Maternal newborn ati proctored exam (1) Maternal newborn ati proctored exam (1) 2/18/2026
Maternal newborn ati proctored exam
Remove all clothing form the newborn except the diaper - ANS-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?
Monitor the FHR - ANS-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?
Reports of decreased fetal movement - ANS-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?
Begin FHR monitoring - ANS-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?
Biophysicial profile - ANS-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?
50 ml/hr - ANS-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?
BUN 25 mg/dL - ANS-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?
Respiratory distress - ANS-A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
Pregestational Diabetes Mellitus - ANS-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
Fundal Height Measurement - ANS-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?
Substernal Retractions - ANS-A nurse is assessing a newborn who is 16 hr old. Which of the
following findings should the nurse report to the provider?
Page 1 Maternal newborn ati proctored exam (1).pdf
,Maternal newborn ati proctored exam (1) Maternal newborn ati proctored exam (1) 2/18/2026
Administer oxygen via a nonrebreather mask - ANS-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?
Cold cabbage leaves - ANS-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?
Vaginal pressure - ANS-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?
Minimal arm recoil - ANS-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?
the person who comes to take my baby's pictures will be wearing a photo identification badge -
ANS-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?
Report of visual disturbances - ANS-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?
"I will likely need to use alternative positions for sexual intercourse". - ANS-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?
A reduction in respiratory distress in the newborn - ANS-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?
Calcium Gluconate - ANS-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?
Respiratory rate 10/min - ANS-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?
Late Decelerations - ANS-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?
Page 2 Maternal newborn ati proctored exam (1).pdf
, Maternal newborn ati proctored exam (1) Maternal newborn ati proctored exam (1) 2/18/2026
"You should press the handheld button when you feel your baby move." - ANS-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?
Petechiae over the head - ANS-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?
Verify that the parent's identification band matches the newborn's identification band - ANS-A
nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take?
Protects the client's head and feet from cold air - ANS-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?
Picture of nurse palpating top of belly; where bottom is - ANS-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?
Monitor the FHR continously - ANS-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?
Weight gain of 2.2 kg (4.8 lb) - ANS-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?
To locate the pocket of fluid - ANS-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?
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
Page 3 Maternal newborn ati proctored exam (1).pdf
Maternal newborn ati proctored exam
Remove all clothing form the newborn except the diaper - ANS-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?
Monitor the FHR - ANS-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?
Reports of decreased fetal movement - ANS-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?
Begin FHR monitoring - ANS-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?
Biophysicial profile - ANS-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?
50 ml/hr - ANS-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?
BUN 25 mg/dL - ANS-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?
Respiratory distress - ANS-A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
Pregestational Diabetes Mellitus - ANS-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
Fundal Height Measurement - ANS-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?
Substernal Retractions - ANS-A nurse is assessing a newborn who is 16 hr old. Which of the
following findings should the nurse report to the provider?
Page 1 Maternal newborn ati proctored exam (1).pdf
,Maternal newborn ati proctored exam (1) Maternal newborn ati proctored exam (1) 2/18/2026
Administer oxygen via a nonrebreather mask - ANS-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?
Cold cabbage leaves - ANS-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?
Vaginal pressure - ANS-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?
Minimal arm recoil - ANS-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?
the person who comes to take my baby's pictures will be wearing a photo identification badge -
ANS-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?
Report of visual disturbances - ANS-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?
"I will likely need to use alternative positions for sexual intercourse". - ANS-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?
A reduction in respiratory distress in the newborn - ANS-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?
Calcium Gluconate - ANS-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?
Respiratory rate 10/min - ANS-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?
Late Decelerations - ANS-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?
Page 2 Maternal newborn ati proctored exam (1).pdf
, Maternal newborn ati proctored exam (1) Maternal newborn ati proctored exam (1) 2/18/2026
"You should press the handheld button when you feel your baby move." - ANS-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?
Petechiae over the head - ANS-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?
Verify that the parent's identification band matches the newborn's identification band - ANS-A
nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take?
Protects the client's head and feet from cold air - ANS-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?
Picture of nurse palpating top of belly; where bottom is - ANS-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?
Monitor the FHR continously - ANS-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?
Weight gain of 2.2 kg (4.8 lb) - ANS-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?
To locate the pocket of fluid - ANS-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?
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
Page 3 Maternal newborn ati proctored exam (1).pdf
