• NUR 210 FINAL 09/10/2026
EXAM
ATI RN Maternal Newborn Proctored Exam 2026
2 | 300+ Questions | 100% Correct Answers &
Detailed Rationales (Pass Guaranteed A+
Bundle)
a client with endometriosis asks the nurse which side effects to expect from leuprolide. Which would the nurse
include in the response?
a. weight gain
b. increased libido
c. frequent urination
d. heavy menstrual bleeding - Correct Answer :a. weight gain
P 1
, • NUR 210 FINAL 09/10/2026
EXAM
SE of leuprolide: edema which causes weight gain, decreased libido
- clients who take leuprolide do not experience menstrual periods because follicle-stimulating hormone and
luteinizing hormone are suppressed
a newborn with a cleft lip and palate is born to a mother who has a history of epilepsy. Which medication would
the nurse suspect as being responsible for this malformation?
a. phenytoin
b. topiramate
c. valproic acid
d. carbamazepine - Correct Answer :b. topiramate
used to treat epilepsy, topiramate may have teratogenic effects that cause a newborn to develop a cleft lip with
cleft palate.
Carbamazepine and valproic acid may cause fetal neural tube defects.
Phenytoin may cause fetal CNS defects
which is the most appropriate time for the nurse to administer an intravenous opioid analgesic to a client in
active labor?
a. between contractions
b. when a contraction starts
c. at the peak of a contraction
d. just before the end of a contraction - Correct Answer :b when a contraction starts
when an analgesic is administered at the beginning of a contraction, uterine muscle tension increases resistance
to the absorption of the medication, thereby slowing its passage through the placenta to the fetus.
Between contractions is when the uterine muscle is at its most relaxed, and giving analgesic at this time thereby
increases the rate of the opioid's passage through the placenta to the fetus.
P 2
, • NUR 210 FINAL 09/10/2026
EXAM
A women undergoing chemotherapy for cancer gave birth to a newborn with limb malformations. Which
medication may cause limb malformations in the neonates?
a. Methotrexate
b. Nitrofurantoin
c. Carbamazepine
d. Cyclophosphamide - Correct Answer :a. Methotrexate
When taken during pregnancy, methotrexate may cause limb malformations. Nitrofurantoin is not an
immunosuppressant; it may cause abnormally small eyes or absent eyes in fetuses. Carbamazepine is an
antiepileptic drug that may cause neural tube defects. Cyclophosphamide may cause central nervous system
malformations and secondary cancers.
The nurse is performing a newborn assessment. Which symptoms, if present in a newborn, would indicate
respiratory distress?
A. Shallow and irregular respirations.
B. Flaring of the nares.
C. Abdominal breathing with synchronous chest movement.
D. Respiratory rate of 50 breaths per minute. - Correct Answer :B. Flaring of the nares.
The five symptoms of respiratory distress are retractions (pulling in of the chest wall), tachypnea (rate >60),
dusky color or circumoral cyanosis, expiratory grunt, and flaring nares.
A 39-week gestational multigravida is admitted to labor and delivery with spontaneous rupture of membranes
(SROM) and contractions occurring every 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6 cm,
50% effaced, and the fetus is at a -2 station. During the last 45 minutes the fetal heart rate (FHR) has ranged
between 170 and 180 beats/minute. Which action should the nurse implement?
A. Straight catheterize the client.
B. Send amniotic fluid for analysis.
P 3
, • NUR 210 FINAL 09/10/2026
EXAM
C. Obtain a blood specimen for hemoglobin.
D. Take an oral maternal temperature. - Correct Answer :D. Take an oral maternal temperature.
Maternal temperature changes are associated with prolonged ruptured membranes for over 24 hours. Routine
monitoring (usually every 2 to 4 hours) is indicated.
(Elevated FHR indicates fever.)
A 25-year-old client who had a severe postpartum hemorrhage following the vaginal birth of twins is transferred
to the postpartum unit. The nurse knows that assessment for what complication has the highest priority for this
client?
A. Hard, painful uterine afterpains.
B. Disseminated intravascular coagulation.
C. Postpartum psychosis.
D. Placenta accreta. - Correct Answer :B. Disseminated intravascular coagulation.
- HESI
Following a severe postpartum hemorrhage, the client is at risk for developing disseminated intravascular
coagulation (DIC), a potentially life-threatening condition characterized by abnormal blood clotting and
bleeding. DIC is a medical emergency that requires immediate treatment to prevent further complications.
Placenta accreta, is a potential complication following childbirth, but it is typically identified and managed during
the antenatal period, before delivery. If a client has already delivered twins, it is unlikely that placenta accreta is
the complication that has the highest priority for the postpartum period. Instead, the client is at a higher risk for
complications such as postpartum hemorrhage and disseminated intravascular coagulation.
The nurse is assessing a pregnant client who reports that she smokes one pack of cigarettes per day. The client
believes she is six months pregnant, but is unsure of the date of her last menstrual period. Which method of
assessment provides the best estimate of gestational age?
P 4
EXAM
ATI RN Maternal Newborn Proctored Exam 2026
2 | 300+ Questions | 100% Correct Answers &
Detailed Rationales (Pass Guaranteed A+
Bundle)
a client with endometriosis asks the nurse which side effects to expect from leuprolide. Which would the nurse
include in the response?
a. weight gain
b. increased libido
c. frequent urination
d. heavy menstrual bleeding - Correct Answer :a. weight gain
P 1
, • NUR 210 FINAL 09/10/2026
EXAM
SE of leuprolide: edema which causes weight gain, decreased libido
- clients who take leuprolide do not experience menstrual periods because follicle-stimulating hormone and
luteinizing hormone are suppressed
a newborn with a cleft lip and palate is born to a mother who has a history of epilepsy. Which medication would
the nurse suspect as being responsible for this malformation?
a. phenytoin
b. topiramate
c. valproic acid
d. carbamazepine - Correct Answer :b. topiramate
used to treat epilepsy, topiramate may have teratogenic effects that cause a newborn to develop a cleft lip with
cleft palate.
Carbamazepine and valproic acid may cause fetal neural tube defects.
Phenytoin may cause fetal CNS defects
which is the most appropriate time for the nurse to administer an intravenous opioid analgesic to a client in
active labor?
a. between contractions
b. when a contraction starts
c. at the peak of a contraction
d. just before the end of a contraction - Correct Answer :b when a contraction starts
when an analgesic is administered at the beginning of a contraction, uterine muscle tension increases resistance
to the absorption of the medication, thereby slowing its passage through the placenta to the fetus.
Between contractions is when the uterine muscle is at its most relaxed, and giving analgesic at this time thereby
increases the rate of the opioid's passage through the placenta to the fetus.
P 2
, • NUR 210 FINAL 09/10/2026
EXAM
A women undergoing chemotherapy for cancer gave birth to a newborn with limb malformations. Which
medication may cause limb malformations in the neonates?
a. Methotrexate
b. Nitrofurantoin
c. Carbamazepine
d. Cyclophosphamide - Correct Answer :a. Methotrexate
When taken during pregnancy, methotrexate may cause limb malformations. Nitrofurantoin is not an
immunosuppressant; it may cause abnormally small eyes or absent eyes in fetuses. Carbamazepine is an
antiepileptic drug that may cause neural tube defects. Cyclophosphamide may cause central nervous system
malformations and secondary cancers.
The nurse is performing a newborn assessment. Which symptoms, if present in a newborn, would indicate
respiratory distress?
A. Shallow and irregular respirations.
B. Flaring of the nares.
C. Abdominal breathing with synchronous chest movement.
D. Respiratory rate of 50 breaths per minute. - Correct Answer :B. Flaring of the nares.
The five symptoms of respiratory distress are retractions (pulling in of the chest wall), tachypnea (rate >60),
dusky color or circumoral cyanosis, expiratory grunt, and flaring nares.
A 39-week gestational multigravida is admitted to labor and delivery with spontaneous rupture of membranes
(SROM) and contractions occurring every 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6 cm,
50% effaced, and the fetus is at a -2 station. During the last 45 minutes the fetal heart rate (FHR) has ranged
between 170 and 180 beats/minute. Which action should the nurse implement?
A. Straight catheterize the client.
B. Send amniotic fluid for analysis.
P 3
, • NUR 210 FINAL 09/10/2026
EXAM
C. Obtain a blood specimen for hemoglobin.
D. Take an oral maternal temperature. - Correct Answer :D. Take an oral maternal temperature.
Maternal temperature changes are associated with prolonged ruptured membranes for over 24 hours. Routine
monitoring (usually every 2 to 4 hours) is indicated.
(Elevated FHR indicates fever.)
A 25-year-old client who had a severe postpartum hemorrhage following the vaginal birth of twins is transferred
to the postpartum unit. The nurse knows that assessment for what complication has the highest priority for this
client?
A. Hard, painful uterine afterpains.
B. Disseminated intravascular coagulation.
C. Postpartum psychosis.
D. Placenta accreta. - Correct Answer :B. Disseminated intravascular coagulation.
- HESI
Following a severe postpartum hemorrhage, the client is at risk for developing disseminated intravascular
coagulation (DIC), a potentially life-threatening condition characterized by abnormal blood clotting and
bleeding. DIC is a medical emergency that requires immediate treatment to prevent further complications.
Placenta accreta, is a potential complication following childbirth, but it is typically identified and managed during
the antenatal period, before delivery. If a client has already delivered twins, it is unlikely that placenta accreta is
the complication that has the highest priority for the postpartum period. Instead, the client is at a higher risk for
complications such as postpartum hemorrhage and disseminated intravascular coagulation.
The nurse is assessing a pregnant client who reports that she smokes one pack of cigarettes per day. The client
believes she is six months pregnant, but is unsure of the date of her last menstrual period. Which method of
assessment provides the best estimate of gestational age?
P 4
