ATI RN Maternal Newborn PROCTORED
EXAM QUESTIONS AND VERIFIED ANSWERS
2025 VERSION 100% CORRECT ANSWERS
GRADED A+ WITH RATIONALES
1. A nurse is assessing a client who is 12 hours postpartum. Which
of the following findings requires immediate intervention?
A. Fundus is firm and at the umbilicus
B. Moderate lochia rubra
C. Saturating one perineal pad in 15 minutes
D. Mild afterpains during breastfeeding
Excessive lochia (more than one pad in 15 minutes) may indicate
postpartum hemorrhage and requires immediate action.
2. A nurse is caring for a client who is receiving magnesium sulfate
for preeclampsia. Which of the following findings is the priority to
report?
A. Urine output of 40 mL/hr
B. Respiratory rate of 10/min
C. Drowsiness
D. Decreased deep tendon reflexes
,A respiratory rate below 12/min indicates magnesium toxicity,
which can depress respiratory function.
3. Which of the following instructions should the nurse give a client
who is breastfeeding to prevent cracked nipples?
A. Breastfeed less frequently
B. Use cold compresses before feeding
C. Ensure the baby latches on properly
D. Wash nipples with soap and water
Proper latch-on technique reduces trauma and prevents cracked
nipples.
4. A nurse is providing discharge teaching to a client with a history
of postpartum depression. Which of the following statements
indicates a need for further teaching?
A. “I will reach out if I feel overwhelmed.”
B. “Postpartum depression usually goes away on its own.”
C. “I will attend my follow-up appointments.”
D. “I will ask for help when I need it.”
Postpartum depression often requires treatment and does not
typically resolve without intervention.
5. A nurse is assessing a newborn who is 2 hours old. Which of the
following findings should be reported to the provider?
,A. Acrocyanosis
B. Respiratory rate of 70/min
C. Positive Babinski reflex
D. Irregular heart rate
A respiratory rate over 60/min in a newborn indicates possible
respiratory distress.
6. A client in labor is receiving oxytocin. Which of the following is a
sign of uterine tachysystole?
A. Contractions every 5 minutes
B. More than 5 contractions in 10 minutes
C. 60-second contractions
D. Resting tone of 10 mm Hg
Uterine tachysystole is defined as more than 5 contractions in 10
minutes and can compromise fetal oxygenation.
7. A client reports intense abdominal pain and vaginal bleeding at
38 weeks gestation. The nurse suspects which of the following
complications?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Preterm labor
, Placental abruption presents with painful bleeding and is a
medical emergency.
8. A nurse is preparing to administer methylergonovine to a
postpartum client. Which of the following is a contraindication?
A. Hypertension
B. Hypotension
C. Asthma
D. Diabetes
Methylergonovine causes vasoconstriction and is contraindicated
in clients with hypertension.
9. A nurse is caring for a client who is 6 hours postpartum. Which
finding should the nurse report?
A. Fundus at umbilicus
B. Pad saturated in 30 minutes
C. Mild uterine cramping
D. Scant lochia rubra
Saturating a pad in 30 minutes indicates excessive bleeding and
must be reported.
10. Which of the following findings indicates effective
breastfeeding?
A. Audible swallowing during feeding
EXAM QUESTIONS AND VERIFIED ANSWERS
2025 VERSION 100% CORRECT ANSWERS
GRADED A+ WITH RATIONALES
1. A nurse is assessing a client who is 12 hours postpartum. Which
of the following findings requires immediate intervention?
A. Fundus is firm and at the umbilicus
B. Moderate lochia rubra
C. Saturating one perineal pad in 15 minutes
D. Mild afterpains during breastfeeding
Excessive lochia (more than one pad in 15 minutes) may indicate
postpartum hemorrhage and requires immediate action.
2. A nurse is caring for a client who is receiving magnesium sulfate
for preeclampsia. Which of the following findings is the priority to
report?
A. Urine output of 40 mL/hr
B. Respiratory rate of 10/min
C. Drowsiness
D. Decreased deep tendon reflexes
,A respiratory rate below 12/min indicates magnesium toxicity,
which can depress respiratory function.
3. Which of the following instructions should the nurse give a client
who is breastfeeding to prevent cracked nipples?
A. Breastfeed less frequently
B. Use cold compresses before feeding
C. Ensure the baby latches on properly
D. Wash nipples with soap and water
Proper latch-on technique reduces trauma and prevents cracked
nipples.
4. A nurse is providing discharge teaching to a client with a history
of postpartum depression. Which of the following statements
indicates a need for further teaching?
A. “I will reach out if I feel overwhelmed.”
B. “Postpartum depression usually goes away on its own.”
C. “I will attend my follow-up appointments.”
D. “I will ask for help when I need it.”
Postpartum depression often requires treatment and does not
typically resolve without intervention.
5. A nurse is assessing a newborn who is 2 hours old. Which of the
following findings should be reported to the provider?
,A. Acrocyanosis
B. Respiratory rate of 70/min
C. Positive Babinski reflex
D. Irregular heart rate
A respiratory rate over 60/min in a newborn indicates possible
respiratory distress.
6. A client in labor is receiving oxytocin. Which of the following is a
sign of uterine tachysystole?
A. Contractions every 5 minutes
B. More than 5 contractions in 10 minutes
C. 60-second contractions
D. Resting tone of 10 mm Hg
Uterine tachysystole is defined as more than 5 contractions in 10
minutes and can compromise fetal oxygenation.
7. A client reports intense abdominal pain and vaginal bleeding at
38 weeks gestation. The nurse suspects which of the following
complications?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Preterm labor
, Placental abruption presents with painful bleeding and is a
medical emergency.
8. A nurse is preparing to administer methylergonovine to a
postpartum client. Which of the following is a contraindication?
A. Hypertension
B. Hypotension
C. Asthma
D. Diabetes
Methylergonovine causes vasoconstriction and is contraindicated
in clients with hypertension.
9. A nurse is caring for a client who is 6 hours postpartum. Which
finding should the nurse report?
A. Fundus at umbilicus
B. Pad saturated in 30 minutes
C. Mild uterine cramping
D. Scant lochia rubra
Saturating a pad in 30 minutes indicates excessive bleeding and
must be reported.
10. Which of the following findings indicates effective
breastfeeding?
A. Audible swallowing during feeding
