenesis xc
B) Fetal gastrointestinal anomaly xc xc
C) Neural tube defect xc xc
D) Cardiac anomaly xc
Correct Answer: B) Fetal gastrointestinal anomaly
xc xc xc xc xc
Expert Rationale: Polyhydramnios (excess amniotic fluid) is often associated with fetal gastrointes
xc xc xc xc xc xc xc xc xc xc xc
tinal anomalies that impair the fetus's ability to swallow and absorb amniotic fluid, such as esophage
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
al atresia or duodenal atresia.
xc xc xc xc
5. A nurse is teaching a client who has preeclampsia and is to receive magnesium sulfate via con
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
tinuous IV infusion about expected adverse effects. Which of the following adverse effects should
xc xc xc xc xc xc xc xc xc xc xc xc xc x
the nurse include in the teaching?
c xc xc xc xc xc
A) Cold sensation xc
B) Feeling of warmth xc xc
C) Severe headache xc
D) Blurred vision xc
Correct Answer: B) Feeling of warmth xc xc xc xc xc
Expert Rationale: Magnesium sulfate is a vasodilator and causes peripheral vasodilation, leading t
xc xc xc xc xc xc xc xc xc xc xc xc
o a feeling of warmth or flushing. This is an expected adverse effect and not a sign of toxicity. Clients
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
should be informed of this expected sensation.
xc xc xc xc xc xc
6. A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without sev
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ere features. Which of the following findings should the nurse identify as the priority?
xc xc xc xc xc xc xc xc xc xc xc xc xc
study Questions and Answers + Expert Rationales |
2026/27 Updated | 100% Pass Guarantee
1. A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abr
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
uption. Which of the following findings should the nurse expect?
xc xc xc xc xc xc xc xc xc
A) Bright red vaginal bleeding xc xc xc
B) Dark red vaginal bleeding xc xc xc
C) Painless vaginal bleeding xc xc
D) Profuse gushing of clear fluid xc xc xc xc
Correct Answer: B) Dark red vaginal bleeding
xc xc xc xc xc xc
Expert Rationale: Placental abruption is the premature separation of the placenta from the uterin
xc xc xc xc xc xc xc xc xc xc xc xc xc
e wall. The bleeding is typically dark red due to blood that has been trapped behind the placenta. Pai
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
n is usually present, distinguishing it from placenta previa which presents with painless bright red b
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
leeding.
2. A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labo
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
r. Which of the following medications should the nurse plan to administer?
xc xc xc xc xc xc xc xc xc xc xc
A) Misoprostol
B) Betamethasone
C) Poractant alfa xc
D) Methylergonovine
Correct Answer: B) Betamethasone xc xc xc
Expert Rationale: Betamethasone is a glucocorticoid administered to stimulate fetal lung maturity
xc xc xc xc xc xc xc xc xc xc xc xc
and reduce the risk of respiratory distress syndrome in preterm infants. It is typically given to women
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
between 24 and 34 weeks of gestation who are at risk for preterm delivery.
xc xc xc xc xc xc xc xc xc xc xc xc xc
3. A nurse is teaching a client who is at 30 weeks of gestation about warning signs of complicat
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ions that she should report to her provider. Which of the following findings should the nurse incl
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ude in the teaching?
xc xc xc
A) Mild ankle edema xc xc
B) Vaginal bleeding xc
, C) Braxton Hicks contractions xc xc
D) Heartburn
Correct Answer: B) Vaginal bleeding xc xc xc xc
Expert Rationale: Vaginal bleeding during pregnancy can indicate serious complications such as pla
xc xc xc xc xc xc xc xc xc xc xc xc
cental abruption, placenta previa, or preterm labor. Clients should be instructed to report any vagi
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
nal bleeding immediately to their provider.
xc xc xc xc xc
4. A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has poly
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
hydramnios. Which of the following findings should the nurse expect? xc xc xc xc xc xc xc xc xc
A) Renal agenesis xc
B) Fetal gastrointestinal anomaly xc xc
C) Neural tube defect xc xc
D) Cardiac anomaly xc
Correct Answer: B) Fetal gastrointestinal anomaly
xc xc xc xc xc
Expert Rationale: Polyhydramnios (excess amniotic fluid) is often associated with fetal gastrointes
xc xc xc xc xc xc xc xc xc xc xc
tinal anomalies that impair the fetus's ability to swallow and absorb amniotic fluid, such as esophage
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
al atresia or duodenal atresia.
xc xc xc xc
5. A nurse is teaching a client who has preeclampsia and is to receive magnesium sulfate via con
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
tinuous IV infusion about expected adverse effects. Which of the following adverse effects should
xc xc xc xc xc xc xc xc xc xc xc xc xc x
the nurse include in the teaching?
c xc xc xc xc xc
A) Cold sensation xc
B) Feeling of warmth xc xc
C) Severe headache xc
D) Blurred vision xc
Correct Answer: B) Feeling of warmth xc xc xc xc xc
Expert Rationale: Magnesium sulfate is a vasodilator and causes peripheral vasodilation, leading t
xc xc xc xc xc xc xc xc xc xc xc xc
o a feeling of warmth or flushing. This is an expected adverse effect and not a sign of toxicity. Clients
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
should be informed of this expected sensation.
xc xc xc xc xc xc
6. A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without sev
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
ere features. Which of the following findings should the nurse identify as the priority?
xc xc xc xc xc xc xc xc xc xc xc xc xc
