MATERNAL NEWBORN ATI PROCTORED EXAM WITH
100% VERIFIED ANSWERS, BRAND NEW 2024/2025
1. A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions should the
nurse include in the plan?: Remove all clothing form the newborn except the diaper
2. A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and
has just had an amniocentesis. Which of the following interventions is the nurse's
priority following the procedure?: Monitor the FHR
3. A nurse in an antepartum clinic is assessing a client who is at 32 weeks of
gestation. Which of the following findings should the nurse report to the provider?:
Reports of decreased fetal movement
4. A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the nurse's
priority?: Begin FHR monitoring
5. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client for
which of the following diagnostic test?: Biophysicial profile
6. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose
5% in water (D5W). The nurse should set the IV infusion pump to administer how
many mL/hr?: 50 ml/hr
7. A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the nurse
report to the provider?: BUN 25 mg/dL
8. A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?: Respiratory distress
9. A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following should the nurse
identify as a risk factor for the development of preeclampsia: Pregestational Diabetes
Mellitus
10. A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which of the
following findings should the nurse report to the provider?: Fundal Height
Measurement
11. A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider?: Substernal Retractions 12. A nurse
is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse
enters the room and observes the client having a seizure. After turning the client
,head to the side, which of the following actions should the nurse take immediately
after the seizure?: Administer oxygen via a nonrebreather mask
13. A nurse is providing teaching about nonpharmological pain management to a
client who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items?: Cold cabbage leaves
14. 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?: Vaginal
pressure
15. A nurse is assessing a newborn who was born at 26 weeks of gestation using
the New Ballard Score. Which of the following findings should the nurse expect?:
Minimal arm recoil
16. A nurse is providing teaching for a client who have birth 2 hr ago about the
facility policy for newborn safety. Which of the following client statements indicates
an understanding of the teaching?: the person who comes to take my baby's pictures
will be wearing a photo identification badge
17. A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider?: Report of visual
disturbances
18. A nurse is providing teaching to a client about the physiological changes that
occur during pregnancy. The client is at 10 weeks of gestation and has a BMI
within the expected reference range. Which of the following client statements
indicates an understanding of the teaching?: "I will likely need to use alternative
positions for sexual intercourse".
19. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?: A reduction in respiratory distress in the
newborn
20. A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should
the nurse anticipate administering if the client develops magnesium toxicity?:
Calcium Gluconate
21. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?: Respiratory rate
10/min
22. A nurse is caring for a client who is to receive oxytocin to augment her labor.
Which of the following findings contraindicates the infusion of the oxytocin infusion
and should be reported to the provider?: Late Decelerations
23. A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions should the
, nurse include?: "You should press the handheld button when you feel your baby
move."
24. A nurse is assessing a newborn who was delivered vaginally and experienced
a tight nuchal cord. Which of the following findings should the nurse expect?:
Petechiae over the head
25. A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take?: Verify that the
parent's identification band matches the newborn's identification band 26. A nurse is
creating a plan of care who is postpartum and adheres to traditional Hispanic
cultural beliefs. Which of the following cultural practices should the nurse include
in the plan of care?: Protects the client's head and feet from cold air
27. A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following images indicates
the first step of Leopoid maneuvers?: Picture of nurse palpating top of belly; where
bottom is
28. A nurse is developing a plan of care for a client who has preeclampsia and is
receiving magnesium sulfate via a continuous IV infusion. Which of the following
interventions should the nurse include in the plan?: Monitor the FHR continously
29. A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider?: Weight gain of 2.2 kg (4.8 lb)
30. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons should the
nurse prepare the client for an ultrasound?: To locate the pocket of fluid 31. A nurse
is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication. For which of the following
findings should the nurse instruct the client to notify the provider?: A. Shortness of
breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
Answer: Shortness of breath
A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness
of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
other adverse effects that can indicate potential complications, including abdominal pain,
sudden or persistent headaches, blurred vision, and severe leg pain.
100% VERIFIED ANSWERS, BRAND NEW 2024/2025
1. A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions should the
nurse include in the plan?: Remove all clothing form the newborn except the diaper
2. A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and
has just had an amniocentesis. Which of the following interventions is the nurse's
priority following the procedure?: Monitor the FHR
3. A nurse in an antepartum clinic is assessing a client who is at 32 weeks of
gestation. Which of the following findings should the nurse report to the provider?:
Reports of decreased fetal movement
4. A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the nurse's
priority?: Begin FHR monitoring
5. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client for
which of the following diagnostic test?: Biophysicial profile
6. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose
5% in water (D5W). The nurse should set the IV infusion pump to administer how
many mL/hr?: 50 ml/hr
7. A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the nurse
report to the provider?: BUN 25 mg/dL
8. A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?: Respiratory distress
9. A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following should the nurse
identify as a risk factor for the development of preeclampsia: Pregestational Diabetes
Mellitus
10. A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which of the
following findings should the nurse report to the provider?: Fundal Height
Measurement
11. A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider?: Substernal Retractions 12. A nurse
is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse
enters the room and observes the client having a seizure. After turning the client
,head to the side, which of the following actions should the nurse take immediately
after the seizure?: Administer oxygen via a nonrebreather mask
13. A nurse is providing teaching about nonpharmological pain management to a
client who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items?: Cold cabbage leaves
14. 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?: Vaginal
pressure
15. A nurse is assessing a newborn who was born at 26 weeks of gestation using
the New Ballard Score. Which of the following findings should the nurse expect?:
Minimal arm recoil
16. A nurse is providing teaching for a client who have birth 2 hr ago about the
facility policy for newborn safety. Which of the following client statements indicates
an understanding of the teaching?: the person who comes to take my baby's pictures
will be wearing a photo identification badge
17. A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider?: Report of visual
disturbances
18. A nurse is providing teaching to a client about the physiological changes that
occur during pregnancy. The client is at 10 weeks of gestation and has a BMI
within the expected reference range. Which of the following client statements
indicates an understanding of the teaching?: "I will likely need to use alternative
positions for sexual intercourse".
19. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed bethamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?: A reduction in respiratory distress in the
newborn
20. A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should
the nurse anticipate administering if the client develops magnesium toxicity?:
Calcium Gluconate
21. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?: Respiratory rate
10/min
22. A nurse is caring for a client who is to receive oxytocin to augment her labor.
Which of the following findings contraindicates the infusion of the oxytocin infusion
and should be reported to the provider?: Late Decelerations
23. A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions should the
, nurse include?: "You should press the handheld button when you feel your baby
move."
24. A nurse is assessing a newborn who was delivered vaginally and experienced
a tight nuchal cord. Which of the following findings should the nurse expect?:
Petechiae over the head
25. A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take?: Verify that the
parent's identification band matches the newborn's identification band 26. A nurse is
creating a plan of care who is postpartum and adheres to traditional Hispanic
cultural beliefs. Which of the following cultural practices should the nurse include
in the plan of care?: Protects the client's head and feet from cold air
27. A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following images indicates
the first step of Leopoid maneuvers?: Picture of nurse palpating top of belly; where
bottom is
28. A nurse is developing a plan of care for a client who has preeclampsia and is
receiving magnesium sulfate via a continuous IV infusion. Which of the following
interventions should the nurse include in the plan?: Monitor the FHR continously
29. A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider?: Weight gain of 2.2 kg (4.8 lb)
30. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons should the
nurse prepare the client for an ultrasound?: To locate the pocket of fluid 31. A nurse
is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication. For which of the following
findings should the nurse instruct the client to notify the provider?: A. Shortness of
breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
Answer: Shortness of breath
A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness
of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
other adverse effects that can indicate potential complications, including abdominal pain,
sudden or persistent headaches, blurred vision, and severe leg pain.
