ATI Maternal Newborn Proctored Exam (32 Latest Versions,
2022) / Maternal Newborn ATI Proctored Exam / ATI
Proctored Maternal Newborn Exam |Real + Practice Exam,
Verified Q & A|
SECTION 1: ANTEPARTUM (Prenatal Care & Pregnancy
Complications)
Q1. A nurse is caring for a client who is at 36 weeks of
gestation and who 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 passage of bloody
mucus
Correct Answer: A
Rationale: Placenta previa occurs when the placenta implants in
the lower part of the uterus, partly or completely obstructing the
cervical os. Bright red, painless vaginal bleeding is the classic
finding in the second and third trimester .
,Q2. A nurse is caring for a client who is at 38 weeks of
gestation and has a large amount of painless, bright red
vaginal bleeding. The client is placed on a fetal monitor
showing FHR 138/min and no uterine contractions. Vital
signs: BP 98/52 mm Hg, HR 118/min, RR 24/min, temp 36.4°C
(97.6°F). Which of the following is the priority nursing action?
A. Place the client in Trendelenburg position
B. Initiate IV access
C. Administer oxygen via face mask
D. Prepare for immediate vaginal delivery
Correct Answer: B
Rationale: Insertion of a large-bore IV catheter is the priority
nursing action. The client is losing blood rapidly, has hypotension,
and tachycardia. IV access will allow IV fluids and blood to be
administered quickly if hypovolemia develops .
Q3. A nurse is caring for a client who is at 32 weeks gestation
and is experiencing preterm labor. Which of the following
medications should the nurse plan to administer?
A. Misoprostol
B. Betamethasone
C. Poractant alfa
D. Methylergonovine
Correct Answer: B
,Rationale: Betamethasone is a glucocorticoid given to stimulate
fetal lung maturity and prevent respiratory distress syndrome in
preterm infants. It is most effective if delivery occurs between 24
hours and 7 days after administration .
Q4. A nurse at a prenatal clinic is caring for a client who
suspects she may be pregnant and asks how the provider will
confirm her pregnancy. Which of the following laboratory
tests will be used to confirm her pregnancy?
A. Urine test for presence of hCG
B. Urine test for presence of hCS
C. Blood test for presence of estrogen
D. Blood test for the amount of circulating progesterone
Correct Answer: A
Rationale: Human chorionic gonadotropin (hCG) is the hormone
produced by the placenta that confirms pregnancy. It can be
detected in urine as early as 10 days after conception .
Q5. A nurse is caring for a client who believes she may be
pregnant. Which of the following findings should the nurse
identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
, C. Chadwick's sign
D. Positive pregnancy test
Correct Answer: A
Rationale: Palpable fetal movement by the examiner is
a positive sign of pregnancy, meaning it can only be caused by
pregnancy. Other positive signs include fetal heart tones and
visualization of the fetus on ultrasound .
Q6. A nurse is caring for a client who has oligohydramnios.
Which of the following fetal anomalies should the nurse
expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A
Rationale: Oligohydramnios (low amniotic fluid) is associated
with fetal renal anomalies such as renal agenesis (absence of
kidneys) or urinary tract obstruction. Adequate fetal urine
production is necessary for normal amniotic fluid volume .
2022) / Maternal Newborn ATI Proctored Exam / ATI
Proctored Maternal Newborn Exam |Real + Practice Exam,
Verified Q & A|
SECTION 1: ANTEPARTUM (Prenatal Care & Pregnancy
Complications)
Q1. A nurse is caring for a client who is at 36 weeks of
gestation and who 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 passage of bloody
mucus
Correct Answer: A
Rationale: Placenta previa occurs when the placenta implants in
the lower part of the uterus, partly or completely obstructing the
cervical os. Bright red, painless vaginal bleeding is the classic
finding in the second and third trimester .
,Q2. A nurse is caring for a client who is at 38 weeks of
gestation and has a large amount of painless, bright red
vaginal bleeding. The client is placed on a fetal monitor
showing FHR 138/min and no uterine contractions. Vital
signs: BP 98/52 mm Hg, HR 118/min, RR 24/min, temp 36.4°C
(97.6°F). Which of the following is the priority nursing action?
A. Place the client in Trendelenburg position
B. Initiate IV access
C. Administer oxygen via face mask
D. Prepare for immediate vaginal delivery
Correct Answer: B
Rationale: Insertion of a large-bore IV catheter is the priority
nursing action. The client is losing blood rapidly, has hypotension,
and tachycardia. IV access will allow IV fluids and blood to be
administered quickly if hypovolemia develops .
Q3. A nurse is caring for a client who is at 32 weeks gestation
and is experiencing preterm labor. Which of the following
medications should the nurse plan to administer?
A. Misoprostol
B. Betamethasone
C. Poractant alfa
D. Methylergonovine
Correct Answer: B
,Rationale: Betamethasone is a glucocorticoid given to stimulate
fetal lung maturity and prevent respiratory distress syndrome in
preterm infants. It is most effective if delivery occurs between 24
hours and 7 days after administration .
Q4. A nurse at a prenatal clinic is caring for a client who
suspects she may be pregnant and asks how the provider will
confirm her pregnancy. Which of the following laboratory
tests will be used to confirm her pregnancy?
A. Urine test for presence of hCG
B. Urine test for presence of hCS
C. Blood test for presence of estrogen
D. Blood test for the amount of circulating progesterone
Correct Answer: A
Rationale: Human chorionic gonadotropin (hCG) is the hormone
produced by the placenta that confirms pregnancy. It can be
detected in urine as early as 10 days after conception .
Q5. A nurse is caring for a client who believes she may be
pregnant. Which of the following findings should the nurse
identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
, C. Chadwick's sign
D. Positive pregnancy test
Correct Answer: A
Rationale: Palpable fetal movement by the examiner is
a positive sign of pregnancy, meaning it can only be caused by
pregnancy. Other positive signs include fetal heart tones and
visualization of the fetus on ultrasound .
Q6. A nurse is caring for a client who has oligohydramnios.
Which of the following fetal anomalies should the nurse
expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A
Rationale: Oligohydramnios (low amniotic fluid) is associated
with fetal renal anomalies such as renal agenesis (absence of
kidneys) or urinary tract obstruction. Adequate fetal urine
production is necessary for normal amniotic fluid volume .
