ATI PN Maternal Newborn Proctor Newest
2025/2026 Complete Questions And
Correct Detailed Answers (Verified
Rationales)
A nurse is assessign a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
Reports increased urinary output
Diaphoresis
Reports blurred vision
Shallow respirations - Correct Answer :Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other
manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar and
acetone, and a blood glucose level greater than 200 mg/dL.
A nurse is providing reaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in
the teaching?
"I can administer oxytocin 4 hours after the insertion of the medication."
"You will need a full bladder prior to the insertion of the medication."
"Remain in a side-lying position for 15 minutes after the medication is inserted."
"An antacid will be given 20 minutes prior to the insertion of the medication." - Correct
Answer :"I can administer oxytocin 4 hours after the insertion of the medication."
A+ TEST BANK 1
, ATI PN Maternal Newborn Proctor
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening
and have not begun labor.
A nurse is performing a physical assessment of a newborn upon admission to the nursery.
Which of the following menifestations should the nurse expect? (Select all that apply.)
Yellow sclera
Acrocyanosis
Posterior fontanel larger than the anterior fontanel
Positive Babinski reflex
Two umbilical arteries visible - Correct Answer :Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
A nurse is providing teaching for a client who gave birth 2 hours ago about the facility policy
for newborn safety. Which of the following client statements indicates an understanding of
the teaching?
"My sister will be able to carry my baby from the nursery to my room when she arrives."
"The nurse will match my wrist band to my baby's crib card when they bring him to me."
"The person who comes to take my baby's pictures will be wearing a photo identification
badge."
"My baby doesn't need to wear the electronic security bracelet when he's in my room." -
Correct Answer :"The person who comes to take my baby's pictures will be wearing a photo
identification badge."
A+ TEST BANK 2
, ATI PN Maternal Newborn Proctor
All personnel working on the unit should be wearing a photo identification badge. The nurse
should instruct the parent to never allow anyone who is not wearing an identification badge
to come in contact with the newborn.
A nurse is assessing a late preterm newborn. Which of the follwoing manifestations is an
indication of hypoglycemia?
Hypertonia
Increased feeding
Hyperthermia
Respiratory distress - Correct Answer :Respiratory distress
Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen
stores and immature insulin secretion. Respiratory distress is a manifestation of
hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry, jitteriness,
lethargy, poor feeding, apnea, and seizures.
A nurse is preparing to collect a blood specimen from a newborn via heel stick. Which of the
following techniques should the nurse use to help minimize the pain of the procedure for
the newborn?
Apply a cool pack for 10 min to the heel prior to the puncture.
Request a prescription for IM analgesic.
Use a manual lance blade to pierce the skin.
Place the newborn skin to skin on the mother's chest. - Correct Answer :Place the newborn
skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease the newborn's pain level and anxiety. The nurse should implement this
technique before, during, and after the procedure.
A+ TEST BANK 3
, ATI PN Maternal Newborn Proctor
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of
the following manifestations should the nurse expect?
Lochia serosa vaginal drainage
Vaginal pressure
Intermittent vaginal pain
Yellow exudate vaginal drainage - Correct Answer :Vaginal pressure
The nurse should expect a client who has a vaginal hematoma to report pressure in the
vagina due to the blood that leaked into the tissues.
A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of
gestation following an initial prenatal visit. Which of the following laboratory findings should
the nurse report to the provider?
Hemoglobin 10 g/dL
WBC count 10,000/mm3
Platelets 250,000/mm3
Fasting blood glucose 90 mg/dL - Correct Answer :Hemoglobin 10 g/dL
A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a
client who is pregnant. The nurse should report this finding to the provider to obtain a
prescription for ferrous iron supplementation because of anemia.
A nurse is caring for a client who is at 15 weeks of gestation, is Rh negative and has just had
an amniocentesis. Which of the following interventions is the nurse's priority following the
procedure?
A+ TEST BANK 4