MATERNAL NEWBORN ATI PROCTORED (3
VERSIONS) EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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A nurse is caring for a client who is receiving mag sulfate by
continuous IV. What meds should the nurse have available at
bedside?
a. naloxone
b. protamine sulfate
c. calcium gluconate
d. atropine - ANSWER-c. calcium gluconate
Rationale; The nurse should have calcium gluconate available to
give to a client who is receiving magnesium sulfate by
continuous IV infusion in case of magnesium sulfate toxicity.
The nurse should monitor the client for a respiratory rate less
than or equal to 12/min, muscle weakness, and depressed deep-
tendon reflexes.
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A nurse is caring for a client who has a soft uterus and increased
lochia. What meds should the nurse plan to administer to
promote uterine contractions?
a. mag sulfate
b. methylergonovine
c. terbutaline
d. nifedipine - ANSWER-b. methylergonovine
Rationale; The nurse should administer methylergonovine, an
ergot alkaloid, which promotes uterine contractions.
A nurse is administering a rubella immunization to a client who
is 2 days postpartum. What statement indicates to the nurse the
client needs further instruction?
a. I cannot receive rubella immunization during pregnancy
b. I can conceive anytime i want after 10 days
c. I can continue to breastfeed
d. I wills till need to have my provider perform a rubella titer
with my next pregnancy - ANSWER-b. I can conceive anytime i
want after 10 days
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Rationale; A client who receives a rubella immunization should
not conceive for at least 1 month after receiving the rubella
immunization to prevent injury to the fetus.
A nurse is providing teaching to the parents of a newborn about
how to care for his circumcision at home. What instructions
should the nurse include in the teaching?
a. use prepackaged commercial wipes to clean the circumcision
site
b. encourage nonnutritive sucking for pain relief
c. remove the yellow exudate with each diaper change
d. apply the diaper tightly over the circumcision area -
ANSWER-b. encourage nonnutritive sucking for pain relief
Rationale; Allowing the newborn to suck on a pacifier is an
effective form of nonpharmacological pain management.
A nurse is assessing a client on the first postpartum day.
Findings include fundus firm and one fingerbreadth above and
to the right of the umbilicus, moderate lochia rubra with small
clots, temperature 37.3 C (99.2 F), and pulse rate 52/min. Which
of the following actions should the nurse take?
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Report the vital signs to the provider.
Massage the fundus.
Ask the client when she last voided.
Administer an oxytocic agent. - ANSWER-Ask the client when
she last voided
Rationale; Because the muscles supporting the uterus have been
stretched during pregnancy, the fundus is easily displaced when
the bladder is full. The fundus should be found firm at midline.
A deviated, firm fundus indicates a full bladder. The nurse
should assist the client to void.
A nurse is preparing to administer naloxone to a newborn.
Which of the following conditions can require administration of
this medication?
IV narcotics administered to the mother during labor
Maternal drug use
Hyaline membrane disease
Meconium aspiration - ANSWER-IV narcotics administered to
the mother during labor