ATIOB ATIRN MATERNAL NEWBORN NURSING
PROCTORED EXAM 2025/2026 EXAM
QUESTIONS AND CORRECT ANSWER GRADED
A+
A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of
the following routes should the nurse choose for administration of the medication?
IM in left vastus lateralis
A nurse is assessing the results of a nonstress test for an antepartal client at 35
weeks of gestation. Which of the following findings should indicate to the nurse
the need for further diagnostic testing?
Irregular contractions of 10 to 20 seconds in duration that are not felt by the client
A nurse is caring for a client who is at 28 weeks of gestation and received no
immunizations during childhood. Which of the following vaccines should the nurse
plan to administer?
Tetanus
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Which of the following actions should the nurse take?
Administer 500 m lactated Ringer's IV bolus
,client delivered vaginally 8 hr ago.
0700:
1100:
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm
above the umbilicus. Large amount of lochia rubra. Episiotomy site well
approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale
of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower
extremities.
Exhibit 2
0700:
1100:
Temperature 37.2° C (99.0° F)
Pulse rate 85/min
Respiratory rate 18/min
Blood pressure 136/86 mm Hg
Pulse oximetry 100%
Select the 3 findings that require immediate follow-up.
A. Uterine tone soft
D. Large amount of lochia rubra
G. Lateral deviation of the uterus
,A nurse is caring for a client who is in the second stage of labor and is
experiencing a shoulder dystocia. The provider instructs the nurse to perform the
McRoberts maneuver. Which of the following actions should the nurse take?
Assist the client in pulling their knees toward their abdomen.
A nurse is caring for a client who is experiencing infertility and is requesting in
vitro fertilization. Which of the following information should the nurse provide to
the client?
Inform the client about the possible need for reduction of multiple fetuses.
A nurse on the postpartum unit is caring for four clients. For which of the
following clients should the nurse notify the provider?
A client who is receiving magnesium sulfate and has absent deep tendon reflexes
A nurse is reviewing the history of a client who is pregnant. Which of the
following clinical data indicates the client is at risk for preterm delivery?
Previous cervical cerclage
A nurse on a labor and delivery unit is providing teaching to a client who plans to
use hypnosis to control labor pain. Which of the following Information should the
nurse Include?
"Hypnosis can be beneficial if you practiced it during the prenatal period.
, csection 24 hours ago, what to determine PRN medication?
Do you notice increased cramping wihtb reastfeeding?
Digoxin--
check medication serum level
Infertility and clomiphene citrate=
breast tenderness
occipitoposterior position--> hands and knees
Has your back labor imporved?
Hypotensive post epidural
side-lying position
ointment of newborn refusal
document guardians refusal
post vaginal brith analgesic
PROCTORED EXAM 2025/2026 EXAM
QUESTIONS AND CORRECT ANSWER GRADED
A+
A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of
the following routes should the nurse choose for administration of the medication?
IM in left vastus lateralis
A nurse is assessing the results of a nonstress test for an antepartal client at 35
weeks of gestation. Which of the following findings should indicate to the nurse
the need for further diagnostic testing?
Irregular contractions of 10 to 20 seconds in duration that are not felt by the client
A nurse is caring for a client who is at 28 weeks of gestation and received no
immunizations during childhood. Which of the following vaccines should the nurse
plan to administer?
Tetanus
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Which of the following actions should the nurse take?
Administer 500 m lactated Ringer's IV bolus
,client delivered vaginally 8 hr ago.
0700:
1100:
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm
above the umbilicus. Large amount of lochia rubra. Episiotomy site well
approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale
of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower
extremities.
Exhibit 2
0700:
1100:
Temperature 37.2° C (99.0° F)
Pulse rate 85/min
Respiratory rate 18/min
Blood pressure 136/86 mm Hg
Pulse oximetry 100%
Select the 3 findings that require immediate follow-up.
A. Uterine tone soft
D. Large amount of lochia rubra
G. Lateral deviation of the uterus
,A nurse is caring for a client who is in the second stage of labor and is
experiencing a shoulder dystocia. The provider instructs the nurse to perform the
McRoberts maneuver. Which of the following actions should the nurse take?
Assist the client in pulling their knees toward their abdomen.
A nurse is caring for a client who is experiencing infertility and is requesting in
vitro fertilization. Which of the following information should the nurse provide to
the client?
Inform the client about the possible need for reduction of multiple fetuses.
A nurse on the postpartum unit is caring for four clients. For which of the
following clients should the nurse notify the provider?
A client who is receiving magnesium sulfate and has absent deep tendon reflexes
A nurse is reviewing the history of a client who is pregnant. Which of the
following clinical data indicates the client is at risk for preterm delivery?
Previous cervical cerclage
A nurse on a labor and delivery unit is providing teaching to a client who plans to
use hypnosis to control labor pain. Which of the following Information should the
nurse Include?
"Hypnosis can be beneficial if you practiced it during the prenatal period.
, csection 24 hours ago, what to determine PRN medication?
Do you notice increased cramping wihtb reastfeeding?
Digoxin--
check medication serum level
Infertility and clomiphene citrate=
breast tenderness
occipitoposterior position--> hands and knees
Has your back labor imporved?
Hypotensive post epidural
side-lying position
ointment of newborn refusal
document guardians refusal
post vaginal brith analgesic
