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ATI RN Maternal Newborn CMS Proctored
Actual Exam 2026: 180 Latest Actual
Questions with Verified Answers & Detailed
Rationales - Best Study Guide for Guaranteed
Pass
1. A nurse is teaching a client who is pregnant about non stress testing. Which
of the following pieces of information should the nurse include?
A. This test is an invasive procedure that presents minimal risk to the fetus
B. If the test is reactive, that means your baby's heart rate is healthy
C. When your baby moves, the test should record the baby's heart rate
decreasing by about 15 beats per minute
D. The results of the test will be recorded as positive if no fetal movement
occurs during the 20-minute testing period
Answer: B
Rationale: The fetal heart rate is considered healthy if the results are reactive.
A reactive test indicates there are fetal heart rate accelerations associated
with fetal movement within the testing period. If the test is nonreactive, fetal
health might be affected and further testing might be necessary to evaluate
fetal well-being.
2. A nurse is teaching a client about a nonstress test. Which of the following
statements by the client indicates an understanding of the teaching?
A. I know not to eat anything after midnight
B. I will have medication given to me to cause contractions
C. I should press the button on the handheld marker when my baby moves
D. I will have to stimulate my breast to cause contractions
,2
Answer: C
Rationale: The purpose of the test is to assess fetal well-being. The client
should press the button on the handheld marker when she feels fetal
movement.
3. A nurse in a clinic is providing teaching to a client who is at 37 weeks of
gestation and is scheduled for an external cephalic version. Which of the
following statements should the nurse make?
A. Your provider will insert a hand into your uterus and turn your baby around
B. You will receive a medication to relax your uterus prior to the procedure
C. This procedure will be performed in the clinic at your next visit
D. Your baby's heartbeat will be monitored occasionally throughout the
procedure
Answer: B
Rationale: A client who is scheduled to undergo an external cephalic version
often receives a tocolytic prior to the procedure to allow the uterus to relax. A
relaxed uterus allows an easier version by the provider.
4. A nurse is providing teaching for a client who is pregnant and has type 1
diabetes mellitus. Which of the following statements should the nurse include
in the teaching?
A. You should expect to increase your insulin dosage during the first trimester
of pregnancy
B. You should expect to decrease your insulin dosage during the second and
third trimesters of pregnancy
C. You should expect to decrease your insulin dosage immediately after you
deliver your baby
,3
D. You will need to increase your insulin dosage if you are breastfeeding
Answer: C
Rationale: The client will immediately lose insulin resistance upon the delivery
of the placenta. Clients who have type 1 diabetes mellitus should expect to
need only 50% to 60% of the pre-delivery dosage of insulin.
5. A nurse administers betamethasone to a client who is at 33 weeks gestation
to stimulate fetal lung maturity. When planning care for the newborn, which
of the following conditions should the nurse identify as an adverse effect of
this medication?
A. Hyperthermia
B. Decreased blood glucose
C. Rapid pulse rate
D. Irritability
Answer: B
Rationale: Betamethasone causes hyperglycemia in the client, which
predisposes the newborn to hypoglycemia in the first hours after delivery. The
nurse must assess the newborn's blood glucose level within the first hour
following birth and frequently thereafter until blood glucose levels are stable.
6. A nurse is caring for a client who had pelvic measurements recorded by the
provider. The client asks, Since my pelvis is gynecoid, will I be able to deliver
vaginally? Which of the following responses should the nurse make?
A. The shape of your pelvis will make vaginal childbirth difficult, but it is still
possible
B. The shape of your pelvis will require a cesarean delivery
, 4
C. The shape of your pelvis is ideal for vaginal childbirth
D. The shape of your pelvis will change as you near delivery, and the provider
will determine if vaginal delivery is possible
Answer: C
Rationale: The nurse should inform the client that a gynecoid pelvis is well-
rounded with a wide pubic arch. This is ideal for vaginal childbirth.
7. A nurse is providing teaching for a client about hormonal changes during
pregnancy. The nurse identifies that which of the following hormones plays a
key role in preventing miscarriage?
A. Oxytocin
B. Prolactin
C. Progesterone
D. Estrogen
Answer: C
Rationale: Progesterone maintains the endometrium and has a relaxant effect
on the uterus so that the fetus is not expelled.
8. A nurse in a provider's office is caring for a client who is in the first
trimester of pregnancy. Which of the following psychological tasks should the
nurse expect the client to accomplish during this trimester?
ATI RN Maternal Newborn CMS Proctored
Actual Exam 2026: 180 Latest Actual
Questions with Verified Answers & Detailed
Rationales - Best Study Guide for Guaranteed
Pass
1. A nurse is teaching a client who is pregnant about non stress testing. Which
of the following pieces of information should the nurse include?
A. This test is an invasive procedure that presents minimal risk to the fetus
B. If the test is reactive, that means your baby's heart rate is healthy
C. When your baby moves, the test should record the baby's heart rate
decreasing by about 15 beats per minute
D. The results of the test will be recorded as positive if no fetal movement
occurs during the 20-minute testing period
Answer: B
Rationale: The fetal heart rate is considered healthy if the results are reactive.
A reactive test indicates there are fetal heart rate accelerations associated
with fetal movement within the testing period. If the test is nonreactive, fetal
health might be affected and further testing might be necessary to evaluate
fetal well-being.
2. A nurse is teaching a client about a nonstress test. Which of the following
statements by the client indicates an understanding of the teaching?
A. I know not to eat anything after midnight
B. I will have medication given to me to cause contractions
C. I should press the button on the handheld marker when my baby moves
D. I will have to stimulate my breast to cause contractions
,2
Answer: C
Rationale: The purpose of the test is to assess fetal well-being. The client
should press the button on the handheld marker when she feels fetal
movement.
3. A nurse in a clinic is providing teaching to a client who is at 37 weeks of
gestation and is scheduled for an external cephalic version. Which of the
following statements should the nurse make?
A. Your provider will insert a hand into your uterus and turn your baby around
B. You will receive a medication to relax your uterus prior to the procedure
C. This procedure will be performed in the clinic at your next visit
D. Your baby's heartbeat will be monitored occasionally throughout the
procedure
Answer: B
Rationale: A client who is scheduled to undergo an external cephalic version
often receives a tocolytic prior to the procedure to allow the uterus to relax. A
relaxed uterus allows an easier version by the provider.
4. A nurse is providing teaching for a client who is pregnant and has type 1
diabetes mellitus. Which of the following statements should the nurse include
in the teaching?
A. You should expect to increase your insulin dosage during the first trimester
of pregnancy
B. You should expect to decrease your insulin dosage during the second and
third trimesters of pregnancy
C. You should expect to decrease your insulin dosage immediately after you
deliver your baby
,3
D. You will need to increase your insulin dosage if you are breastfeeding
Answer: C
Rationale: The client will immediately lose insulin resistance upon the delivery
of the placenta. Clients who have type 1 diabetes mellitus should expect to
need only 50% to 60% of the pre-delivery dosage of insulin.
5. A nurse administers betamethasone to a client who is at 33 weeks gestation
to stimulate fetal lung maturity. When planning care for the newborn, which
of the following conditions should the nurse identify as an adverse effect of
this medication?
A. Hyperthermia
B. Decreased blood glucose
C. Rapid pulse rate
D. Irritability
Answer: B
Rationale: Betamethasone causes hyperglycemia in the client, which
predisposes the newborn to hypoglycemia in the first hours after delivery. The
nurse must assess the newborn's blood glucose level within the first hour
following birth and frequently thereafter until blood glucose levels are stable.
6. A nurse is caring for a client who had pelvic measurements recorded by the
provider. The client asks, Since my pelvis is gynecoid, will I be able to deliver
vaginally? Which of the following responses should the nurse make?
A. The shape of your pelvis will make vaginal childbirth difficult, but it is still
possible
B. The shape of your pelvis will require a cesarean delivery
, 4
C. The shape of your pelvis is ideal for vaginal childbirth
D. The shape of your pelvis will change as you near delivery, and the provider
will determine if vaginal delivery is possible
Answer: C
Rationale: The nurse should inform the client that a gynecoid pelvis is well-
rounded with a wide pubic arch. This is ideal for vaginal childbirth.
7. A nurse is providing teaching for a client about hormonal changes during
pregnancy. The nurse identifies that which of the following hormones plays a
key role in preventing miscarriage?
A. Oxytocin
B. Prolactin
C. Progesterone
D. Estrogen
Answer: C
Rationale: Progesterone maintains the endometrium and has a relaxant effect
on the uterus so that the fetus is not expelled.
8. A nurse in a provider's office is caring for a client who is in the first
trimester of pregnancy. Which of the following psychological tasks should the
nurse expect the client to accomplish during this trimester?
