RN Maternal Newborn ATI Proctored Exam Study Guide | 304 Practice Questions & Answers | Latest Update 2026

ATI RN MATERNAL NEWBORN PROCTORED EXAM TEST BANK/ 304
j j j j j j j j




QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST UPDATE
j j j j j j




2026 j




1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm
j j j j j j j j j j j j j j j j




labor.Whatmedsshouldthenurseplantoadminister?a.misoprostol
j j j j j j j j j j j




b. betamethasone
c. poractant alfa j




d. methylergonovine:
b. betamethasone
j j




2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks
j j j j j j j j j j j j j j j j j j




the nurse how the provider will confirm her pregnancy. The nurse should inform the client that
j j j j j j j j j j j j j j j j




what lab test will be used to confirm her pregnancy?
j j j j j j j j j j




a. urine test for presence of HCG j j j j j




b. urine test for the presence of HCS j j j j j j




c. bloodtestforpresenceofestrogen j j j j j




d. bloodtestfor the amount of circulating progesterone: j j j j j j j




e. urine testforpresence of HCG j j j j j




3. A nurse is caring for a client who believes she may be pregnant. What finding should the
j j j j j j j j j j j j j j j j




nurse identify as a positive sign of pregnancy? a. palpable fetal movement
j j j j j j j j j j j j




b. amenorrhea
c. chadwick's sign j




d. positive pregnancy test: j j j




a. palpable fetal movement
j j j




4. A nurse is caring for a client who has oligohydraminios. What fetalanomalies
j j j j j j j j j j j j




should the nurse expect? a. renal agenesis
j j j j j j j




b. atrialseptaldefect j j




c. spina bifida j




d. hydrocephalus: j




a. renal agenesis j




5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
j j j j j j j j j j j j j j j j




fracture due to blunt abd trauma.What findings should the nurse expect?
j j j j j j j j j j j j

, a. uterine contractions j




b. bradycardia
c. seizures
d. bradypnea: j




a. uterine contractions
j j




The nurse should expect the client to be experiencing uterine contractions due toabdominal
j j j j j j j j j j j j j




trauma.
j




6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole. What
j j j j j j j j j j j j j j j j




findings should the nurse expect?
j j j j j




a. hypothermia
b. dark brown vaginal discharge j j j




c. fetalhearttones j j




d. decreased urinary output: j j




b. dark brown vaginal discharge
j j j j j




A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of thechorionic villi,
j j j j j j j j j j j j j j j




jwhichgivesriseto multiplecysts.Theproductsofconceptiontransform into a large number of
j j j j j j j j j j j j j j j




jedematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal discharge is usually j j j j j j j j j j j j j




jdark brown and can contain grapelike clusters.
j j j j j j




7. A nurse is assessing a client who is at 35 weeks of gestation and has mildgestational
j j j j j j j j j j j j j j j j




jHTN. What finding should the nurse identify as the priority?
j j j j j j j j j




a. 480mLurineoutputin24hrs j j j j j j




b. 1+proteinintheurine j j j j




c.+2 edema of the feet
j j j j j




d. BP 144/92:
j j j




a. 480 mL urine output in 24 hrs
j j j j j j j




When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
j j j j j j j j j j j j j j j




priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output
j j j j j j j j j j j j j j j j j




in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to preeclampsia with
j j j j j j j j j j j j j j j j




severe features, which requires immediate intervention. Therefore, this is the priority finding.
j j j j j j j j j j j j




8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
j j j j j j j j j j j j j j j j




should the nurse include in the teaching? a. you will be in isolationafter delivery
j j j j j j j j j j j j j j j




b. abstain from sexual intercourse throughout pregnancy j j j j j




c. breastfeedyournewborntoprovidepassiveimmunity j j j j j j




d. you should continue to take zidovudine throughout the pregnancy:
j j j j j j j j j

, d. youshould continue to take zidovudine throughout the pregnancy
j j j j j j j j j




-can be transmitted through breastfeeding
j j j j




-she can continue to have sex
j j j j j




The nurse should inform the client that taking prescription antiviral medicationevery day
j j j j j j j j j j j j




decreases the risk of transmission of HIV to her newborn.
j j j j j j j j j j




9. A nurse is providing teaching to a client who is at 8 wks gestation about manifestations
j j j j j j j j j j j j j j j




toreporttotheproviderduringpregnancy.Whatinfoshouldthe nurse include in the
j j j j j j j j j j j j j j j




teaching? a. nausea upon awakening
j j j j j




b. blurred or double vision j j j




c. increaseinwhitevaginaldischarge j j j j




d. leg cramps when sleeping: j j j j




b. blurred or double vision j j j j




10. A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
j j j j j j j j j j j j j j j j j j j




continuous IV infusion. The nurse notes that the client ishaving contractions every 2 min which
j j j j j j j j j j j j j j j j




last 100-110 seconds that the fetal heart rate is reassuring. What action should the nurse take? a.
j j j j j j j j j j j j j j j j j




decrease the dose of oxytocin by half
j j j j j j j




b. administer oxygen via nonrebreather mask j j j j




c. decrease the infusion rate of the maintenance IV fluid j j j j j j j j




d. administer terbutaline 0.25mg subq: j j j j




a. decrease the dose of oxytocin by half j j j j j j




The nurse should decrease the dose of oxytocin by half because the client is
j j j j j j j j j j j j j




experiencing uterine tachysystole.
j j j




11. A nurse is caring for a client who is in active labor and has meconium staining of the
j j j j j j j j j j j j j j j j j




amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal monitor.
j j j j j j j j j j j j j j




What action should the nurse take? a. prepare theclient for emergency c-section
j j j j j j j j j j j j j




b. performendotrachsuctioningassoonasthefetalheadisdelivered j j j j j j j j j j




c. prepare equipment needed for newborn resuscitation j j j j j




d. prepare the client for an ultrasound exam: j j j j j j




c. prepare equipment needed fornewborn resuscitation
j j j j j j j




The nurse should ensure that all supplies and equipment needed for resuscitation of the
j j j j j j j j j j j j j




newborn are readily available for every delivery. Endotracheal suctioning is
j j j j j j j j j j




recommended in cases of meconium staining only if the newborn has poor respiratory
j j j j j j j j j j j j j

, j effort, decreased muscle tone, and bradycardiaafter delivery.
j j j j j j j




12. A nurse is reviewing the medical record of a client who is at 33 wks gestationandhas placenta
j j j j j j j j j j j j j j j j j j




previaand bleeding.Whatscriptsshouldthenurseclarifywiththe provider?
j j j j j j j j j j j j




a. insertalarge-boreIVcatheter j j j j




b. performavaginalexam j j j




c. perform continuous external fetal monitoring j j j j




d. obtain a blood sample for lab testing: j j j j j j j




b. perform a vaginal exam j j j j




When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs
j j j j j j j j j j j j j j j j j j




the cervical os (the opening to the vagina). The nurse should clarify this prescription because any
j j j j j j j j j j j j j j j j




manipulation can cause tearing of the placenta and increased bleeding.
j j j j j j j j j j




13. A nurse is caring for a client who is at 37 wks gestation and is undergoing anonstress test.
j j j j j j j j j j j j j j j j j j




The FHR is 130 without accelerations for the past 10 min.
j j j j j j j j j j j




Whatactionshouldthenursetake? j j j j j




a. requestascriptforaninternalfetalscalpelectrode j j j j j j j j




b. auscultatetheFHRwitha dopplertransducer j j j j j j




c. report the nonreactive test result to the provider immediately j j j j j j j j




d. use vibroacoustic stim on the client's abd for 3 seconds:
j j j j j j j j j j




d. use vibroacousticstim on the client's abd for 3 seconds
j j j j j j j j j j




The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
j j j j j j j j j j j j j




activity because the fetus is most likely sleeping. Fetal movement should cause accelerations in
j j j j j j j j j j j j j j




the FHR.
j j




14. A nurse is reviewing lab results for a client who is at 37 wks gestation. Thenurse notes
j j j j j j j j j j j j j j j j j




that the client is rubella non-immune, positive for group A beta- hemolytic strep, and has a
j j j j j j j j j j j j j j j j




blood type O neg. What action should the nurse take?
j j j j j j j j j j




a. instructtheclienttoobtainarubellaimmunizationafterdelivery j j j j j j j j j




b. requestascriptforanantibioticuntildelivery j j j j j j j




c. inform the client that she will have to deliver via c-section j j j j j j j j j j




d. administer a dose of Pho(D) immune globulin: j j j j j j j




a. instruct the client to obtain arubella immunization after delivery j j j j j j j j j