ATI MATERNAL NEWBORN PROCTORED EXAM 2023 RETAKE 60 QUESTIONS WITH 100% CORRECT ANSWERS
(VERIFIED ANSWERS) ATI MATERNAL NEWBORN PROCTORED EXAM 2023 RETAKE 2 QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED
A+...
Question 1
A nurse is assessing a client who is at 32 weeks gestation. Which finding should the nurse report to the provider
immediately?
A. Occasional mild Braxton Hicks contractions
B. Sudden gush of clear fluid from the vagina
C. Fetal heart rate of 150 beats per minute
D. Mild ankle edema at the end of the day
🟢 Correct Answer:
B. Sudden gush of clear fluid from the vagina
🔴 RATIONALE:
A sudden gush of clear fluid suggests rupture of membranes, which requires immediate evaluation to prevent
infection and assess fetal well-being. Braxton Hicks contractions, a fetal heart rate of 150, and mild dependent
edema are expected findings at 32 weeks gestation.
Question 2
A postpartum client who delivered 2 hours ago has a boggy uterus and heavy lochia. Which is the priority
nursing action?
A. Administer an analgesic
B. Massage the uterine fundus
,C. Encourage ambulation
D. Provide a sitz bath
🟢 Correct Answer:
B. Massage the uterine fundus
🔴 RATIONALE:
A boggy uterus with heavy lochia indicates uterine atony, which can lead to postpartum hemorrhage. The
priority is to massage the fundus to stimulate uterine contraction. Analgesics, ambulation, and sitz baths do not
address the primary problem.
Question 3
A nurse is teaching a client who is at 28 weeks gestation about signs of preterm labor. Which symptom should
the client report immediately?
A. Occasional heartburn
B. Regular contractions every 10 minutes
C. Increased fetal movement
D. Mild backache that resolves with rest
🟢 Correct Answer:
B. Regular contractions every 10 minutes
🔴 RATIONALE:
Regular contractions before 37 weeks gestation may indicate preterm labor and require immediate evaluation.
Heartburn, increased fetal movement, and mild backache that resolves with rest are not signs of preterm labor.
,Question 4
A nurse is assessing a newborn 1 hour after birth. Which finding requires immediate intervention?
A. Acrocyanosis
B. Respiratory rate of 70 breaths per minute with nasal flaring
C. Mongolian spots on the lower back
D. Milia on the nose
🟢 Correct Answer:
B. Respiratory rate of 70 breaths per minute with nasal flaring
🔴 RATIONALE:
A respiratory rate of 70 with nasal flaring indicates respiratory distress in a newborn and requires immediate
intervention. Acrocyanosis, Mongolian spots, and milia are expected findings.
Question 5
A client at 36 weeks gestation is admitted with severe headache, visual disturbances, and epigastric pain. Blood
pressure is 170/110 mm Hg. Which medication should the nurse prepare to administer first?
A. Labetalol
B. Magnesium sulfate
C. Nifedipine
D. Hydralazine
🟢 Correct Answer:
B. Magnesium sulfate
🔴 RATIONALE:
The client is exhibiting signs of severe preeclampsia. Magnesium sulfate is the first-line medication for seizure
, prophylaxis. Antihypertensives such as labetalol or hydralazine are also used but magnesium sulfate is the
priority to prevent eclampsia.
Question 6
A nurse is caring for a client in active labor who is receiving oxytocin. The fetal heart rate shows late
decelerations. Which is the priority nursing action?
A. Increase the oxytocin infusion rate
B. Reposition the client to a lateral position and administer oxygen
C. Prepare for immediate cesarean birth without further assessment
D. Document the finding and continue monitoring
🟢 Correct Answer:
B. Reposition the client to a lateral position and administer oxygen
🔴 RATIONALE:
Late decelerations indicate uteroplacental insufficiency. The priority is to improve fetal oxygenation by
repositioning the client laterally and administering oxygen. Oxytocin should be decreased or discontinued, not
increased. Immediate cesarean may be needed if the pattern persists.
Question 7
A postpartum client reports pain and swelling in the left calf. Which is the most appropriate initial nursing
action?
A. Massage the affected leg
B. Elevate the leg and notify the provider
C. Apply heat and encourage ambulation
D. Measure the calf circumference only
(VERIFIED ANSWERS) ATI MATERNAL NEWBORN PROCTORED EXAM 2023 RETAKE 2 QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED
A+...
Question 1
A nurse is assessing a client who is at 32 weeks gestation. Which finding should the nurse report to the provider
immediately?
A. Occasional mild Braxton Hicks contractions
B. Sudden gush of clear fluid from the vagina
C. Fetal heart rate of 150 beats per minute
D. Mild ankle edema at the end of the day
🟢 Correct Answer:
B. Sudden gush of clear fluid from the vagina
🔴 RATIONALE:
A sudden gush of clear fluid suggests rupture of membranes, which requires immediate evaluation to prevent
infection and assess fetal well-being. Braxton Hicks contractions, a fetal heart rate of 150, and mild dependent
edema are expected findings at 32 weeks gestation.
Question 2
A postpartum client who delivered 2 hours ago has a boggy uterus and heavy lochia. Which is the priority
nursing action?
A. Administer an analgesic
B. Massage the uterine fundus
,C. Encourage ambulation
D. Provide a sitz bath
🟢 Correct Answer:
B. Massage the uterine fundus
🔴 RATIONALE:
A boggy uterus with heavy lochia indicates uterine atony, which can lead to postpartum hemorrhage. The
priority is to massage the fundus to stimulate uterine contraction. Analgesics, ambulation, and sitz baths do not
address the primary problem.
Question 3
A nurse is teaching a client who is at 28 weeks gestation about signs of preterm labor. Which symptom should
the client report immediately?
A. Occasional heartburn
B. Regular contractions every 10 minutes
C. Increased fetal movement
D. Mild backache that resolves with rest
🟢 Correct Answer:
B. Regular contractions every 10 minutes
🔴 RATIONALE:
Regular contractions before 37 weeks gestation may indicate preterm labor and require immediate evaluation.
Heartburn, increased fetal movement, and mild backache that resolves with rest are not signs of preterm labor.
,Question 4
A nurse is assessing a newborn 1 hour after birth. Which finding requires immediate intervention?
A. Acrocyanosis
B. Respiratory rate of 70 breaths per minute with nasal flaring
C. Mongolian spots on the lower back
D. Milia on the nose
🟢 Correct Answer:
B. Respiratory rate of 70 breaths per minute with nasal flaring
🔴 RATIONALE:
A respiratory rate of 70 with nasal flaring indicates respiratory distress in a newborn and requires immediate
intervention. Acrocyanosis, Mongolian spots, and milia are expected findings.
Question 5
A client at 36 weeks gestation is admitted with severe headache, visual disturbances, and epigastric pain. Blood
pressure is 170/110 mm Hg. Which medication should the nurse prepare to administer first?
A. Labetalol
B. Magnesium sulfate
C. Nifedipine
D. Hydralazine
🟢 Correct Answer:
B. Magnesium sulfate
🔴 RATIONALE:
The client is exhibiting signs of severe preeclampsia. Magnesium sulfate is the first-line medication for seizure
, prophylaxis. Antihypertensives such as labetalol or hydralazine are also used but magnesium sulfate is the
priority to prevent eclampsia.
Question 6
A nurse is caring for a client in active labor who is receiving oxytocin. The fetal heart rate shows late
decelerations. Which is the priority nursing action?
A. Increase the oxytocin infusion rate
B. Reposition the client to a lateral position and administer oxygen
C. Prepare for immediate cesarean birth without further assessment
D. Document the finding and continue monitoring
🟢 Correct Answer:
B. Reposition the client to a lateral position and administer oxygen
🔴 RATIONALE:
Late decelerations indicate uteroplacental insufficiency. The priority is to improve fetal oxygenation by
repositioning the client laterally and administering oxygen. Oxytocin should be decreased or discontinued, not
increased. Immediate cesarean may be needed if the pattern persists.
Question 7
A postpartum client reports pain and swelling in the left calf. Which is the most appropriate initial nursing
action?
A. Massage the affected leg
B. Elevate the leg and notify the provider
C. Apply heat and encourage ambulation
D. Measure the calf circumference only
