EXAM
RN Maternal ATI Newborn Proctored Exam 2026
3 | 300+ Questions | 100% Correct Answers &
Detailed Rationales (Pass Guaranteed A+
Bundle)
During the transition phase of labor, a client complains of tingling and numbness in her fingers and tells the nurse
that she feels like she is going to pass out. What action should the nurse take?
A.Encourage her to pant between contractions and blow with contractions.
B.Coach her to take a deep cleansing breath and then refocus.
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EXAM
C.Instruct her to pant three times and then exhale through pursed lips.
D.Have her cup both hands over her nose and mouth while breathing. –
Correct Answer :D.Have her cup both hands over her nose and mouth while breathing.
Rationale: Hyperventilation blows off carbon dioxide, depletes carbonic acid in the blood, and causes transient
respiratory alkalosis, so the client should cup both her hands over her mouth and nose so that she can rebreathe
carbon dioxide. Options A, B, and C do not help restore carbon dioxide levels as effectively as rebreathing air in
the cupped hands or from a paper bag.
One hour following a normal vaginal delivery, a newborn infant boy's axillary temperature is 96° F, his lower lip is
shaking, and when the nurse assesses for a Moro reflex, the boy's hands shake. Which intervention should the
nurse implement first?
A.Stimulate the infant to cry.
B.Wrap the infant in warm blankets.
C.Feed the infant formula.
D.Obtain a serum glucose level. - Correct Answer :D.Obtain a serum glucose level.
Rationale: This infant is demonstrating signs of hypoglycemia, possibly secondary to a low body temperature.
The nurse should first determine the serum glucose level. Option A is an intervention for a lethargic infant.
Option B should be done based on the temperature, but first the glucose level should be obtained. Option C
helps raise the blood sugar, but first the nurse should determine the glucose level.
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During a prenatal visit, the nurse discusses the effects of smoking on the fetus with a client. Which statement is
most characteristic of an infant whose mother smoked during pregnancy compared with the infant of a
nonsmoking mother?
A.Lower Apgar score recorded at delivery
B.Lower initial weight documented at birth
C.Higher oxygen use to stimulate breathing
D.Higher prevalence of congenital anomalies –
Correct Answer :B.Lower initial weight documented at birth
Rationale:Smoking is associated with low-birth-weight infants. Therefore, mothers are encouraged not to smoke
during pregnancy. Options A, C, and D have not been clearly associated with smoking during pregnancy, but
there is a strong correlation between smoking and lower birth weights.
The nurse is using the Silverman-Anderson index to assess an infant with respiratory distress and determines that
the infant is demonstrating marked nasal flaring, an audible expiratory grunt, and just visible intercostal and
xiphoid retractions. Using this scale, which score should the nurse assign?
A.3
B.4
C.5
D.8 - Correct Answer :C.5
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EXAM
Rationale: The Silverman-Anderson index is an assessment scale that scores a newborn's respiratory status as
grade 0, 1, or 2 for each component; it includes synchrony of the chest and abdomen, retractions, nasal flaring,
and expiratory grunt. No respiratory distress is graded 0, and a total of 10 indicates maximum respiratory
distress. This infant is demonstrating respiratory distress with maximal effort, so a grade 2 is assigned for marked
nasal flaring, grade 2 for an audible expiratory grunting, plus grade 1 for just visible retractions, which is a total
score of 5. Options A, B, and D are not accurate.
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice rather than the
food on her breakfast tray. The client states that she has a craving for ice and then feels too full to eat anything
else. Which is the best response by the nurse?
A.Remove all ice from the client's room.
B.Ask the client what foods she might consider eating.
C.Remind the client that what she eats affects her baby.
D.Notify the health care provider.
- Correct Answer :D.Notify the health care provider.
Rationale: The health care provider should be notified when a client practices pica (craving for and consumption
of nonfood substances). The practice of pica may displace more nutritious foods from the diet, and the client
should be evaluated for anemia. Option A is overreacting and may be perceived as punishment by the client.
Option B allows the dietary department to customize the client's tray but fails to address physiologic problems
associated with not consuming nutritious foods in pregnancy. Option C is judgmental and blocks further
communication.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the need for
administering antibiotic ointment into the eyes of the newborn. An expectant father asks, "What type of disease
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