2025 Complete ATI Maternal Newborn Proctored Exam
Study Guide: High-Yield Questions, Rationales, and
Preparation Tip With 60 Questions
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse
should follow. (Move the steps into the box on the right, placing them in order of performance.
Use all the steps.) - - correct ans- -The first step the nurse should take when performing Leopold
maneuvers is to palpate the client's fundus to identify the fetal part.
Second, the nurse should determine the location of the fetal back.
Third, the nurse should palpate for the fetal part presenting at the inlet.
Finally, the nurse should palpate the cephalic prominence to identify the attitude of the head.
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential
pregnancy complications to report to the provider. Which of the following manifestations
should the nurse include? - - correct ans- -A. Shortness of breath when climbing stairs
B. Swelling of feet and ankles at the end of the day
C. Headache that is unrelieved by analgesia
D. Braxton Hicks contractions
Answer: Headache that is unrelieved by analgesia
A. Shortness of breath when climbing stairs
Shortness of breath is related to the enlarging uterus interfering with the expansion of the
diaphragm and is an expected manifestation at 35 weeks of gestation.
,B. Swelling of feet and ankles at the end of the day
Swelling of feet and ankles is due to the enlarging uterus interfering with blood return to the
heart and is an expected manifestation at 35 weeks of gestation.
C. Headache that is unrelieved by analgesia
A headache that is unrelieved by analgesia can indicate preeclampsia and should be reported to
the provider.
D. Braxton Hicks contractions
Braxton Hicks contractions are an indication that the uterus is preparing for labor and is an
expected manifestation at 35 weeks of gestation.
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock.
After notifying the provider, which of the following actions should the nurse take next? - -
correct ans- -A. Massage the client's fundus. B. Insert an indwelling urinary catheter.
C. Administer oxygen at 10 L/min.
D. Elevate the client's right hip.
Answer: Massage the client's fundus.
A. Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse should take is
to massage the client's fundus to expel clots and promote contractions.
B. Insert an indwelling urinary catheter.
The nurse should insert an indwelling urinary catheter to monitor perfusion of the kidneys.
However, this is not the next action the nurse should take.
, C. Administer oxygen at 10 L/min.
The nurse should administer oxygen at 10 L/min via rebreather face mask to enhance perfusion.
However, this is not the next action the nurse should take.
D. Elevate the client's right hip.
The nurse should elevate the client's right hip to enhance perfusion. However, this is not the
next action the nurse should take.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which
of the following instructions should the nurse include? - - correct ans- -A. Place the shoulder
harness in the slots above the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
D. Place the newborn in a blanket before securing them in the car seat.
Answer: Place the retainer clip at the level of the newborn's armpits.
A. Place the shoulder harness in the slots above the newborn's shoulders.
The nurse should instruct the parents to place the shoulder harness in the slots that are at or
just below the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
The nurse should instruct the parents to place the newborn in a federally approved car seat with
the retainer clip snugly at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
Study Guide: High-Yield Questions, Rationales, and
Preparation Tip With 60 Questions
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse
should follow. (Move the steps into the box on the right, placing them in order of performance.
Use all the steps.) - - correct ans- -The first step the nurse should take when performing Leopold
maneuvers is to palpate the client's fundus to identify the fetal part.
Second, the nurse should determine the location of the fetal back.
Third, the nurse should palpate for the fetal part presenting at the inlet.
Finally, the nurse should palpate the cephalic prominence to identify the attitude of the head.
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential
pregnancy complications to report to the provider. Which of the following manifestations
should the nurse include? - - correct ans- -A. Shortness of breath when climbing stairs
B. Swelling of feet and ankles at the end of the day
C. Headache that is unrelieved by analgesia
D. Braxton Hicks contractions
Answer: Headache that is unrelieved by analgesia
A. Shortness of breath when climbing stairs
Shortness of breath is related to the enlarging uterus interfering with the expansion of the
diaphragm and is an expected manifestation at 35 weeks of gestation.
,B. Swelling of feet and ankles at the end of the day
Swelling of feet and ankles is due to the enlarging uterus interfering with blood return to the
heart and is an expected manifestation at 35 weeks of gestation.
C. Headache that is unrelieved by analgesia
A headache that is unrelieved by analgesia can indicate preeclampsia and should be reported to
the provider.
D. Braxton Hicks contractions
Braxton Hicks contractions are an indication that the uterus is preparing for labor and is an
expected manifestation at 35 weeks of gestation.
A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock.
After notifying the provider, which of the following actions should the nurse take next? - -
correct ans- -A. Massage the client's fundus. B. Insert an indwelling urinary catheter.
C. Administer oxygen at 10 L/min.
D. Elevate the client's right hip.
Answer: Massage the client's fundus.
A. Massage the client's fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse should take is
to massage the client's fundus to expel clots and promote contractions.
B. Insert an indwelling urinary catheter.
The nurse should insert an indwelling urinary catheter to monitor perfusion of the kidneys.
However, this is not the next action the nurse should take.
, C. Administer oxygen at 10 L/min.
The nurse should administer oxygen at 10 L/min via rebreather face mask to enhance perfusion.
However, this is not the next action the nurse should take.
D. Elevate the client's right hip.
The nurse should elevate the client's right hip to enhance perfusion. However, this is not the
next action the nurse should take.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which
of the following instructions should the nurse include? - - correct ans- -A. Place the shoulder
harness in the slots above the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
D. Place the newborn in a blanket before securing them in the car seat.
Answer: Place the retainer clip at the level of the newborn's armpits.
A. Place the shoulder harness in the slots above the newborn's shoulders.
The nurse should instruct the parents to place the shoulder harness in the slots that are at or
just below the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
The nurse should instruct the parents to place the newborn in a federally approved car seat with
the retainer clip snugly at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
