ATI RN Maternal Newborn Practice Exam Questions with 100% Correct Answers |2024- 2025
1. A nərs is caring for a client who is in the first stage of labor. The nərs observes the umbilical cord protruding from the vagina. Which of the
following actions should the nərs perform first?
A. Cover the cord with a sterile, moist saline dressing
B. Prepare the client for an immediate birth
C. Place the client in knee-chest position
D. Insert a gloved hand into the vagina to relieve pressure on the cord.
2. A nərs is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following
orders requires clarification?
A Assess deep tendon reflexes every hour.
B. Obtain a daily weight
C. Continuous fetal monitoring
D. Ambulate twice daily
3. A nərs is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nərs should recognize which of the following
newborn complications as the priority focus of care?
A. Hypoglycemia
B. Hypomagnesemia
C. Hyperbilirubinemia
D. Hypocalcemia
4. A nərs is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress
syndrome. The nərs should be aware that the most likely cause of the respiratory distress is which of the following?
A. Hyperinsulinemia
B. Increased deposits of fat in the chest and shoulder area
C. Brachial plexus injury
D. Increased blood viscosity
5. A nərs is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations.
Which of the following actions should the nərs take first?
A. Palpate the client's uterus.
B. Administer oxygen to the client.
C. Increase the client's IV fluid infusion rate.
D. Turn the client onto her side.
6. A nərs is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority
action for the nərs to take?
A. Cut the umbilical cord.
B. Apply perineal pressure to the emerging fetal head.
C. Prevent the perineum from tearing.
D. Promote delivery of the placenta.
7. A nərs in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nərs
expect to observe in this client?
A. Rapid decline in human chorionic gonadotropin (hCG) levels
B. Profuse, clear vaginal discharge
C. Irregular fetal heart rate
D. Excessive uterine enlargement
8. A nərs is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for
gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
A. Observe for meconium in respiratory secretions.
B. Monitor for hyperglycemia.
C. Identify manifestations of anemia.
D. Monitor for hyperthermia.
1. A nərs is caring for a client who is in the first stage of labor. The nərs observes the umbilical cord protruding from the vagina. Which of the
following actions should the nərs perform first?
A. Cover the cord with a sterile, moist saline dressing
B. Prepare the client for an immediate birth
C. Place the client in knee-chest position
D. Insert a gloved hand into the vagina to relieve pressure on the cord.
2. A nərs is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following
orders requires clarification?
A Assess deep tendon reflexes every hour.
B. Obtain a daily weight
C. Continuous fetal monitoring
D. Ambulate twice daily
3. A nərs is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nərs should recognize which of the following
newborn complications as the priority focus of care?
A. Hypoglycemia
B. Hypomagnesemia
C. Hyperbilirubinemia
D. Hypocalcemia
4. A nərs is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress
syndrome. The nərs should be aware that the most likely cause of the respiratory distress is which of the following?
A. Hyperinsulinemia
B. Increased deposits of fat in the chest and shoulder area
C. Brachial plexus injury
D. Increased blood viscosity
5. A nərs is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations.
Which of the following actions should the nərs take first?
A. Palpate the client's uterus.
B. Administer oxygen to the client.
C. Increase the client's IV fluid infusion rate.
D. Turn the client onto her side.
6. A nərs is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority
action for the nərs to take?
A. Cut the umbilical cord.
B. Apply perineal pressure to the emerging fetal head.
C. Prevent the perineum from tearing.
D. Promote delivery of the placenta.
7. A nərs in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nərs
expect to observe in this client?
A. Rapid decline in human chorionic gonadotropin (hCG) levels
B. Profuse, clear vaginal discharge
C. Irregular fetal heart rate
D. Excessive uterine enlargement
8. A nərs is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for
gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
A. Observe for meconium in respiratory secretions.
B. Monitor for hyperglycemia.
C. Identify manifestations of anemia.
D. Monitor for hyperthermia.
