ATI RN MATERNAL NEWBORN CMS PROCTORED| FROM
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is caring for a newborn. The nurse should obtain informed consent before taking which
of the following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease Answer: c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states,
"I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the
house." Which of the following is the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born" Answer: d) "Tell me how you
think your life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-
degree perineal laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally Answer: c) apply cold ice packs to the
client's perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of
dizziness after lying on her back on the couch. Which of the following actions should the nurse
take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet Answer: b) advise the client to lie
on her side
A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse
should monitor the client for which of the following potential adverse effects?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria Answer: c) fetal asphyxia
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The
client asks about expected weight loss. Which of the following responses should the nurse
make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable" Answer: a) "Losing 2.2 pounds each
month would be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The
client states, "I am here to have my regular prenatal checkup, but I do not want any pictures
taken of my baby." Which of the following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
d) "You have the right to tell the doctor that you do not want the sonogram" Answer: b) "I
would like to hear more about why you do not want the sonogram, including any cultural
reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
a) effacement
b) dilation
c) lightening
d) quickening Answer: c) lightening
A nurse is providing teaching about weight gain during pregnancy for a client who is
primigravida of normal pre-pregnancy weight. Which of the following statements should the
nurse include?
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is caring for a newborn. The nurse should obtain informed consent before taking which
of the following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease Answer: c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states,
"I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the
house." Which of the following is the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born" Answer: d) "Tell me how you
think your life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-
degree perineal laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally Answer: c) apply cold ice packs to the
client's perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of
dizziness after lying on her back on the couch. Which of the following actions should the nurse
take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet Answer: b) advise the client to lie
on her side
A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse
should monitor the client for which of the following potential adverse effects?
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria Answer: c) fetal asphyxia
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The
client asks about expected weight loss. Which of the following responses should the nurse
make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable" Answer: a) "Losing 2.2 pounds each
month would be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The
client states, "I am here to have my regular prenatal checkup, but I do not want any pictures
taken of my baby." Which of the following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
d) "You have the right to tell the doctor that you do not want the sonogram" Answer: b) "I
would like to hear more about why you do not want the sonogram, including any cultural
reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
a) effacement
b) dilation
c) lightening
d) quickening Answer: c) lightening
A nurse is providing teaching about weight gain during pregnancy for a client who is
primigravida of normal pre-pregnancy weight. Which of the following statements should the
nurse include?
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
