Duke university school of nursing RN Maternal
Newborn ATI Proctored Exam 2025: Comprehensive
Practice Questions & Expert Verified Answers for
Guaranteed Success
1. Managing Labor Pain with Right Occiput Posterior Position
A nurse is caring for a client in labor whose fetus is in the right occiput posterior (ROP) position.
The client is dilated to 8 cm and reports severe back pain. Which of the following actions should
the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
Answer: A. Apply sacral counterpressure.
Rationale:
• A. Apply sacral counterpressure – Correct. This technique helps relieve back labor pain
caused by fetal posterior position.
• B. Perform TENS – Incorrect. TENS is typically used earlier in labor, not at 8 cm dilation.
• C. Initiate slow-paced breathing – Incorrect. While helpful, breathing techniques do not
directly relieve back pain from fetal position.
• D. Assist with biofeedback – Incorrect. Biofeedback should be taught prenatally to be
effective during labor.
2. Newborn Phototherapy Care
A nurse is caring for a newborn undergoing phototherapy for hyperbilirubinemia. Which of the
following actions should the nurse take?
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 hours.
Answer: A. Cover the newborn's eyes while under the phototherapy light.
Rationale:
• A. Cover the newborn’s eyes – Correct. Eye protection prevents retinal and corneal
damage.
• B. Keep the newborn in a shirt – Incorrect. The newborn should be exposed except for
the diaper to maximize phototherapy effects.
• C. Apply lotion – Incorrect. Lotions can cause burns by absorbing heat from the light.
• D. Turn every 4 hours – Incorrect. The newborn should be repositioned every 2 to 3
hours for better exposure.
3. Managing Umbilical Cord Prolapse
A nurse is performing a vaginal examination on a laboring client and observes the umbilical cord
protruding from the vagina. After calling for assistance, which of the following actions should
the nurse take next?
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: B. Apply internal upward pressure to the presenting part using two gloved
fingers.
Rationale:
• B. Apply internal pressure – Correct. This relieves cord compression and improves
oxygenation to the fetus.
• A. Place a rolled towel under the hip – Helpful but not the first priority.
• C. Administer oxygen – Should be done but after relieving cord pressure.
• D. Increase IV fluids – Can support blood flow but is not the immediate priority.
,4. Indications for Oxytocin in Postpartum Clients (SATA)
A nurse is preparing to administer oxytocin to a postpartum client. Which of the following
findings indicate a need for this medication?
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
Answer: A. Flaccid uterus, C. Excess vaginal bleeding
Rationale:
• A. Flaccid uterus – Correct. Oxytocin stimulates uterine contractions to prevent
postpartum hemorrhage.
• C. Excess vaginal bleeding – Correct. Increased uterine contractions reduce postpartum
bleeding.
• B. Cervical laceration – Incorrect. Lacerations require surgical repair, not oxytocin.
• D. Increased afterbirth cramping – Incorrect. Oxytocin can worsen cramping but is not
used to relieve it.
• E. Increased maternal temperature – Incorrect. Oxytocin has no direct effect on
maternal temperature.
5. Newborn Safety Education
A nurse is teaching a postpartum client about newborn security measures in the hospital. Which
of the following statements should the nurse make?
A. "The nurse will carry your newborn to the nursery for procedures."
B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
D. "Staff members who take care of your baby will be wearing a photo identification badge."
Answer: D. "Staff members who take care of your baby will be wearing a photo
identification badge."
Rationale:
• D. Staff identification badges – Correct. This ensures newborn security.
, • A. Carrying the newborn – Incorrect. Newborns should be transported in bassinets for
safety.
• B. Visitor documentation – Incorrect. While hospitals may have visitor policies,
relationships are not necessarily documented.
• C. Baby in nursery while sleeping – Incorrect. Rooming-in is encouraged for bonding and
breastfeeding.
6. Neonatal SSRI Withdrawal Symptoms
A nurse is assessing a newborn exposed to selective serotonin reuptake inhibitors (SSRIs) during
pregnancy. Which of the following is an expected withdrawal symptom?
A. Large for gestational age
B. Hyperglycemia
C. Bradypnea
D. Vomiting
Answer: D. Vomiting Rationale:
• D. Vomiting – Correct. Newborns exposed to SSRIs may experience irritability, tremors,
and vomiting.
• A. Large for gestational age – Incorrect. SSRIs are associated with low birth weight.
• B. Hyperglycemia – Incorrect. Hypoglycemia is more likely.
• C. Bradypnea – Incorrect. SSRIs can cause tachypnea, not bradypnea.
7. Fetal Heart Tone Auscultation
A nurse is assessing fetal heart tones in a client with a fetus in the left occipital anterior (LOA)
position. Where should the nurse apply the ultrasound transducer?
A. Left upper quadrant
B. Right upper quadrant
C. Left lower quadrant
D. Right lower quadrant
Answer: C. Left lower quadrant Rationale:
Newborn ATI Proctored Exam 2025: Comprehensive
Practice Questions & Expert Verified Answers for
Guaranteed Success
1. Managing Labor Pain with Right Occiput Posterior Position
A nurse is caring for a client in labor whose fetus is in the right occiput posterior (ROP) position.
The client is dilated to 8 cm and reports severe back pain. Which of the following actions should
the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
Answer: A. Apply sacral counterpressure.
Rationale:
• A. Apply sacral counterpressure – Correct. This technique helps relieve back labor pain
caused by fetal posterior position.
• B. Perform TENS – Incorrect. TENS is typically used earlier in labor, not at 8 cm dilation.
• C. Initiate slow-paced breathing – Incorrect. While helpful, breathing techniques do not
directly relieve back pain from fetal position.
• D. Assist with biofeedback – Incorrect. Biofeedback should be taught prenatally to be
effective during labor.
2. Newborn Phototherapy Care
A nurse is caring for a newborn undergoing phototherapy for hyperbilirubinemia. Which of the
following actions should the nurse take?
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 hours.
Answer: A. Cover the newborn's eyes while under the phototherapy light.
Rationale:
• A. Cover the newborn’s eyes – Correct. Eye protection prevents retinal and corneal
damage.
• B. Keep the newborn in a shirt – Incorrect. The newborn should be exposed except for
the diaper to maximize phototherapy effects.
• C. Apply lotion – Incorrect. Lotions can cause burns by absorbing heat from the light.
• D. Turn every 4 hours – Incorrect. The newborn should be repositioned every 2 to 3
hours for better exposure.
3. Managing Umbilical Cord Prolapse
A nurse is performing a vaginal examination on a laboring client and observes the umbilical cord
protruding from the vagina. After calling for assistance, which of the following actions should
the nurse take next?
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: B. Apply internal upward pressure to the presenting part using two gloved
fingers.
Rationale:
• B. Apply internal pressure – Correct. This relieves cord compression and improves
oxygenation to the fetus.
• A. Place a rolled towel under the hip – Helpful but not the first priority.
• C. Administer oxygen – Should be done but after relieving cord pressure.
• D. Increase IV fluids – Can support blood flow but is not the immediate priority.
,4. Indications for Oxytocin in Postpartum Clients (SATA)
A nurse is preparing to administer oxytocin to a postpartum client. Which of the following
findings indicate a need for this medication?
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
Answer: A. Flaccid uterus, C. Excess vaginal bleeding
Rationale:
• A. Flaccid uterus – Correct. Oxytocin stimulates uterine contractions to prevent
postpartum hemorrhage.
• C. Excess vaginal bleeding – Correct. Increased uterine contractions reduce postpartum
bleeding.
• B. Cervical laceration – Incorrect. Lacerations require surgical repair, not oxytocin.
• D. Increased afterbirth cramping – Incorrect. Oxytocin can worsen cramping but is not
used to relieve it.
• E. Increased maternal temperature – Incorrect. Oxytocin has no direct effect on
maternal temperature.
5. Newborn Safety Education
A nurse is teaching a postpartum client about newborn security measures in the hospital. Which
of the following statements should the nurse make?
A. "The nurse will carry your newborn to the nursery for procedures."
B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
D. "Staff members who take care of your baby will be wearing a photo identification badge."
Answer: D. "Staff members who take care of your baby will be wearing a photo
identification badge."
Rationale:
• D. Staff identification badges – Correct. This ensures newborn security.
, • A. Carrying the newborn – Incorrect. Newborns should be transported in bassinets for
safety.
• B. Visitor documentation – Incorrect. While hospitals may have visitor policies,
relationships are not necessarily documented.
• C. Baby in nursery while sleeping – Incorrect. Rooming-in is encouraged for bonding and
breastfeeding.
6. Neonatal SSRI Withdrawal Symptoms
A nurse is assessing a newborn exposed to selective serotonin reuptake inhibitors (SSRIs) during
pregnancy. Which of the following is an expected withdrawal symptom?
A. Large for gestational age
B. Hyperglycemia
C. Bradypnea
D. Vomiting
Answer: D. Vomiting Rationale:
• D. Vomiting – Correct. Newborns exposed to SSRIs may experience irritability, tremors,
and vomiting.
• A. Large for gestational age – Incorrect. SSRIs are associated with low birth weight.
• B. Hyperglycemia – Incorrect. Hypoglycemia is more likely.
• C. Bradypnea – Incorrect. SSRIs can cause tachypnea, not bradypnea.
7. Fetal Heart Tone Auscultation
A nurse is assessing fetal heart tones in a client with a fetus in the left occipital anterior (LOA)
position. Where should the nurse apply the ultrasound transducer?
A. Left upper quadrant
B. Right upper quadrant
C. Left lower quadrant
D. Right lower quadrant
Answer: C. Left lower quadrant Rationale:
