ATI Maternal Newborn ATI Proctored Full
Exam Questions and Answers Latest 2025
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she
may be pregnant and asks the nurse how the provider will confirm
her pregnancy. The nurse should inform the client that what lab test
will be used to confirm her pregnancy?
urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant.
What finding should the nurse identify as a positive sign of
pregnancy?
a. palpable fetal movement
palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect?
uterine contractions
The nurse should expect the client to be experiencing uterine contractions
due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth
of the chorionic villi, which gives rise to multiple cysts. The products of
conception transform into a large number of edematous, fluid-filled vesicles.
,As cells slough off the uterine wall, vaginal discharge is usually dark brown
and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and
has mild gestational HTN. What finding should the nurse identify as
the priority?
480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output 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 teaching a client who is at 12 wks gestation and has HIV.
What statement should the nurse include in the teaching?
you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation
about manifestations to report to the provider during pregnancy.
What info should the nurse include in the teaching?
blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and
is receiving oxytocin via continuous IV infusion. The nurse notes
that the client is having contractions every 2 min which last 100-110
seconds that the fetal heart rate is reassuring. What action should
the nurse take?
decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
,A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. The nurse notes a
reassuring FHR tracing from the external fetal monitor. What action
should the nurse take?
prepare equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery.
Endotracheal suctioning is recommended in cases of meconium staining only
if the newborn has poor respiratory effort, decreased muscle tone, and
bradycardia after delivery.
A nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should
the nurse clarify with the provider?
perform a vaginal exam
When 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.
A nurse is caring for a client who is at 37 wks gestation and is
undergoing a nonstress test. The FHR is 130 without accelerations
for the past 10 min. What action should the nurse take?
use vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to
elicit fetal activity because the fetus is most likely sleeping. Fetal movement
should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks
gestation. The nurse notes that the client is rubella non-immune,
positive for group A beta-hemolytic strep, and has a blood type O
neg. What action should the nurse take?
instruct the client to obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect?
, fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the
unborn fetus. Gastrointestinal malformations and neurologic disorders are
expected findings for a fetus experiencing the effects of polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and
is experiencing low back pain. What action should the nurse take?
apply pressure to the client's sacral area during contractions
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected
adverse effects. What adverse effects should the nurse include in
the teaching?
feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her
body while the magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to
her provider. What info should the nurse include in the teaching?
swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound in the first trimester. What info should the nurse include
in the teaching?
you will need to have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid
uterus out of the pelvis during the examination. Therefore, it is important to
ensure that the client has a full bladder to obtain the most accurate image of
the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
dark red vaginal bleeding
Exam Questions and Answers Latest 2025
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she
may be pregnant and asks the nurse how the provider will confirm
her pregnancy. The nurse should inform the client that what lab test
will be used to confirm her pregnancy?
urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant.
What finding should the nurse identify as a positive sign of
pregnancy?
a. palpable fetal movement
palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect?
uterine contractions
The nurse should expect the client to be experiencing uterine contractions
due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth
of the chorionic villi, which gives rise to multiple cysts. The products of
conception transform into a large number of edematous, fluid-filled vesicles.
,As cells slough off the uterine wall, vaginal discharge is usually dark brown
and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and
has mild gestational HTN. What finding should the nurse identify as
the priority?
480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output 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 teaching a client who is at 12 wks gestation and has HIV.
What statement should the nurse include in the teaching?
you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation
about manifestations to report to the provider during pregnancy.
What info should the nurse include in the teaching?
blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and
is receiving oxytocin via continuous IV infusion. The nurse notes
that the client is having contractions every 2 min which last 100-110
seconds that the fetal heart rate is reassuring. What action should
the nurse take?
decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
,A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. The nurse notes a
reassuring FHR tracing from the external fetal monitor. What action
should the nurse take?
prepare equipment needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery.
Endotracheal suctioning is recommended in cases of meconium staining only
if the newborn has poor respiratory effort, decreased muscle tone, and
bradycardia after delivery.
A nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should
the nurse clarify with the provider?
perform a vaginal exam
When 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.
A nurse is caring for a client who is at 37 wks gestation and is
undergoing a nonstress test. The FHR is 130 without accelerations
for the past 10 min. What action should the nurse take?
use vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to
elicit fetal activity because the fetus is most likely sleeping. Fetal movement
should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks
gestation. The nurse notes that the client is rubella non-immune,
positive for group A beta-hemolytic strep, and has a blood type O
neg. What action should the nurse take?
instruct the client to obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect?
, fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the
unborn fetus. Gastrointestinal malformations and neurologic disorders are
expected findings for a fetus experiencing the effects of polyhydramnios.
A nurse is caring for a client who is in the latent phase of labor and
is experiencing low back pain. What action should the nurse take?
apply pressure to the client's sacral area during contractions
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected
adverse effects. What adverse effects should the nurse include in
the teaching?
feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her
body while the magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to
her provider. What info should the nurse include in the teaching?
swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound in the first trimester. What info should the nurse include
in the teaching?
you will need to have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid
uterus out of the pelvis during the examination. Therefore, it is important to
ensure that the client has a full bladder to obtain the most accurate image of
the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
dark red vaginal bleeding
