IN-DEPTH ATI RN MATERNAL NEWBORN 2026 PROCTORED EXAM BUNDLE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
,
,
, Question 1
A pregnant client at 32 weeks gestation reports painless, bright red vaginal bleeding.
Which action should the nurse take first?
A. Perform a vaginal examination to assess cervical dilation.
B. Administer oxytocin to induce labor.
C. Assess fetal heart rate and maternal vital signs.
D. Prepare the client for an immediate cesarean section.
Correct answer: C
RATIONALE: Painless, bright red vaginal bleeding in the third trimester is indicative of
placenta previa. The priority action is to assess the status of the fetus and the mother
by checking the fetal heart rate and maternal vital signs. Vaginal examinations are
contraindicated as they can disrupt the placenta and cause severe hemorrhage.
Oxytocin is not indicated unless labor is established and safe, and immediate cesarean
section is determined after assessment and stabilization, not as the first nursing action.
Question 2
The nurse is caring for a newborn who is 2 hours old. The newborn exhibits jitteriness,
irritability, and a high-pitched cry. The mother has a history of diabetes mellitus. Which
condition should the nurse suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hypercalcemia
D. Hypothermia
Correct answer: B
RATIONALE: Infants of diabetic mothers are at high risk for hypoglycemia due to fetal
hyperinsulinemia in response to maternal hyperglycemia. Symptoms of hypoglycemia
include jitteriness, irritability, tremors, and a high-pitched cry. Hyperglycemia typically
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
,
,
, Question 1
A pregnant client at 32 weeks gestation reports painless, bright red vaginal bleeding.
Which action should the nurse take first?
A. Perform a vaginal examination to assess cervical dilation.
B. Administer oxytocin to induce labor.
C. Assess fetal heart rate and maternal vital signs.
D. Prepare the client for an immediate cesarean section.
Correct answer: C
RATIONALE: Painless, bright red vaginal bleeding in the third trimester is indicative of
placenta previa. The priority action is to assess the status of the fetus and the mother
by checking the fetal heart rate and maternal vital signs. Vaginal examinations are
contraindicated as they can disrupt the placenta and cause severe hemorrhage.
Oxytocin is not indicated unless labor is established and safe, and immediate cesarean
section is determined after assessment and stabilization, not as the first nursing action.
Question 2
The nurse is caring for a newborn who is 2 hours old. The newborn exhibits jitteriness,
irritability, and a high-pitched cry. The mother has a history of diabetes mellitus. Which
condition should the nurse suspect?
A. Hyperglycemia
B. Hypoglycemia
C. Hypercalcemia
D. Hypothermia
Correct answer: B
RATIONALE: Infants of diabetic mothers are at high risk for hypoglycemia due to fetal
hyperinsulinemia in response to maternal hyperglycemia. Symptoms of hypoglycemia
include jitteriness, irritability, tremors, and a high-pitched cry. Hyperglycemia typically
