2024 RN ATI MATERNAL NEWBORN
PROCTORED EXAM WITH 330 EXAM
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED
A+/ ATI RN MATERNAL NEWBORN
PROCTORED 2024-2025 TEST BANK
A nurse is caring for a client whose last menstrual period (LMP) began July 8.
Using Nagele's rule, the nurse should identify the client's estimated date of birth
(EDB) as which of the following?
A. October 1
B. April 1
C. October 15
D. April 15 - ANSWER-D. because, using Nagele's rule, the nurse determines the
EDB by counting back 3 months from the first day of LMP and adding 7 days.
A nurse is assessing a client who is at 34 weeks of gestation and has a mild
placental abruption. Which of the following findings should the nurse expect?
A. Increased platelet count
B. Fetal distress
C. Decreased urinary output
D. Dark red vaginal bleeding - ANSWER-D. because, the nurse should expect the
client who has a mild placental abruption to have minimal dark red vaginal
bleeding.
pg. 1
,A nurse is caring for a client who is at 39 weeks of gestation and is in the active
phase of labor. The nurse observes late decelerations in the fetal heart rate (FHR).
Which of the following findings should the nurse identify as the cause of late
decelerations?
A. Uteroplacental insufficiency
B. Fetal head compression
C. Fetal ventricular septal defect
D. Umbilical cord compression - ANSWER-A. because, a late deceleration in the
FHR is a non reassuring FHR pattern resulting from fetal hypoxemia due to
insufficient placental perfusion. The nurse should reposition the client, initiate
oxygen, and increase the infusion rate of IV fluid to enhance placental perfusion.
A nurse is teaching a client who is at 13 weeks of gestation about the treatment of
incompetent cervix with cervical cerclage. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I am sad that I won't be able to get pregnant again."
B. "I can resume having sex as soon as I feel up to it."
C. "I should go to the hospital if I think I may be in labor."
D. "I should expect bright red bleeding while the cerclage is in place." -
ANSWER-C. because, cervical cerclage prevents premature opening of the cervix
during pregnancy. The client should immediately go to a facility for evaluation if
she experiences any manifestations of labor while the cerclage is in place. If the
client experiences preterm uterine contractions she might require tocolytic therapy.
A nurse in an emergency department is caring for an 8-year old who is up-to-date
with current immunization recommendations and has a deep puncture injury.
Which of the following should the nurse anticipate administering?
pg. 2
,A. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine
B. A single injection of tetanus immune globulin (TIG) mixed with the pediatric
tetanus booster (DT)
C. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine
D. Adult tetanus booster (Td) - ANSWER-D. because, Td is recommended for
wound prophylaxis in children ages 7 years and older. Td is also recommended
every 10 years after 18 years of age.
A nurse is caring for a client who is at 26 weeks of gestation and reports
constipation. Which of the following responses by the nurse is appropriate?
A. "You should drink 1 ounce of mineral oil every morning."
B. "You should walk for at least 30 minutes every day."
C. "You should eat at least 3 ounces of red meat per day."
D. "You should stop taking your prenatal vitamin." - ANSWER-B. because, the
nurse should encourage the client to participate in moderate physical activity, such
as walking or swimming, every day. This activity increases intestinal peristalsis,
which will help alleviate constipation.
A nurse is teaching a client who is at 12 weeks of gestation about manifestations of
potential complications that she should report to her provider. Which of the
following information should the nurse include in the teaching?
A. Swelling of the face
B. Urinary frequency
C. White vaginal discharge
D. Intermittent nausea - ANSWER-A. because, the nurse should instruct the client
to report swelling of the face because this can indicate hypertensive disorder or
preeclampsia.
pg. 3
, A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia
without severe features. Which of the following findings should the nurse identify
as the priority?
A. 480 mL urine output in 24 hr.
B. Blood pressure 144/92 mm Hg
C. +2 edema of the feet
D. 1+ protein in the urine - ANSWER-A. because, when using the urgent vs. non
urgent approach to client care, the nurse should determine that the priority finding
is 480 mL or urine in 24 hr. because the minimum acceptable urine output in an
adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention.
Therefore, this is the priority finding.
A nurse is reviewing the medical record of a client who is at 33 weeks of gestation
and has placenta previa and bleeding. Which if the following prescriptions should
the nurse clarify with the provider?
A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large-bore IV catheter
D. Obtain a blood sample for laboratory testing - ANSWER-A. because, what a
client has a placenta previa, the placenta implants in the lower part of the uterus
and obstructs the cervical os (the opening to the vagina). The nurse should clarify
this prescription because any manipulation can cause tearing of the placenta and
increased bleeding.
pg. 4
PROCTORED EXAM WITH 330 EXAM
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GRADED
A+/ ATI RN MATERNAL NEWBORN
PROCTORED 2024-2025 TEST BANK
A nurse is caring for a client whose last menstrual period (LMP) began July 8.
Using Nagele's rule, the nurse should identify the client's estimated date of birth
(EDB) as which of the following?
A. October 1
B. April 1
C. October 15
D. April 15 - ANSWER-D. because, using Nagele's rule, the nurse determines the
EDB by counting back 3 months from the first day of LMP and adding 7 days.
A nurse is assessing a client who is at 34 weeks of gestation and has a mild
placental abruption. Which of the following findings should the nurse expect?
A. Increased platelet count
B. Fetal distress
C. Decreased urinary output
D. Dark red vaginal bleeding - ANSWER-D. because, the nurse should expect the
client who has a mild placental abruption to have minimal dark red vaginal
bleeding.
pg. 1
,A nurse is caring for a client who is at 39 weeks of gestation and is in the active
phase of labor. The nurse observes late decelerations in the fetal heart rate (FHR).
Which of the following findings should the nurse identify as the cause of late
decelerations?
A. Uteroplacental insufficiency
B. Fetal head compression
C. Fetal ventricular septal defect
D. Umbilical cord compression - ANSWER-A. because, a late deceleration in the
FHR is a non reassuring FHR pattern resulting from fetal hypoxemia due to
insufficient placental perfusion. The nurse should reposition the client, initiate
oxygen, and increase the infusion rate of IV fluid to enhance placental perfusion.
A nurse is teaching a client who is at 13 weeks of gestation about the treatment of
incompetent cervix with cervical cerclage. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I am sad that I won't be able to get pregnant again."
B. "I can resume having sex as soon as I feel up to it."
C. "I should go to the hospital if I think I may be in labor."
D. "I should expect bright red bleeding while the cerclage is in place." -
ANSWER-C. because, cervical cerclage prevents premature opening of the cervix
during pregnancy. The client should immediately go to a facility for evaluation if
she experiences any manifestations of labor while the cerclage is in place. If the
client experiences preterm uterine contractions she might require tocolytic therapy.
A nurse in an emergency department is caring for an 8-year old who is up-to-date
with current immunization recommendations and has a deep puncture injury.
Which of the following should the nurse anticipate administering?
pg. 2
,A. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine
B. A single injection of tetanus immune globulin (TIG) mixed with the pediatric
tetanus booster (DT)
C. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine
D. Adult tetanus booster (Td) - ANSWER-D. because, Td is recommended for
wound prophylaxis in children ages 7 years and older. Td is also recommended
every 10 years after 18 years of age.
A nurse is caring for a client who is at 26 weeks of gestation and reports
constipation. Which of the following responses by the nurse is appropriate?
A. "You should drink 1 ounce of mineral oil every morning."
B. "You should walk for at least 30 minutes every day."
C. "You should eat at least 3 ounces of red meat per day."
D. "You should stop taking your prenatal vitamin." - ANSWER-B. because, the
nurse should encourage the client to participate in moderate physical activity, such
as walking or swimming, every day. This activity increases intestinal peristalsis,
which will help alleviate constipation.
A nurse is teaching a client who is at 12 weeks of gestation about manifestations of
potential complications that she should report to her provider. Which of the
following information should the nurse include in the teaching?
A. Swelling of the face
B. Urinary frequency
C. White vaginal discharge
D. Intermittent nausea - ANSWER-A. because, the nurse should instruct the client
to report swelling of the face because this can indicate hypertensive disorder or
preeclampsia.
pg. 3
, A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia
without severe features. Which of the following findings should the nurse identify
as the priority?
A. 480 mL urine output in 24 hr.
B. Blood pressure 144/92 mm Hg
C. +2 edema of the feet
D. 1+ protein in the urine - ANSWER-A. because, when using the urgent vs. non
urgent approach to client care, the nurse should determine that the priority finding
is 480 mL or urine in 24 hr. because the minimum acceptable urine output in an
adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention.
Therefore, this is the priority finding.
A nurse is reviewing the medical record of a client who is at 33 weeks of gestation
and has placenta previa and bleeding. Which if the following prescriptions should
the nurse clarify with the provider?
A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large-bore IV catheter
D. Obtain a blood sample for laboratory testing - ANSWER-A. because, what a
client has a placenta previa, the placenta implants in the lower part of the uterus
and obstructs the cervical os (the opening to the vagina). The nurse should clarify
this prescription because any manipulation can cause tearing of the placenta and
increased bleeding.
pg. 4
