ATI RN MATERNAL 08/26/2026
NEWBORN
ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2 2026: 200+ VERIFIED QUESTIONS &
RATIONALES | LATEST & COMPLETE GUIDE |
GRADED A+
Six hours after an oxytocin (Pitocin) induction was begun and 2 hours after spontaneous rupture of
the membranes, the nurse notes several sudden decreases in the fetal heart rate with quick return to
baseline, with and without contractions. Based on this fetal heart rate pattern, which intervention is
best for the nurse to implement?
A.Turn the client to her side.
B.Begin oxygen by nasal cannula at 2 L/min.
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, ATI RN MATERNAL 08/26/2026
NEWBORN
C.Place the client in a slight Trendelenburg position.
D.Assess for cervical dilation. –
Correct Answer :C. Place the client in a slight Trendelenburg position.
Rationale:
The goal is to relieve pressure on the umbilical cord, and placing the client in a slight Trendelenburg
position is most likely to relieve that pressure. The FHR pattern is indicative of a variable fetal heart
rate deceleration, which is typically caused by cord compression and can occur with or without
contractions. Option A may be helpful but is not as likely to relieve the pressure as the Trendelenburg
position. Option B is not helpful with cord compression. Option D is not the priority intervention at this
time. After repositioning the client, a vaginal examination is indicated to rule out cord prolapse and
assess for cervical change.
A mother who is HIV-positive delivers a full-term newborn and asks the nurse if her baby will become
HIV-infected. Which explanation should the nurse provide?
A.Most infants of HIV-positive women will continue to test positive for HIV antibodies.
B.Infants who have HIV-positive mothers carry the virus and will eventually develop the disease.
C.Medication taken during pregnancy to reduce the mother's viral load ensures that the infant is HIV-
negative.
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NEWBORN
D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer
present. –
Correct Answer :D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are
no longer present.
Rationale:
All newborns of HIV-positive mothers receive passive HIV antibodies from the mother, so the
evaluation of an infant for the HIV virus is determined at 18 months of age, when all the maternal
antibodies are no longer in the infant's blood. Passive HIV antibodies disappear in the infant within 18
months of age. Option B is inaccurate. Although administration of HIV medication during pregnancy
can significantly reduce the risk of vertical transmission, treatment does not ensure that the virus will
not become manifest in the infant.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting
motions and will not grasp the nipple. Which intervention should the nurse implement?
A.Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.
B.Hold the infant's head firmly against the breast until he latches onto the nipple.
C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
D.Provide formula for the infant until he becomes calm, and then offer the breast again.
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, ATI RN MATERNAL 08/26/2026
NEWBORN
Correct Answer :C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
Rationale:
The infant is becoming frustrated and so is the mother; both need a time out. The mother should be
encouraged to comfort the infant and to relax herself. After such a time out, breastfeeding is often
more successful. Options A and D would cause nipple confusion. Option B would only cause the infant
to be more resistant, resulting in the mother and infant becoming more frustrated.
A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her lochia is
getting lighter in color. Which action should the nurse take?
A.Instruct the client to go to the emergency room.
B.Recommend vaginal douching.
C.Explain this is a normal finding.
D.Determine if ovulation has occurred. –
Correct Answer :C.Explain this is a normal finding.
Rationale:
P a g e 4 | 150
NEWBORN
ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2 2026: 200+ VERIFIED QUESTIONS &
RATIONALES | LATEST & COMPLETE GUIDE |
GRADED A+
Six hours after an oxytocin (Pitocin) induction was begun and 2 hours after spontaneous rupture of
the membranes, the nurse notes several sudden decreases in the fetal heart rate with quick return to
baseline, with and without contractions. Based on this fetal heart rate pattern, which intervention is
best for the nurse to implement?
A.Turn the client to her side.
B.Begin oxygen by nasal cannula at 2 L/min.
P a g e 1 | 150
, ATI RN MATERNAL 08/26/2026
NEWBORN
C.Place the client in a slight Trendelenburg position.
D.Assess for cervical dilation. –
Correct Answer :C. Place the client in a slight Trendelenburg position.
Rationale:
The goal is to relieve pressure on the umbilical cord, and placing the client in a slight Trendelenburg
position is most likely to relieve that pressure. The FHR pattern is indicative of a variable fetal heart
rate deceleration, which is typically caused by cord compression and can occur with or without
contractions. Option A may be helpful but is not as likely to relieve the pressure as the Trendelenburg
position. Option B is not helpful with cord compression. Option D is not the priority intervention at this
time. After repositioning the client, a vaginal examination is indicated to rule out cord prolapse and
assess for cervical change.
A mother who is HIV-positive delivers a full-term newborn and asks the nurse if her baby will become
HIV-infected. Which explanation should the nurse provide?
A.Most infants of HIV-positive women will continue to test positive for HIV antibodies.
B.Infants who have HIV-positive mothers carry the virus and will eventually develop the disease.
C.Medication taken during pregnancy to reduce the mother's viral load ensures that the infant is HIV-
negative.
P a g e 2 | 150
, ATI RN MATERNAL 08/26/2026
NEWBORN
D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are no longer
present. –
Correct Answer :D.HIV infection is determined at 18 months of age, when maternal HIV antibodies are
no longer present.
Rationale:
All newborns of HIV-positive mothers receive passive HIV antibodies from the mother, so the
evaluation of an infant for the HIV virus is determined at 18 months of age, when all the maternal
antibodies are no longer in the infant's blood. Passive HIV antibodies disappear in the infant within 18
months of age. Option B is inaccurate. Although administration of HIV medication during pregnancy
can significantly reduce the risk of vertical transmission, treatment does not ensure that the virus will
not become manifest in the infant.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting
motions and will not grasp the nipple. Which intervention should the nurse implement?
A.Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.
B.Hold the infant's head firmly against the breast until he latches onto the nipple.
C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
D.Provide formula for the infant until he becomes calm, and then offer the breast again.
P a g e 3 | 150
, ATI RN MATERNAL 08/26/2026
NEWBORN
Correct Answer :C.Encourage the mother to stop feeding for a few minutes and comfort the infant.
Rationale:
The infant is becoming frustrated and so is the mother; both need a time out. The mother should be
encouraged to comfort the infant and to relax herself. After such a time out, breastfeeding is often
more successful. Options A and D would cause nipple confusion. Option B would only cause the infant
to be more resistant, resulting in the mother and infant becoming more frustrated.
A client who delivered a healthy infant 5 days ago calls the clinic nurse and reports that her lochia is
getting lighter in color. Which action should the nurse take?
A.Instruct the client to go to the emergency room.
B.Recommend vaginal douching.
C.Explain this is a normal finding.
D.Determine if ovulation has occurred. –
Correct Answer :C.Explain this is a normal finding.
Rationale:
P a g e 4 | 150
