ATI RN MATERNAL 08/26/2026
NEWBORN
ATI RN MATERNAL NEWBORN PROCTORED
EXAM 3 2026: 200+ VERIFIED QUESTIONS &
RATIONALES | LATEST & COMPLETE GUIDE |
GRADED A+
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart –
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, ATI RN MATERNAL 08/26/2026
NEWBORN
Correct Answer :B. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client is capable)
(B), and putting the heel of the foot on the floor is the best means of relieving leg cramps.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for
observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal
examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention
should the nurse implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bedrest –
Correct Answer :C. Obtain a specimen for urine analysis
Obtaining a urine analysis should be done first because preterm clients with uterine irritability and
contractions are often suffering from a urinary tract infection, and this should be ruled out first.
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80
C. Four-hour urine output 240 ml
D. Respiration 12/minute –
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, ATI RN MATERNAL 08/26/2026
NEWBORN
Correct Answer :A. Patellar reflex 4+
A 4+ reflex in a client with pregnancy-induced hypertension indicates hyperreflexia, which is an
indication of an impending seizure.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective?
A. Slowly increasing urinary output over the last week
B. Respiratory rate changes from the 40s to the 60s
C. Changes in apical heart rate from the 180s to the 140s
D. Change in indirect bilirubin from 12mg/dl to 8 mg/dl –
Correct Answer :C. Changes in apical heart rate from the 180s to the 140s
Epogen, given to prevent or treat anemia, stimulates erythropoietin production, resulting in an
increase in RBCs. Since the body has not had to compensate for anemia with an increased heart rate,
changes in heart rate from high to normal is one indicator that Epogen is effective
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating
this prescription, it is most important for the nurse to assess the client for which condition?
A. Gestational diabetes
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, ATI RN MATERNAL 08/26/2026
NEWBORN
B. Elevated blood pressure
C. Urinary tract infection
D. Swelling in lower extremities –
Correct Answer :A. Gestational diabetes
.
The nurse should evaluate the client for gestational diabetes because terbutaline (Brethine) increases
blood glucose levels.
A client with NO prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse
performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain?
A. Gravidity and parity
B. Time and amount of last oral intake
C. Date of last normal menstrual period
D. Frequency and intensity of contractions –
Correct Answer :C. Date of last normal menstrual period
Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart
pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer
corticosteroids to mature the lungs of the fetus.
P a g e 4 | 76
NEWBORN
ATI RN MATERNAL NEWBORN PROCTORED
EXAM 3 2026: 200+ VERIFIED QUESTIONS &
RATIONALES | LATEST & COMPLETE GUIDE |
GRADED A+
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
A. Ask if she takes a daily calcium tablet
B. Extend the leg and dorsiflex the foot
C. Lower the leg off the side of the bed
D. Elevate the leg above the heart –
P a g e 1 | 76
, ATI RN MATERNAL 08/26/2026
NEWBORN
Correct Answer :B. Extend the leg and dorsiflex the foot
Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client is capable)
(B), and putting the heel of the foot on the floor is the best means of relieving leg cramps.
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for
observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal
examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention
should the nurse implement first?
A. Provide oral hydration
B. Have a complete blood count (CBC) drawn
C. Obtain a specimen for urine analysis
D. Place the client on strict bedrest –
Correct Answer :C. Obtain a specimen for urine analysis
Obtaining a urine analysis should be done first because preterm clients with uterine irritability and
contractions are often suffering from a urinary tract infection, and this should be ruled out first.
A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in
planning this client's care?
A. Patellar reflex 4+
B. Blood pressure 158/80
C. Four-hour urine output 240 ml
D. Respiration 12/minute –
P a g e 2 | 76
, ATI RN MATERNAL 08/26/2026
NEWBORN
Correct Answer :A. Patellar reflex 4+
A 4+ reflex in a client with pregnancy-induced hypertension indicates hyperreflexia, which is an
indication of an impending seizure.
A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks.
Which assessment finding indicates to the nurse that the drug is effective?
A. Slowly increasing urinary output over the last week
B. Respiratory rate changes from the 40s to the 60s
C. Changes in apical heart rate from the 180s to the 140s
D. Change in indirect bilirubin from 12mg/dl to 8 mg/dl –
Correct Answer :C. Changes in apical heart rate from the 180s to the 140s
Epogen, given to prevent or treat anemia, stimulates erythropoietin production, resulting in an
increase in RBCs. Since the body has not had to compensate for anemia with an increased heart rate,
changes in heart rate from high to normal is one indicator that Epogen is effective
The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating
this prescription, it is most important for the nurse to assess the client for which condition?
A. Gestational diabetes
P a g e 3 | 76
, ATI RN MATERNAL 08/26/2026
NEWBORN
B. Elevated blood pressure
C. Urinary tract infection
D. Swelling in lower extremities –
Correct Answer :A. Gestational diabetes
.
The nurse should evaluate the client for gestational diabetes because terbutaline (Brethine) increases
blood glucose levels.
A client with NO prenatal care arrives at the labor unit screaming, "The baby is coming!" The nurse
performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What
additional information is most important for the nurse to obtain?
A. Gravidity and parity
B. Time and amount of last oral intake
C. Date of last normal menstrual period
D. Frequency and intensity of contractions –
Correct Answer :C. Date of last normal menstrual period
Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart
pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer
corticosteroids to mature the lungs of the fetus.
P a g e 4 | 76
