ATI RN Maternal Newborn NGN 2024 Exam | All 70
Questions with Correct Answers & Detailed
Explanations for ATI Proctored Exam Success
1. A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
A. Decreased urinary output
B. Reports of increased urinary output
C. Reports of a sore throat
D. Reports of leg cramps
Correct Answer: B. Reports of increased urinary output
Rationale: Increased urinary output is a common manifestation of hyperglycemia due to
the kidneys attempting to excrete excess glucose. Other symptoms include nausea,
vomiting, thirst, abdominal pain, and headaches.
2. A nurse is caring for a client who is 22 weeks of gestation and is HIV positive. Which of
the following actions should the nurse take?
A. Administer antiretroviral medication immediately
B. Report the client's condition to the local health department
C. Advise the client to avoid breastfeeding
D. Schedule a C-section delivery
Correct Answer: B. Report the client's condition to the local health department
Rationale: HIV is a nationally notifiable condition and must be reported to the local health
department as required by law. The nurse should also ensure that the client receives
appropriate care and support.
3. A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse
effect of this medication?
,A. Weight loss
B. Depression
C. Decreased appetite
D. Excessive hair growth
Correct Answer: B. Depression
Rationale: Depression is a common adverse effect of combined oral contraceptives. Other
side effects include weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness.
4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include
in the teaching?
A. "You can begin pushing immediately after the medication is inserted."
B. "I can administer oxytocin 4 hours after the insertion of the medication."
C. "You will need a cesarean delivery after this medication is given."
D. "Misoprostol will stop the contractions once they start."
Correct Answer: B. "I can administer oxytocin 4 hours after the insertion of the medication."
Rationale: Oxytocin should not be administered sooner than 4 hours after misoprostol for
cervical ripening. The nurse should follow this timing to ensure safe labor induction.
5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A. Administer steroids for fetal lung development
B. Schedule an ultrasound examination
C. Prepare the client for an amniocentesis
D. Advise the client to rest at home
Correct Answer: B. Schedule an ultrasound examination
Rationale: Serial ultrasound examinations are recommended to monitor fetal well-being in
cases of parvovirus B19 infection. The virus can lead to fetal anemia, miscarriage, and
stillbirth.
, 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which
of the following techniques should the nurse use to help minimize the pain of the
procedure for the newborn?
A. Administer a pain-relieving medication before the procedure
B. Use a warm compress on the newborn's heel before the procedure
C. Place the newborn skin to skin on the mother's chest
D. Perform the heel stick during the newborn's sleep
Correct Answer: C. Place the newborn skin to skin on the mother's chest
Rationale: Placing the newborn skin-to-skin on the mother's chest is an effective technique
to decrease pain and anxiety. This practice helps to soothe the newborn before, during, and
after the procedure.
7. A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take?
A. Gently pull on the umbilical cord to reposition it
B. Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part
C. Apply a warm compress to the cord
D. Administer an IV fluid bolus
Correct Answer: B. Insert two gloved fingers into the vagina and apply upward pressure to
the presenting part
Rationale: The nurse should apply upward pressure on the presenting part to relieve cord
compression and improve oxygenation for the fetus. Immediate intervention is critical in
this situation to prevent fetal distress.
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following lab tests should the nurse expect the provider
to prescribe?
A. Hemoglobin and hematocrit levels
B. Kleihauer-Betke test
C. Amniotic fluid index
D. Coagulation profile
Questions with Correct Answers & Detailed
Explanations for ATI Proctored Exam Success
1. A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
A. Decreased urinary output
B. Reports of increased urinary output
C. Reports of a sore throat
D. Reports of leg cramps
Correct Answer: B. Reports of increased urinary output
Rationale: Increased urinary output is a common manifestation of hyperglycemia due to
the kidneys attempting to excrete excess glucose. Other symptoms include nausea,
vomiting, thirst, abdominal pain, and headaches.
2. A nurse is caring for a client who is 22 weeks of gestation and is HIV positive. Which of
the following actions should the nurse take?
A. Administer antiretroviral medication immediately
B. Report the client's condition to the local health department
C. Advise the client to avoid breastfeeding
D. Schedule a C-section delivery
Correct Answer: B. Report the client's condition to the local health department
Rationale: HIV is a nationally notifiable condition and must be reported to the local health
department as required by law. The nurse should also ensure that the client receives
appropriate care and support.
3. A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse
effect of this medication?
,A. Weight loss
B. Depression
C. Decreased appetite
D. Excessive hair growth
Correct Answer: B. Depression
Rationale: Depression is a common adverse effect of combined oral contraceptives. Other
side effects include weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness.
4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include
in the teaching?
A. "You can begin pushing immediately after the medication is inserted."
B. "I can administer oxytocin 4 hours after the insertion of the medication."
C. "You will need a cesarean delivery after this medication is given."
D. "Misoprostol will stop the contractions once they start."
Correct Answer: B. "I can administer oxytocin 4 hours after the insertion of the medication."
Rationale: Oxytocin should not be administered sooner than 4 hours after misoprostol for
cervical ripening. The nurse should follow this timing to ensure safe labor induction.
5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A. Administer steroids for fetal lung development
B. Schedule an ultrasound examination
C. Prepare the client for an amniocentesis
D. Advise the client to rest at home
Correct Answer: B. Schedule an ultrasound examination
Rationale: Serial ultrasound examinations are recommended to monitor fetal well-being in
cases of parvovirus B19 infection. The virus can lead to fetal anemia, miscarriage, and
stillbirth.
, 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which
of the following techniques should the nurse use to help minimize the pain of the
procedure for the newborn?
A. Administer a pain-relieving medication before the procedure
B. Use a warm compress on the newborn's heel before the procedure
C. Place the newborn skin to skin on the mother's chest
D. Perform the heel stick during the newborn's sleep
Correct Answer: C. Place the newborn skin to skin on the mother's chest
Rationale: Placing the newborn skin-to-skin on the mother's chest is an effective technique
to decrease pain and anxiety. This practice helps to soothe the newborn before, during, and
after the procedure.
7. A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take?
A. Gently pull on the umbilical cord to reposition it
B. Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part
C. Apply a warm compress to the cord
D. Administer an IV fluid bolus
Correct Answer: B. Insert two gloved fingers into the vagina and apply upward pressure to
the presenting part
Rationale: The nurse should apply upward pressure on the presenting part to relieve cord
compression and improve oxygenation for the fetus. Immediate intervention is critical in
this situation to prevent fetal distress.
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following lab tests should the nurse expect the provider
to prescribe?
A. Hemoglobin and hematocrit levels
B. Kleihauer-Betke test
C. Amniotic fluid index
D. Coagulation profile
