Duke university school of nursingRN Maternal
Newborn ATI Proctored Exam Gen 2 (2025) –
Comprehensive Study Guide with Updated Questions,
Expert-Verified Answers.
A nurse is teaching a new parent about newborn safety. Which of the following instructions
should the nurse include in the teaching? - correct ans- -A. "You can share your room with your
baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand." D. "Your baby
can nap in the car seat during the daytime."
Answer: "You can share your room with your baby for the next few weeks."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the parent to
be readily available to the newborn and learn the newborn's cues. However, the nurse should
instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome.
B. "Cover your baby with a light blanket while sleeping."
The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece
sleeper. Covering the newborn with a blanket or quilt increases the risk for sudden infant death
syndrome.
C. "Check the temperature of your baby's bath water with your hand."
,The nurse should instruct the parents to check the temperature of the newborn's bath water
with their elbow, which is more sensitive to temperature than the hand. The hot water heater
should be set at or below 49° C (120.2° F) to prevent burns.
D. "Your baby can nap in the car seat during the daytime."
The nurse should instruct the parents to lay the newborn in a bassinet or crib on her back to
sleep. Sleeping in a supine position on a firm mattress decreases the risk of sudden infant death
syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take? - correct ans- -A. Apply sacral counterpressure. B. Perform
transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
Answer: Apply sacral counterpressure.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
B. Perform transcutaneous electrical nerve stimulation (TENS).
The nurse should perform TENS during the first stage of labor.
C. Initiate slow-paced breathing.
The nurse should transition a client to pattern-paced breathing during this stage of labor.
,D. Assist with biofeedback.
The nurse should teach the client about biofeedback during the prenatal period for it to be
effective during labor.
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia.
Which of the following actions should the nurse take? - correct ans- -A. Cover the newborn's
eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4 hr while undergoing phototherapy.
Answer: Cover the newborn's eyes while under the phototherapy light.
A. Cover the newborn's eyes while under the phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas and corneas from the
phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
It is acceptable for the nurse to keep a diaper or other covering over the newborn's genitals and
buttocks, but the nurse should remove all other clothing and blankets to expose as much body
surface area as possible to the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
The nurse should not apply any cream or moisture to the newborn's skin because it can absorb
heat and cause burns.
D. Turn and reposition the newborn every 4 hr while undergoing phototherapy.
, The nurse should turn and reposition the newborn every 2 to 3 hr to allow for maximum
exposure of body surfaces to the phototherapy light.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the following
actions should the nurse take next? - correct ans- -A. Place a rolled towel beneath one of the
client's hips.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
D. Increase the IV infusion rate.
Answer: Apply internal upward pressure to the presenting part using two gloved fingers.
A. Place a rolled towel beneath one of the client's hips.
The nurse should place a rolled towel under the client's left or right hip to alleviate some of the
pressure; however, evidence-based practice indicates that the nurse should take a different
action first.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
Using evidence-based practice, the first action the nurse should take is to apply internal upward
pressure to the presenting part. Prolapse of the umbilical cord during labor can result in
decreased perfusion to the fetus, which can lead to hypoxia. After calling for assistance, the
nurse should relieve the compression on the umbilical cord by applying upward internal
pressure on the presenting part with two gloved fingers. The nurse should not move their hand.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which
can lead to hypoxia. The nurse should administer oxygen via a nonrebreather mask at 10 L/min;
however, evidence-based practice indicates that the nurse should take a different action first.
Newborn ATI Proctored Exam Gen 2 (2025) –
Comprehensive Study Guide with Updated Questions,
Expert-Verified Answers.
A nurse is teaching a new parent about newborn safety. Which of the following instructions
should the nurse include in the teaching? - correct ans- -A. "You can share your room with your
baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand." D. "Your baby
can nap in the car seat during the daytime."
Answer: "You can share your room with your baby for the next few weeks."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the parent to
be readily available to the newborn and learn the newborn's cues. However, the nurse should
instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome.
B. "Cover your baby with a light blanket while sleeping."
The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece
sleeper. Covering the newborn with a blanket or quilt increases the risk for sudden infant death
syndrome.
C. "Check the temperature of your baby's bath water with your hand."
,The nurse should instruct the parents to check the temperature of the newborn's bath water
with their elbow, which is more sensitive to temperature than the hand. The hot water heater
should be set at or below 49° C (120.2° F) to prevent burns.
D. "Your baby can nap in the car seat during the daytime."
The nurse should instruct the parents to lay the newborn in a bassinet or crib on her back to
sleep. Sleeping in a supine position on a firm mattress decreases the risk of sudden infant death
syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take? - correct ans- -A. Apply sacral counterpressure. B. Perform
transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
Answer: Apply sacral counterpressure.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
B. Perform transcutaneous electrical nerve stimulation (TENS).
The nurse should perform TENS during the first stage of labor.
C. Initiate slow-paced breathing.
The nurse should transition a client to pattern-paced breathing during this stage of labor.
,D. Assist with biofeedback.
The nurse should teach the client about biofeedback during the prenatal period for it to be
effective during labor.
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia.
Which of the following actions should the nurse take? - correct ans- -A. Cover the newborn's
eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4 hr while undergoing phototherapy.
Answer: Cover the newborn's eyes while under the phototherapy light.
A. Cover the newborn's eyes while under the phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas and corneas from the
phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
It is acceptable for the nurse to keep a diaper or other covering over the newborn's genitals and
buttocks, but the nurse should remove all other clothing and blankets to expose as much body
surface area as possible to the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
The nurse should not apply any cream or moisture to the newborn's skin because it can absorb
heat and cause burns.
D. Turn and reposition the newborn every 4 hr while undergoing phototherapy.
, The nurse should turn and reposition the newborn every 2 to 3 hr to allow for maximum
exposure of body surfaces to the phototherapy light.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the following
actions should the nurse take next? - correct ans- -A. Place a rolled towel beneath one of the
client's hips.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
D. Increase the IV infusion rate.
Answer: Apply internal upward pressure to the presenting part using two gloved fingers.
A. Place a rolled towel beneath one of the client's hips.
The nurse should place a rolled towel under the client's left or right hip to alleviate some of the
pressure; however, evidence-based practice indicates that the nurse should take a different
action first.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
Using evidence-based practice, the first action the nurse should take is to apply internal upward
pressure to the presenting part. Prolapse of the umbilical cord during labor can result in
decreased perfusion to the fetus, which can lead to hypoxia. After calling for assistance, the
nurse should relieve the compression on the umbilical cord by applying upward internal
pressure on the presenting part with two gloved fingers. The nurse should not move their hand.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which
can lead to hypoxia. The nurse should administer oxygen via a nonrebreather mask at 10 L/min;
however, evidence-based practice indicates that the nurse should take a different action first.
