ATI RN MATERNAL NEWBORN CMS PROCTORED
LATEST EXAM 2025
1. A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the
following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease: c) giving the hepatitis B vac- cine
2. A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states, "I've gotten
used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of the following is
the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born": d) "Tell me how you think your life will be
after the baby is born"
3. A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree perineal
laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
,c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally: c) apply cold ice packs to the client's perineum
4. A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after lying
on her back on the couch. Which of the following actions should the nurse take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet: b) advise the client to lie on her side
5. A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should
monitor the client for which of the following potential adverse effects?
a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria: c) fetal asphyxia
6. A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client asks
about expected weight loss. Which of the following responses should the nurse make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable": a) "Losing 2.2 pounds each month would be acceptable"
,7. A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states, "I
am here to have my regular prenatal checkup, but I do not want any pictures taken of my baby." Which of the
following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's checkup"
d) "You have the right to tell the doctor that you do not want the sonogram": b) "I would like to hear more about
why you do not want the sonogram, including any cultural reasons"
8. A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing has
become easier but notes an increased frequency of urination. The nurse should document this occurrence as
which of the following?
a) effacement
b) dilation
c) lightening
d) quickening: c) lightening
9. A nurse is providing teaching about weight gain during pregnancy for
a client who is primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse
include?
a) "You should plan to gain 25 to 35 pounds during your pregnancy"
b) "You should plan to gain 11 to 20 pounds during your pregnancy"
c) "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as long as you
, follow a healthy, balanced diet"
d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40 pounds during
pregnancy": a) "You should plan to gain 25 to 35 pounds during your pregnancy"
10. A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following
statements should the nurse identify as an indi- cation that the client understands the instructions?
a) "I will put bumper pads in the crib"
b) "I will warm my baby's formula in the microwave on a low setting"
c) "I will place my baby on his stomach to sleep"
d) "I will purchase a firm mattress for the crib": d) "I will purchase a firm mattress for the crib"
11. A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the
following actions should the nurse take?
a) assist the client to ambulate in the hallway
b) instruct the client to splint the incision with a pillow
c) have the client drink fluids through a straw
d) encourage the client to drink carbonated beverages: a) assist the client to ambulate in the hallway
12. A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should the
nurse expect?
a) breast engorgement
b) hypothermia
c) urinary retention
LATEST EXAM 2025
1. A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the
following actions?
a) administering erythromycin ophthalmic ointment
b) conducting a newborn hearing screening
c) giving the hepatitis B vaccine
d) screening for critical congenital heart disease: c) giving the hepatitis B vac- cine
2. A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states, "I've gotten
used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of the following is
the appropriate response by the nurse.
a) "Babies are not fun. They're a lot of work"
b) "I'm so glad to see you're happy about the baby"
c) "How are your parents reacting to the pregnancy?"
d) "Tell me how you think your life will be after the baby is born": d) "Tell me how you think your life will be
after the baby is born"
3. A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree perineal
laceration. Which of the following interventions should the nurse take?
a) prepare to initiate a warm water sitz bath for the client's perineum
b) encourage the client to sit on a soft pillow
,c) apply cold ice packs to the client's perineum
d) administer an acetaminophen suppository rectally: c) apply cold ice packs to the client's perineum
4. A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after lying
on her back on the couch. Which of the following actions should the nurse take?
a) request a prescription for preeclampsia laboratory studies
b) advise the client to lie on her side
c) request an ultrasound to evaluate fetal wellbeing
d) advise the client to add a calcium supplement to her diet: b) advise the client to lie on her side
5. A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should
monitor the client for which of the following potential adverse effects?
a) diarrhea
b) thromboembolism
c) fetal asphyxia
d) oliguria: c) fetal asphyxia
6. A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client asks
about expected weight loss. Which of the following responses should the nurse make?
a) "Losing 2.2 pounds each month would be acceptable"
b) "Losing 4.4 pounds each month would be acceptable"
c) "Losing 5.5 pounds each month would be acceptable"
d) "Losing 6.6 pounds each month would be acceptable": a) "Losing 2.2 pounds each month would be acceptable"
,7. A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states, "I
am here to have my regular prenatal checkup, but I do not want any pictures taken of my baby." Which of the
following responses should the nurse make?
a) "Do not worry. We can do the sonogram without showing you the sex of the baby"
b) "I would like to hear more about why you do not want the sonogram, including any cultural reasons"
c) "I think you should reconsider because the sonogram is an important part of the baby's checkup"
d) "You have the right to tell the doctor that you do not want the sonogram": b) "I would like to hear more about
why you do not want the sonogram, including any cultural reasons"
8. A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing has
become easier but notes an increased frequency of urination. The nurse should document this occurrence as
which of the following?
a) effacement
b) dilation
c) lightening
d) quickening: c) lightening
9. A nurse is providing teaching about weight gain during pregnancy for
a client who is primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse
include?
a) "You should plan to gain 25 to 35 pounds during your pregnancy"
b) "You should plan to gain 11 to 20 pounds during your pregnancy"
c) "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as long as you
, follow a healthy, balanced diet"
d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40 pounds during
pregnancy": a) "You should plan to gain 25 to 35 pounds during your pregnancy"
10. A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following
statements should the nurse identify as an indi- cation that the client understands the instructions?
a) "I will put bumper pads in the crib"
b) "I will warm my baby's formula in the microwave on a low setting"
c) "I will place my baby on his stomach to sleep"
d) "I will purchase a firm mattress for the crib": d) "I will purchase a firm mattress for the crib"
11. A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the
following actions should the nurse take?
a) assist the client to ambulate in the hallway
b) instruct the client to splint the incision with a pillow
c) have the client drink fluids through a straw
d) encourage the client to drink carbonated beverages: a) assist the client to ambulate in the hallway
12. A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should the
nurse expect?
a) breast engorgement
b) hypothermia
c) urinary retention
