ATI RN Maternal Newborn Proctored
Exam 2025 Actual and Retake– 70
Questions and Ansẉers with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
70 Questions and Ansẉers
format set of multiple-choice
Expert-Verified Explanation
, Verified ẉith trusted textbooks
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1. A nurse is caring for a client who is at 36 weeks of gestation and has a
suspected placenta previa. Which of the following findings supports this
diagnosis?
A) Painless red vaginal bleeding
B) Increasing abdominal pain with a nonrelaxed uterus
C) Abdominal pain with scant red vaginal bleeding
D) Intermittent abdominal pain following the passage of bloody mucus
Correct answerA
Expert-Explanation Painless, bright red vaginal bleeding during the second or
third trimester is the classic sign of placenta previa, a condition where the
placenta implants in the lower uterine segment, partially or completely covering
the cervical os . The bleeding is maternal in origin and is not associated with
pain or uterine contractions. Option B describes an abruptio placentae, where
premature separation of the placenta causes concealed or overt bleeding,
leading to a rigid, tender uterus and significant pain. Option C is not
characteristic of previa, as pain is typically absent. Option D describes the
normal "bloody show" associated with the onset of labor, not a pathological
bleeding episode. A key nursing priority for a client with suspected placenta
previa is to avoid any vaginal examinations or interventions that could disrupt
the placenta and cause a catastrophic hemorrhage. The nurse should prepare
for continuous fetal monitoring and possible immediate cesarean birth if
bleeding is severe .
2. A nurse is caring for a client who is 1 hr postpartum and observes a large
amount of lochia rubra and several small clots on the client's perineal pad. The
fundus is midline and firm at the umbilicus. Which of the following actions
should the nurse take?
A) Document the findings and continue to monitor the client.
B) Notify the client's provider.
C) Increase the frequency of fundal massage.
,D) Encourage the client to empty her bladder.
Correct answerA
Expert-Explanation These assessment findings are expected in the immediate
postpartum period. Lochia rubra is dark red and should be heavy, similar to a
heavy menstrual period, for the first 1-3 days. The passage of small clots is
common as the uterine cavity contracts and expels retained blood. A fundus
that is firm and midline at the level of the umbilicus indicates good uterine
tone, which is the primary mechanism to prevent hemorrhage . The nurse
should document these normal findings and continue routine monitoring.
Notifying the provider (B) is unnecessary for expected findings. Increasing
fundal massage (C) is not indicated for a firm fundus and could exhaust the
client and nurse. While a distended bladder can displace the fundus and cause
atony, the fundus is midline, not deviated, so there is no immediate indication
of bladder distension (D) based on the data provided.
3. A nurse in a prenatal clinic is caring for a client who is at 7 weeks of
gestation. The client reports urinary frequency and asks if this will continue
until delivery. Which of the following responses should the nurse make?
A) "It's a minor inconvenience, which you should ignore."
B) "In most cases it only lasts until the 12th week, but it will continue if you
have poor bladder tone."
C) "There is no way to predict how long it will last in each individual client."
D) "It occurs during the first trimester and near the end of the pregnancy."
Correct answerD
Expert-Explanation Urinary frequency is a common discomfort in pregnancy
caused by two different physiological mechanisms. In the first trimester, it is
due to hormonal changes (increased progesterone and hCG) and the growing
uterus pressing on the bladder while it is still a pelvic organ. This symptom
typically subsides in the second trimester as the uterus rises out of the pelvis
into the abdominal cavity. It then returns in the third trimester when the fetal
head descends into the pelvis (lightening), again placing direct pressure on the
maternal bladder . Option A is dismissive and non-therapeutic. Option B is
incorrect because bladder tone is not the determining factor. Option C, while
true to an extent, does not provide the evidence-based education the client is
seeking.
, 4. A nurse is caring for a client who just delivered a newborn. Following the
delivery, which nursing action should be done first to care for the newborn?
A) Clear the respiratory tract.
B) Dry the infant off and cover the head.
C) Administer vitamin K.
D) Apply erythromycin ophthalmic ointment.
Correct answerA
Expert-Explanation The initial steps of newborn care follow the ABCs (Airway,
Breathing, Circulation). The absolute priority immediately after birth is to
establish a patent airway. The nurse does this by positioning the newborn's
head in a slight sniffing position and using a bulb syringe to suction the mouth
first (to prevent aspiration) and then the nose . Only after the airway is clear
should the nurse proceed to drying and stimulating the infant (B) to promote
breathing, followed by a brief assessment of breathing and heart rate. Vitamin
K administration (C) and eye prophylaxis (D) are important preventive measures
but are not the immediate, life-sustaining priority and can be delayed until after
the first hour of life when the infant is stable.
5. A nurse is caring for a client who is in active labor and is receiving oxytocin
to augment contractions. The nurse notes contractions occurring every 90
seconds, each lasting 90 seconds, and the fetal heart rate shows late
decelerations. What is the nurse's priority action?
A) Stop the oxytocin infusion immediately.
B) Administer oxygen via face mask at 10 L/min.
C) Reposition the client to her left side.
D) Increase the IV fluid rate to improve placental perfusion.
Correct answerA
Expert-Explanation The contraction pattern described—every 90 seconds and
lasting 90 seconds—indicates uterine tachysystole (more than 5 contractions in
10 minutes, or contractions lasting longer than 2 minutes). When combined
with late decelerations (a sign of uteroplacental insufficiency), this represents a
medical emergency. The priority action is to remove the cause of the
hyperstimulation, which is the oxytocin infusion . The nurse must stop the
infusion immediately. After stopping the oxytocin, the nurse should then
reposition the client (C) to left lateral to improve blood flow to the placenta,
administer high-flow oxygen (B) to increase fetal oxygenation, and increase IV
Exam 2025 Actual and Retake– 70
Questions and Ansẉers with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
70 Questions and Ansẉers
format set of multiple-choice
Expert-Verified Explanation
, Verified ẉith trusted textbooks
───────────────────────────────────────────────────────
─
1. A nurse is caring for a client who is at 36 weeks of gestation and has a
suspected placenta previa. Which of the following findings supports this
diagnosis?
A) Painless red vaginal bleeding
B) Increasing abdominal pain with a nonrelaxed uterus
C) Abdominal pain with scant red vaginal bleeding
D) Intermittent abdominal pain following the passage of bloody mucus
Correct answerA
Expert-Explanation Painless, bright red vaginal bleeding during the second or
third trimester is the classic sign of placenta previa, a condition where the
placenta implants in the lower uterine segment, partially or completely covering
the cervical os . The bleeding is maternal in origin and is not associated with
pain or uterine contractions. Option B describes an abruptio placentae, where
premature separation of the placenta causes concealed or overt bleeding,
leading to a rigid, tender uterus and significant pain. Option C is not
characteristic of previa, as pain is typically absent. Option D describes the
normal "bloody show" associated with the onset of labor, not a pathological
bleeding episode. A key nursing priority for a client with suspected placenta
previa is to avoid any vaginal examinations or interventions that could disrupt
the placenta and cause a catastrophic hemorrhage. The nurse should prepare
for continuous fetal monitoring and possible immediate cesarean birth if
bleeding is severe .
2. A nurse is caring for a client who is 1 hr postpartum and observes a large
amount of lochia rubra and several small clots on the client's perineal pad. The
fundus is midline and firm at the umbilicus. Which of the following actions
should the nurse take?
A) Document the findings and continue to monitor the client.
B) Notify the client's provider.
C) Increase the frequency of fundal massage.
,D) Encourage the client to empty her bladder.
Correct answerA
Expert-Explanation These assessment findings are expected in the immediate
postpartum period. Lochia rubra is dark red and should be heavy, similar to a
heavy menstrual period, for the first 1-3 days. The passage of small clots is
common as the uterine cavity contracts and expels retained blood. A fundus
that is firm and midline at the level of the umbilicus indicates good uterine
tone, which is the primary mechanism to prevent hemorrhage . The nurse
should document these normal findings and continue routine monitoring.
Notifying the provider (B) is unnecessary for expected findings. Increasing
fundal massage (C) is not indicated for a firm fundus and could exhaust the
client and nurse. While a distended bladder can displace the fundus and cause
atony, the fundus is midline, not deviated, so there is no immediate indication
of bladder distension (D) based on the data provided.
3. A nurse in a prenatal clinic is caring for a client who is at 7 weeks of
gestation. The client reports urinary frequency and asks if this will continue
until delivery. Which of the following responses should the nurse make?
A) "It's a minor inconvenience, which you should ignore."
B) "In most cases it only lasts until the 12th week, but it will continue if you
have poor bladder tone."
C) "There is no way to predict how long it will last in each individual client."
D) "It occurs during the first trimester and near the end of the pregnancy."
Correct answerD
Expert-Explanation Urinary frequency is a common discomfort in pregnancy
caused by two different physiological mechanisms. In the first trimester, it is
due to hormonal changes (increased progesterone and hCG) and the growing
uterus pressing on the bladder while it is still a pelvic organ. This symptom
typically subsides in the second trimester as the uterus rises out of the pelvis
into the abdominal cavity. It then returns in the third trimester when the fetal
head descends into the pelvis (lightening), again placing direct pressure on the
maternal bladder . Option A is dismissive and non-therapeutic. Option B is
incorrect because bladder tone is not the determining factor. Option C, while
true to an extent, does not provide the evidence-based education the client is
seeking.
, 4. A nurse is caring for a client who just delivered a newborn. Following the
delivery, which nursing action should be done first to care for the newborn?
A) Clear the respiratory tract.
B) Dry the infant off and cover the head.
C) Administer vitamin K.
D) Apply erythromycin ophthalmic ointment.
Correct answerA
Expert-Explanation The initial steps of newborn care follow the ABCs (Airway,
Breathing, Circulation). The absolute priority immediately after birth is to
establish a patent airway. The nurse does this by positioning the newborn's
head in a slight sniffing position and using a bulb syringe to suction the mouth
first (to prevent aspiration) and then the nose . Only after the airway is clear
should the nurse proceed to drying and stimulating the infant (B) to promote
breathing, followed by a brief assessment of breathing and heart rate. Vitamin
K administration (C) and eye prophylaxis (D) are important preventive measures
but are not the immediate, life-sustaining priority and can be delayed until after
the first hour of life when the infant is stable.
5. A nurse is caring for a client who is in active labor and is receiving oxytocin
to augment contractions. The nurse notes contractions occurring every 90
seconds, each lasting 90 seconds, and the fetal heart rate shows late
decelerations. What is the nurse's priority action?
A) Stop the oxytocin infusion immediately.
B) Administer oxygen via face mask at 10 L/min.
C) Reposition the client to her left side.
D) Increase the IV fluid rate to improve placental perfusion.
Correct answerA
Expert-Explanation The contraction pattern described—every 90 seconds and
lasting 90 seconds—indicates uterine tachysystole (more than 5 contractions in
10 minutes, or contractions lasting longer than 2 minutes). When combined
with late decelerations (a sign of uteroplacental insufficiency), this represents a
medical emergency. The priority action is to remove the cause of the
hyperstimulation, which is the oxytocin infusion . The nurse must stop the
infusion immediately. After stopping the oxytocin, the nurse should then
reposition the client (C) to left lateral to improve blood flow to the placenta,
administer high-flow oxygen (B) to increase fetal oxygenation, and increase IV
