ATI RN MATERNAL NEWBORN
PROCTORED 2025 NEWEST/NGN ATI RN
MATERNAL NEWBORN PROCTORED
EXAM COMPLETE 300 EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A nurse in the labor room is caring for a client in the
active phases of labor. The nurse is assessing the fetal
patterns and notes a late deceleration on the monitor
strip. The most appropriate nursing action is to:
1.Place the mother in the supine position
2.Document the findings and continue to monitor the
fetal patterns
3.Administer oxygen via face mask
4.Increase the rate of pitocin IV infusion -
....ANSWER...Answer: 3
,Late decelerations are due to uteroplacental
insufficiency as the result of decreased blood flow and
oxygen to the fetus during the uterine contractions. This
causes hypoxemia; therefore oxygen is necessary. The
supine position is avoided because it decreases uterine
blood flow to the fetus. The client should be turned to
her side to displace pressure of the gravid uterus on the
inferior vena cava. An intravenous pitocin infusion is
discontinued when a late deceleration is noted.
After a normal labor and birth, a client is discharged
from the hospital 12 hours later. When the community
health nurse makes a home visit 2 days later, which
finding would alert the nurse to the need for further
intervention?
A) Presence of lochia serosa
B) Frequent scant voidings
C) Fundus firm, below umbilicus
D) Milk filling in both breasts - ....ANSWER...B
Infrequent or insufficient voiding may be a sign of
infection and is not a normal finding on the second
postpartum day. Lochia serosa, a firm fundus below the
umbilicus, and milk filling the breasts are expected
findings.
,A primipara client who is bottle feeding her baby begins
to experience breast engorgement on her third
postpartum day. Which instruction would be most
appropriate to aid in relieving her discomfort?
A) "Express some milk from your breasts every so often
to relieve the distention."
B) "Remove your bra to relieve the pressure on your
sensitive nipples and breasts."
C) "Apply ice packs to your breasts to reduce the
amount of milk being produced."
D) "Take several warm showers daily to stimulate the
milk let-down reflex." - ....ANSWER...C
For the woman with breast engorgement who is bottle
feeding her newborn, encourage the use of ice packs to
decrease pain and swelling. Expressing milk from the
breasts and taking warm showers would be appropriate
for the woman who was breast-feeding. Wearing a
supportive bra 24 hours a day also is helpful for the
woman with engorgement who is bottle feeding.
, After spontaneous rupture of membranes, the nurse
notices a prolapsed cord. The nurse immediately places
the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest - ....ANSWER...D
Pressure on the cord needs to be relieved. Therefore, the
nurse would position the woman in a modified Sims,
Trendelenburg, or knee-chest position. Supine, side-
lying, or sitting would not provide relief of cord
compression.
A primigravida whose labor was initially progressing
normally is now experiencing a decrease in the frequency
and intensity of her contractions. The nurse would assess
the woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding - ....ANSWER...B
PROCTORED 2025 NEWEST/NGN ATI RN
MATERNAL NEWBORN PROCTORED
EXAM COMPLETE 300 EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A nurse in the labor room is caring for a client in the
active phases of labor. The nurse is assessing the fetal
patterns and notes a late deceleration on the monitor
strip. The most appropriate nursing action is to:
1.Place the mother in the supine position
2.Document the findings and continue to monitor the
fetal patterns
3.Administer oxygen via face mask
4.Increase the rate of pitocin IV infusion -
....ANSWER...Answer: 3
,Late decelerations are due to uteroplacental
insufficiency as the result of decreased blood flow and
oxygen to the fetus during the uterine contractions. This
causes hypoxemia; therefore oxygen is necessary. The
supine position is avoided because it decreases uterine
blood flow to the fetus. The client should be turned to
her side to displace pressure of the gravid uterus on the
inferior vena cava. An intravenous pitocin infusion is
discontinued when a late deceleration is noted.
After a normal labor and birth, a client is discharged
from the hospital 12 hours later. When the community
health nurse makes a home visit 2 days later, which
finding would alert the nurse to the need for further
intervention?
A) Presence of lochia serosa
B) Frequent scant voidings
C) Fundus firm, below umbilicus
D) Milk filling in both breasts - ....ANSWER...B
Infrequent or insufficient voiding may be a sign of
infection and is not a normal finding on the second
postpartum day. Lochia serosa, a firm fundus below the
umbilicus, and milk filling the breasts are expected
findings.
,A primipara client who is bottle feeding her baby begins
to experience breast engorgement on her third
postpartum day. Which instruction would be most
appropriate to aid in relieving her discomfort?
A) "Express some milk from your breasts every so often
to relieve the distention."
B) "Remove your bra to relieve the pressure on your
sensitive nipples and breasts."
C) "Apply ice packs to your breasts to reduce the
amount of milk being produced."
D) "Take several warm showers daily to stimulate the
milk let-down reflex." - ....ANSWER...C
For the woman with breast engorgement who is bottle
feeding her newborn, encourage the use of ice packs to
decrease pain and swelling. Expressing milk from the
breasts and taking warm showers would be appropriate
for the woman who was breast-feeding. Wearing a
supportive bra 24 hours a day also is helpful for the
woman with engorgement who is bottle feeding.
, After spontaneous rupture of membranes, the nurse
notices a prolapsed cord. The nurse immediately places
the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest - ....ANSWER...D
Pressure on the cord needs to be relieved. Therefore, the
nurse would position the woman in a modified Sims,
Trendelenburg, or knee-chest position. Supine, side-
lying, or sitting would not provide relief of cord
compression.
A primigravida whose labor was initially progressing
normally is now experiencing a decrease in the frequency
and intensity of her contractions. The nurse would assess
the woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding - ....ANSWER...B
