2025 RN Maternal Newborn ati Proctored Exam 300 Questiions With
Detailed Verified Solutions And Rationale/A+ Grade Assured
1. A nurse is caring for a b. betamethasone
client who is at 32 wks ges-
tation and is experiencing
preterm labor. What meds
should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
2. A nurse at a prenatal clinic a. urine test for presence of HCG
is caring for a client who
suspects she may be preg-
nant and asks the nurse
how the provider will con-
firm her pregnancy. The
nurse should inform the
client that what lab test
will be used to confirm her
pregnancy?
a. urine test for presence of
HCG
b. urine test for the pres-
ence of HCS
c. blood test for presence
of estrogen
d. blood test for the amount
of circulating progesterone
3. A nurse is caring for a a. palpable fetal movement
client who believes she
may be pregnant. What
finding should the nurse
identify as a positive sign
of pregnancy?
a. palpable fetal movement
b. amenorrhea
, 2025 RN Maternal Newborn ati Proctored Exam
c. chadwick's sign
d. positive pregnancy test
4. A nurse is caring for a. renal agenesis
a client who has oligo-
hydraminios. What fetal
anomalies should the
nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
5. A nurse is assessing a a. uterine contractions
client who is at 37 wks ges-
tation and has a suspected The nurse should expect the client to be expe-
pelvic fracture due to blunt riencing uterine contractions due to abdominal
abd trauma. What findings trauma.
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
6. A nurse is assessing a b. dark brown vaginal discharge
client who is at 12 wks ges-
tation and has hydatidiform A hydatidiform mole, or a molar pregnancy, is a
mole. What findings should benign proliferative growth of the chorionic villi,
the nurse expect? which gives rise to multiple cysts. The products
a. hypothermia of conception transform into a large number of
b. dark brown vaginal dis- edematous, fluid-filled vesicles. As cells slough
charge off the uterine wall, vaginal discharge is usually
c. fetal heart tones dark brown and can contain grapelike clusters.
d. decreased urinary out-
put
7. A nurse is assessing a a. 480 mL urine output in 24 hrs
client who is at 35 weeks
of gestation and has mild When using the urgent vs. nonurgent approach
gestational HTN. What find- to client care, the nurse should determine that
, 2025 RN Maternal Newborn ati Proctored Exam
ing should the nurse iden- the priority finding is 480 mL of urine out-
tify as the priority? put in 24 hr because the minimum acceptable
a. 480 mL urine output in 24 urine output in an adult client is 30 mL/hr. This
hrs can indicate progression of preeclampsia to
b. 1+ protein in the urine preeclampsia with severe features, which re-
c. +2 edema of the feet quires immediate intervention. Therefore, this
d. BP 144/92 is the priority finding.
8. A nurse is teaching a client d. you should continue to take zidovudine
who is at 12 wks gestation throughout the pregnancy
and has HIV. What state-
ment should the nurse in- -can be transmitted through breastfeeding
clude in the teaching? -she can continue to have sex
a. you will be in isolation
after delivery The nurse should inform the client that taking
b. abstain from sexual in- prescription antiviral medication every day de-
tercourse throughout preg- creases the risk of transmission of HIV to her
nancy newborn.
c. breastfeed your newborn
to provide passive immuni-
ty
d. you should continue to
take zidovudine through-
out the pregnancy
9. A nurse is providing teach- b. blurred or double vision
ing to a client who is at 8
wks gestation about mani-
festations to report to the
provider during pregnancy.
What info should the nurse
include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal
discharge
d. leg cramps when sleep-
ing
, 2025 RN Maternal Newborn ati Proctored Exam
10. A nurse is caring for a a. decrease the dose of oxytocin by half
client who is in the latent
phase of labor and is re- The nurse should decrease the dose of oxy-
ceiving oxytocin via contin- tocin by half because the client is experiencing
uous IV infusion. The nurse uterine tachysystole.
notes that the client is hav-
ing contractions every 2
min which last 100-110 sec-
onds that the fetal heart
rate is reassuring. What ac-
tion should the nurse take?
a. decrease the dose of
oxytocin by half
b. administer oxygen via
nonrebreather mask
c. decrease the infusion
rate of the maintenance IV
fluid
d. administer terbutaline
0.25mg subq
11. A nurse is caring for a c. prepare equipment needed for newborn re-
client who is in active labor suscitation
and has meconium stain-
ing of the amniotic fluid. The nurse should ensure that all supplies and
The nurse notes a reassur- equipment needed for resuscitation of the new-
ing FHR tracing from the born are readily available for every delivery.
external fetal monitor. What Endotracheal suctioning is recommended in
action should the nurse cases of meconium staining only if the new-
take? born has poor respiratory effort, decreased
a. prepare the client for muscle tone, and bradycardia after delivery.
emergency c-section
b. perform endotrach suc-
tioning as soon as the fetal
head is delivered
c. prepare equipment need-
ed for newborn resuscita-
tion
Detailed Verified Solutions And Rationale/A+ Grade Assured
1. A nurse is caring for a b. betamethasone
client who is at 32 wks ges-
tation and is experiencing
preterm labor. What meds
should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
2. A nurse at a prenatal clinic a. urine test for presence of HCG
is caring for a client who
suspects she may be preg-
nant and asks the nurse
how the provider will con-
firm her pregnancy. The
nurse should inform the
client that what lab test
will be used to confirm her
pregnancy?
a. urine test for presence of
HCG
b. urine test for the pres-
ence of HCS
c. blood test for presence
of estrogen
d. blood test for the amount
of circulating progesterone
3. A nurse is caring for a a. palpable fetal movement
client who believes she
may be pregnant. What
finding should the nurse
identify as a positive sign
of pregnancy?
a. palpable fetal movement
b. amenorrhea
, 2025 RN Maternal Newborn ati Proctored Exam
c. chadwick's sign
d. positive pregnancy test
4. A nurse is caring for a. renal agenesis
a client who has oligo-
hydraminios. What fetal
anomalies should the
nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
5. A nurse is assessing a a. uterine contractions
client who is at 37 wks ges-
tation and has a suspected The nurse should expect the client to be expe-
pelvic fracture due to blunt riencing uterine contractions due to abdominal
abd trauma. What findings trauma.
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
6. A nurse is assessing a b. dark brown vaginal discharge
client who is at 12 wks ges-
tation and has hydatidiform A hydatidiform mole, or a molar pregnancy, is a
mole. What findings should benign proliferative growth of the chorionic villi,
the nurse expect? which gives rise to multiple cysts. The products
a. hypothermia of conception transform into a large number of
b. dark brown vaginal dis- edematous, fluid-filled vesicles. As cells slough
charge off the uterine wall, vaginal discharge is usually
c. fetal heart tones dark brown and can contain grapelike clusters.
d. decreased urinary out-
put
7. A nurse is assessing a a. 480 mL urine output in 24 hrs
client who is at 35 weeks
of gestation and has mild When using the urgent vs. nonurgent approach
gestational HTN. What find- to client care, the nurse should determine that
, 2025 RN Maternal Newborn ati Proctored Exam
ing should the nurse iden- the priority finding is 480 mL of urine out-
tify as the priority? put in 24 hr because the minimum acceptable
a. 480 mL urine output in 24 urine output in an adult client is 30 mL/hr. This
hrs can indicate progression of preeclampsia to
b. 1+ protein in the urine preeclampsia with severe features, which re-
c. +2 edema of the feet quires immediate intervention. Therefore, this
d. BP 144/92 is the priority finding.
8. A nurse is teaching a client d. you should continue to take zidovudine
who is at 12 wks gestation throughout the pregnancy
and has HIV. What state-
ment should the nurse in- -can be transmitted through breastfeeding
clude in the teaching? -she can continue to have sex
a. you will be in isolation
after delivery The nurse should inform the client that taking
b. abstain from sexual in- prescription antiviral medication every day de-
tercourse throughout preg- creases the risk of transmission of HIV to her
nancy newborn.
c. breastfeed your newborn
to provide passive immuni-
ty
d. you should continue to
take zidovudine through-
out the pregnancy
9. A nurse is providing teach- b. blurred or double vision
ing to a client who is at 8
wks gestation about mani-
festations to report to the
provider during pregnancy.
What info should the nurse
include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal
discharge
d. leg cramps when sleep-
ing
, 2025 RN Maternal Newborn ati Proctored Exam
10. A nurse is caring for a a. decrease the dose of oxytocin by half
client who is in the latent
phase of labor and is re- The nurse should decrease the dose of oxy-
ceiving oxytocin via contin- tocin by half because the client is experiencing
uous IV infusion. The nurse uterine tachysystole.
notes that the client is hav-
ing contractions every 2
min which last 100-110 sec-
onds that the fetal heart
rate is reassuring. What ac-
tion should the nurse take?
a. decrease the dose of
oxytocin by half
b. administer oxygen via
nonrebreather mask
c. decrease the infusion
rate of the maintenance IV
fluid
d. administer terbutaline
0.25mg subq
11. A nurse is caring for a c. prepare equipment needed for newborn re-
client who is in active labor suscitation
and has meconium stain-
ing of the amniotic fluid. The nurse should ensure that all supplies and
The nurse notes a reassur- equipment needed for resuscitation of the new-
ing FHR tracing from the born are readily available for every delivery.
external fetal monitor. What Endotracheal suctioning is recommended in
action should the nurse cases of meconium staining only if the new-
take? born has poor respiratory effort, decreased
a. prepare the client for muscle tone, and bradycardia after delivery.
emergency c-section
b. perform endotrach suc-
tioning as soon as the fetal
head is delivered
c. prepare equipment need-
ed for newborn resuscita-
tion
