ATI MATERNAL NEWBORN PROCTORED
CERTIFICATION TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⁕ a. urine test for presence of HCG AnswerA nurse at a prenatal clinic
is caring for a client who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy. The nurse should
inform the client that what lab test will be used to confirm her
pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
⁕ a. palpable fetal movement AnswerA nurse is caring for a client who
believes she may be pregnant. What finding should the nurse identify
as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
⁕ a. renal agenesis AnswerA nurse is caring for a client who has
oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
,b. atrial septal defect
c. spina bifida
d. hydrocephalus
⁕ a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma. AnswerA nurse is assessing a
client who is at 37 wks gestation and has a suspected pelvic fracture
due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
⁕ b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
AnswerA nurse is assessing a client who is at 12 wks gestation and
has hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
,c. fetal heart tones
d. decreased urinary output
⁕ a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output in
24 hr because the minimum acceptable urine output in an adult client
is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate
intervention. Therefore, this is the priority finding. AnswerA nurse is
assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the
priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
⁕ d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
, newborn. AnswerA nurse is teaching a client who is at 12 wks
gestation and has HIV. What statement should the nurse include in the
teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
⁕ b. blurred or double vision AnswerA nurse is providing teaching to a
client who is at 8 wks gestation about manifestations to report to the
provider during pregnancy. What info should the nurse include in the
teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
⁕ a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole. AnswerA nurse is caring
for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the client is
having contractions every 2 min which last 100-110 seconds that the
fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
CERTIFICATION TEST 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⁕ a. urine test for presence of HCG AnswerA nurse at a prenatal clinic
is caring for a client who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy. The nurse should
inform the client that what lab test will be used to confirm her
pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
⁕ a. palpable fetal movement AnswerA nurse is caring for a client who
believes she may be pregnant. What finding should the nurse identify
as a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
⁕ a. renal agenesis AnswerA nurse is caring for a client who has
oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
,b. atrial septal defect
c. spina bifida
d. hydrocephalus
⁕ a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma. AnswerA nurse is assessing a
client who is at 37 wks gestation and has a suspected pelvic fracture
due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
⁕ b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
AnswerA nurse is assessing a client who is at 12 wks gestation and
has hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
,c. fetal heart tones
d. decreased urinary output
⁕ a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is 480 mL of urine output in
24 hr because the minimum acceptable urine output in an adult client
is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate
intervention. Therefore, this is the priority finding. AnswerA nurse is
assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the
priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
⁕ d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
, newborn. AnswerA nurse is teaching a client who is at 12 wks
gestation and has HIV. What statement should the nurse include in the
teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
⁕ b. blurred or double vision AnswerA nurse is providing teaching to a
client who is at 8 wks gestation about manifestations to report to the
provider during pregnancy. What info should the nurse include in the
teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
⁕ a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole. AnswerA nurse is caring
for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the client is
having contractions every 2 min which last 100-110 seconds that the
fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
