EXAM
2026 ATI RN Maternal Newborn Proctored Exam
4 | 300+ Questions | 100% Correct Answers &
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When discussing birth in a home setting with a group of pregnant women, which situation should the nurse
include about the safety of a home birth?
1. Only the woman and her midwife should be present during the delivery.
2. The woman should live no more than 15 minutes from the hospital.
3. The woman's extended family should be allowed to attend the home birth.
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4. Medical backup should be available quickly in case of complications. –
Correct Answer :4. Medical backup should be available quickly in case of complications.
Access to quick emergency care should be available in the event that an unforeseen complication arises (D)
during a home birth. Although the nurse-midwife should be a competent healthcare provider during a home
birth (A), access to emergency, surgical, and resuscitation assistance should be readily available. A 15-minute
drive to the hospital is ideal, but (B) does not ensure the safest situation. The presence and support of family
during the home birth (C) does not necessarily ensure a safe home birth.
Which prescription should the nurse administer to a newborn to reduce complications related to birth trauma?
1. Silver nitrate.
2. Erythromycin (Ilotycin ointment).
3. Ceftriaxone (Rocephin).
4. Vitamin K (AquaMEPHYTON). –
Correct Answer :4. Vitamin K (AquaMEPHYTON).
The normal neonate is vitamin K deficient, so to rapidly elevate prothrombin levels and reduce the risk of
neonatal bleeding, newborns receive a single injection of vitamin K (AquaMEPHYTON) (D). (A and B) are
prophylactic ophthalmic agents used to prevent neonatal ophthalmia. (C) is an antibiotic used to treat neonatal
infections.
The apnea monitor alarm sounds for the third time during one shift for a neonate who was delivered at 37-weeks
gestation. What nursing action should be implemented first?
1. Provide tactile stimulation.
2. Administer flow by 100% oxygen.
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3. Asses the functionality of the monitoring device.
4. Evaluate the newborn's color and respirations. –
Correct Answer :4. Evaluate the newborn's color and respirations.
Monitors are an effective method for continual appraisal of a neonate's respirations, but a visual assessment of
the infant oxygenation and respiratory status (D) should be implemented first. If the infant is not breathing, then
tactile stimulation (A) should be given for no longer than 10 to 15 seconds before initiating CPR. Oxygen should
be administered or increased (B) after determining the neonate's respiratory status. If there is normal color and
presence of respirations after assessment, then possible causes of a false alarm (C) should be investigated for
mechanical malfunction of the device.
The nurse observes a male newborn who is displaying a rigid posture with his eyes tightly closed and grimacing
as he is crying after an invasive procedure. The baby's blood pressure is elevated on the Dinamap display. What
action should the nurse implement?
1. Obtain a serum glucose level.
2. Give the infant medication for pain.
3. Feed the newborn 1 ounce of formula.
4. Request a genetic consultation. - Correct Answer :2. Give the infant medication for pain.
A cry face (or crying with the eyes squeezed or closed tightly), a rigid posture, and an increase in blood pressure
are indicative of pain in the neonate, so analgesia should be given for pain (B). The symptoms of hypoglycemia
(A) are jitteriness and mottling. The signs of hunger include rooting, tongue extrusion and possibly crying (C). A
high-pitched shrill cry is associated with neurologic and genetic anomalies (D).
The nurse is assessing a 12-hour-old infant with a maternal history of frequent alcohol consumption during
pregnancy. Which finding should the nurse report that is most suggestive of fetal alcohol syndrome (FAS)?
1. An extra digit on the left hand.
2. Corneal clouding.
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3. Flat nasal bridge.
4. Asymmetrical bulging fontanels. - Correct Answer :3. Flat nasal bridge.
FAS is typically manifested by craniofacial anomalies, including short eyelid opening, flat midface or flat nasal
bridge (C), flat upper lip groove, thin upper lip, and microcephaly. (A, B and D) are not usually associated with
FAS.
A client states, "During the three months I've been pregnant, it seems like I have had to go to the bathroom
every five minutes." Which explanation should the nurse provide to this client?
1. The client may have a bladder or kidney infection.
2. Bladder capacity increases during pregnancy.
3. During pregnancy a woman is especially sensitive to body functions.
4. The growing uterus is putting pressure on the bladder. - Correct Answer :4. The growing uterus is putting
pressure on the bladder.
Urinary frequency is a normal discomfort (D) during the first trimester, when the enlarging uterus is still low in
the pelvis. It encroaches on the bladder, reducing its capacity. Although urinary frequency is a symptom of
bladder infection, it is usually accompanied by other symptoms such as burning on urination, and a kidney
infection is usually accompanied by pain and fever (A). Bladder capacity does increase to about 1,500 ml during
pregnancy (B), but increased capacity does not cause urinary frequency. There is not enough data to reach the
conclusion in (C).
The nurse assesses a high-risk neonate under a radiant warmer who has an umbilical catheter and identifies that
the neonate's feet are blanched. What nursing action should be implemented?
1. Place socks on infant.
2. Elevate feet 15 degrees.
3. Wrap feet loosely in prewarmed blanket.
4. Report findings to the healthcare provider. - Correct Answer :4. Report findings to the healthcare provider.
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