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Exam (elaborations)

ATI OB PROCTORED EXAM PRACTICE QUESTIONS WITH VERIFIED ANSWERS.

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This document includes practice questions and answers for the RN Maternal Newborn ATI proctored exam. It helps students prepare with exam-style content and key maternity nursing concepts.

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ATI OB PROCTORED EXAM PRACTICE QUESTIONS
WITH VERIFIED ANSWERS /GRADED A+ / UPDATED
2026/2027



1. A charge nurse is providing teaching to a newly hired nurse about the potential side
effects of an epidural anesthetic for a laboring client. Which of the following effects
should the charge nurse include in the teaching?



Newborn respiratory depression at birth
Impaired ability of the neonate to maintain body temperature
Impaired placental perfusion
Decreased fetal heart rate (FHR) variability - ANSWER ✔️-Impaired placental
perfusion



2. A nurse administers betamethasone to a client who is at 33 weeks gestation to
stimulate fetal lung maturity. When planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this medication?



Hyperthermia
Decreased blood glucose
Rapid pulse rate
Irritability - ANSWER ✔️-Decreased blood glucose



3. A nurse at a clinic is preparing to teach the process of involution to a group of
antenatal clients. Which of the following information should the nurse provide?

, The fundus if approximately 2 cm above the level of the umbilicus at the end of the
third stage of labor
The fundus is approximately 3 cm above the umbilicus within 12 hours after delivery
The fundus is located halfway between the umbilicus & the mons pubis on the sixth
day postpartum
The fundus is not palpable abdominally at 2 wks postpartum - ANSWER ✔️-The
fundus is not palpable abdominally at 2 wks postpartum



4. A nurse in a clinic is providing education to a client at 32 wks gestation who has
pruritus gravidarum. Which of the following pieces of information should the nurse
include?



"You should slightly increase your exposure to sunlight"
"You will need extensive dermatological treatment for this condition after you deliver
your baby"
"Your provider will schedule weekly lab testing to monitor your liver function"
"Your provider will prescribe isotretinoin cream" - ANSWER ✔️-"You should slightly
increase your exposure to sunlight"



5. A nurse in a labor and delivery unit is preparing to teach a newly licensed nurse about
intermittent auscultation of the fetal heart rate. Which of the following interventions
should the nurse include?



Count the fetal heart rate for 15 seconds after contractions
Palpate and count the maternal radial pulse while listening to the fetal heart rate
Place the listening device over the fetal chest to hear the fetal heart rate
Percuss the maternal abdomen to verify the position of the fetus - ANSWER ✔️-
Palpate and count the maternal while listening to the FHR

, 6. A nurse in a newborn nursery has received reports on 4 newborns. Which of the
following newborns should the nurse identify as requiring intervention?



A newborn who has acrocyanosis
A newborn who has maculuar, papular, vesicular rash on the torso
A newborn who has a blood glucose level of 54 mg/dL
A newborn whose axillary temperature is 36.1C (96.9F) - ANSWER ✔️-A newborn
whose axillary temperature is 36.1C (96.9F)



7. A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33
weeks of gestation. For which of the following results should the nurse notify the
provider?



Hgb 11.3 g/dL
Platelet count 135,000/mm^3
WBC count 10,500/mm^3
HCt 38% - ANSWER ✔️-Platelet count 135,000/mm^3



8. A nurse in labor & delivery is teaching a newly licensed nurse about performing the
McRoberts maneuver to relieve shoulder dystocia. Which of the following pieces of
information should the nurse include?



Position the client on her hands & knees while in bed
Flex the client's legs apart & raise her knees to her abdomen
Apply gentle pressure on the clients fundus while she is lying supine
Push the fetus's anterior shoulder under the symphysis pubis externally - ANSWER
✔️-Flex the client's legs apart and raise her knees to her abdomen

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