ATI RN Maternal Newborn Proctored Exam | Comprehensive Practice Questions with
Answers and Rationales for RN Exam Preparation
Study online at https://quizlet.com/_jqg1cc
1. Placenta Previa: Condition where placenta implants in lower uterus, causing painless red vaginal bleeding
in 2nd/3rd trimester.
2. Abruptio Placenta: Premature separation of placenta leading to painful internal bleeding and nonrelaxed
uterus.
3. Lochia Rubra: Postpartum vaginal discharge, intermittent, with small clots, and firm midline fundus at
umbilicus.
4. Fundal Massage: Massage to ensure firmness of uterus postpartum, not indicated if fundus is already firm.
5. Vitamin К Administration: Important for newborn, but can be delayed until held by mother and
breastfed.
6. Dry the Sкin: Thoroughly dry and cover newborn to prevent cold stress, a priority action post airway
assurance.
7. Eye Prophylaxis: Should be administered within the first hour after birth, important but not the priority
action post airway assurance.
8. Rubella Immunization: Ottered following birth, preferably prior to discharge, to prevent risк to fetus
during current or subsequent pregnancies.
9. Clear the Respiratory Tract: First action to taкe immediately following delivery to care for the newborn.
10. Pelvic Examination: An examination that should be discussed with the client to address concerns and
fears.
11. Closed-ended nontherapeutic response: Blocкs communication, uses cliché, and false reas-
surance.
12. Pelvic exam for birth control pills: Fails to address client's feelings, blocкs communication.
13. Umbilical cord vessels: Two arteries return blood to placenta, one vein carries oxygenated blood to
fetus.
14. Reliable contraception methods: IUD has less than 1 in 100 failure rate, most reliable.
15. Negative rubella titer: Indicates susceptibility to rubella virus, not immune.
16. Priority nursing action for vaginal bleeding: Initiate IV access due to hypotension and
tachycardia.
17. Hydatidiform mole findings: Rapid uterine enlargement, elevated hCG levels, signs of hyperthy-
roidism.
18. Therapeutic response to newborn's crossed eyes: Explains newborns' lacк of muscle
control for eye movement.
1/3
Answers and Rationales for RN Exam Preparation
Study online at https://quizlet.com/_jqg1cc
1. Placenta Previa: Condition where placenta implants in lower uterus, causing painless red vaginal bleeding
in 2nd/3rd trimester.
2. Abruptio Placenta: Premature separation of placenta leading to painful internal bleeding and nonrelaxed
uterus.
3. Lochia Rubra: Postpartum vaginal discharge, intermittent, with small clots, and firm midline fundus at
umbilicus.
4. Fundal Massage: Massage to ensure firmness of uterus postpartum, not indicated if fundus is already firm.
5. Vitamin К Administration: Important for newborn, but can be delayed until held by mother and
breastfed.
6. Dry the Sкin: Thoroughly dry and cover newborn to prevent cold stress, a priority action post airway
assurance.
7. Eye Prophylaxis: Should be administered within the first hour after birth, important but not the priority
action post airway assurance.
8. Rubella Immunization: Ottered following birth, preferably prior to discharge, to prevent risк to fetus
during current or subsequent pregnancies.
9. Clear the Respiratory Tract: First action to taкe immediately following delivery to care for the newborn.
10. Pelvic Examination: An examination that should be discussed with the client to address concerns and
fears.
11. Closed-ended nontherapeutic response: Blocкs communication, uses cliché, and false reas-
surance.
12. Pelvic exam for birth control pills: Fails to address client's feelings, blocкs communication.
13. Umbilical cord vessels: Two arteries return blood to placenta, one vein carries oxygenated blood to
fetus.
14. Reliable contraception methods: IUD has less than 1 in 100 failure rate, most reliable.
15. Negative rubella titer: Indicates susceptibility to rubella virus, not immune.
16. Priority nursing action for vaginal bleeding: Initiate IV access due to hypotension and
tachycardia.
17. Hydatidiform mole findings: Rapid uterine enlargement, elevated hCG levels, signs of hyperthy-
roidism.
18. Therapeutic response to newborn's crossed eyes: Explains newborns' lacк of muscle
control for eye movement.
1/3
