ATI RN MATERNAL NEWBORN PROCTORED 2025/2026
ACTUAL EXAM QUESTIONS AND DETAILED ANSWERS
a nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. the nurse should plan to prepare the client for which of
the following diagnostic tests? -Answer:-biophysical profile.
A positive contraction stress test indicates that further evaluation of the fetus
is necessary. A biophysical profile will provide further evaluation with a real-
time ultrasound.
a nurse is caring for a client who has hyperemesis gravidarum and is receiving
IV fluid replacement. which of the following findings should the nurse report
to the provider? -Answer:-bun of 25 ml/dl
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
a nurse is assessing a late preterm newborn. which of the following
manifestations is an indication of hypoglycemia. -Answer:-resp distress.
Late preterm newborns are at an increased risk for hypoglycemia due to
decreased glycogen stores and immature insulin secretion. Respiratory
,distress is a manifestation of hypoglycemia. Other manifestations of
hypoglycemia include an abnormal cry, jitteriness, lethargy, poor feeding,
apnea, and seizures.
a nurse in a provider's office is reviewing the medical record of a client of who
is in the first trimester of pregnancy. which of the following findings should
the nurse identify as a risk factor for the development of preeclampsia -
Answer:-pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development
of preeclampsia. Other risk factors include preexisting hypertension, renal
disease, systemic lupus erythematosus, and rheumatoid arthritis.
fundal height -Answer:-12-13 weeks: rises out of the symphysis; 20 weeks: at
umbilicus; 24 weeks: measured in cm, with the number of cm above the
symphysis equal to the number of weeks of gestation
plus or minus 2
a nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider. -Answer:-substernal
retractions
, The nurse should identify that substernal retractions, apnea, grunting, nasal
flaring, and tachypnea are manifestations of neonatal infection or respiratory
distress in the newborn. The nurse should report these findings to the
provider for immediate intervention.
a nurse is caring for a client who is at 26 weeks of gestation and has epilepsy.
The nurse enters the room and observes the client having a seizure. After
turning the client's head to one side, which of the following actions should the
nurse take immediately after the seizure? -Answer:-administer oxygen via a
non rebreather mask
When using the airway, breathing, and circulation approach to client care, the
nurse should place the priority on administering oxygen to the client via a
nonrebreather mask at 10 L/min to ensure adequate oxygenation to the fetus.
a nurse is providing teaching about nonpharmacological pain management to
a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items? -Answer:-cold
cabbage leaves
The application of fresh, raw cabbage leaves that have been chilled is an
effective nonpharmacological method to relieve the pain associated with
engorgement. The nurse should instruct the client to place the cabbage leaves
on the breasts for 15 to 20 min, repeating the application for two to three
ACTUAL EXAM QUESTIONS AND DETAILED ANSWERS
a nurse is caring for a client who is at 36 weeks of gestation and has a positive
contraction stress test. the nurse should plan to prepare the client for which of
the following diagnostic tests? -Answer:-biophysical profile.
A positive contraction stress test indicates that further evaluation of the fetus
is necessary. A biophysical profile will provide further evaluation with a real-
time ultrasound.
a nurse is caring for a client who has hyperemesis gravidarum and is receiving
IV fluid replacement. which of the following findings should the nurse report
to the provider? -Answer:-bun of 25 ml/dl
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
a nurse is assessing a late preterm newborn. which of the following
manifestations is an indication of hypoglycemia. -Answer:-resp distress.
Late preterm newborns are at an increased risk for hypoglycemia due to
decreased glycogen stores and immature insulin secretion. Respiratory
,distress is a manifestation of hypoglycemia. Other manifestations of
hypoglycemia include an abnormal cry, jitteriness, lethargy, poor feeding,
apnea, and seizures.
a nurse in a provider's office is reviewing the medical record of a client of who
is in the first trimester of pregnancy. which of the following findings should
the nurse identify as a risk factor for the development of preeclampsia -
Answer:-pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development
of preeclampsia. Other risk factors include preexisting hypertension, renal
disease, systemic lupus erythematosus, and rheumatoid arthritis.
fundal height -Answer:-12-13 weeks: rises out of the symphysis; 20 weeks: at
umbilicus; 24 weeks: measured in cm, with the number of cm above the
symphysis equal to the number of weeks of gestation
plus or minus 2
a nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider. -Answer:-substernal
retractions
, The nurse should identify that substernal retractions, apnea, grunting, nasal
flaring, and tachypnea are manifestations of neonatal infection or respiratory
distress in the newborn. The nurse should report these findings to the
provider for immediate intervention.
a nurse is caring for a client who is at 26 weeks of gestation and has epilepsy.
The nurse enters the room and observes the client having a seizure. After
turning the client's head to one side, which of the following actions should the
nurse take immediately after the seizure? -Answer:-administer oxygen via a
non rebreather mask
When using the airway, breathing, and circulation approach to client care, the
nurse should place the priority on administering oxygen to the client via a
nonrebreather mask at 10 L/min to ensure adequate oxygenation to the fetus.
a nurse is providing teaching about nonpharmacological pain management to
a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items? -Answer:-cold
cabbage leaves
The application of fresh, raw cabbage leaves that have been chilled is an
effective nonpharmacological method to relieve the pain associated with
engorgement. The nurse should instruct the client to place the cabbage leaves
on the breasts for 15 to 20 min, repeating the application for two to three
