Duke university school of nursing RN Maternal
Newborn ATI Proctored Exam Gen 2
(2025): Latest Updated Study Guide with High-Yield
Questions, Expert Answers, and Proven Test Strategies
for Guaranteed Success
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due
to blunt abd trauma. What findings should the nurse expect? a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - correct ans- -a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole. What
findings should the nurse expect? a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - correct ans- -b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi,
which gives rise to multiple cysts. The products of conception transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational HTN.
What finding should the nurse identify as the priority? a. 480 mL urine output in 24 hrs
,b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - correct ans- -a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement should the
nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - correct ans- -d. you
should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day
decreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about manifestations to report
to the provider during pregnancy. What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
,d. leg cramps when sleeping - correct ans- -b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
continuous IV infusion. The nurse notes that the client is having contractions every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - correct ans- -a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium staining of the amniotic
fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What action
should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - correct ans- -c. prepare equipment needed for
newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of the
newborn are readily available for every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardia after delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
placenta previa and bleeding. What scripts should the nurse clarify with the provider? a.
insert a large-bore IV catheter
, b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - correct ans- -b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The
FHR is 130 without accelerations for the past 10 min. What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds - correct ans- -d. use vibroacoustic
stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity
because the fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O
neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - correct ans- -a. instruct the client to obtain a
rubella immunization after delivery
Newborn ATI Proctored Exam Gen 2
(2025): Latest Updated Study Guide with High-Yield
Questions, Expert Answers, and Proven Test Strategies
for Guaranteed Success
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due
to blunt abd trauma. What findings should the nurse expect? a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - correct ans- -a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole. What
findings should the nurse expect? a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - correct ans- -b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi,
which gives rise to multiple cysts. The products of conception transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually
dark brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational HTN.
What finding should the nurse identify as the priority? a. 480 mL urine output in 24 hrs
,b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - correct ans- -a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement should the
nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - correct ans- -d. you
should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day
decreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about manifestations to report
to the provider during pregnancy. What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
,d. leg cramps when sleeping - correct ans- -b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
continuous IV infusion. The nurse notes that the client is having contractions every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - correct ans- -a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium staining of the amniotic
fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What action
should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - correct ans- -c. prepare equipment needed for
newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of the
newborn are readily available for every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle
tone, and bradycardia after delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
placenta previa and bleeding. What scripts should the nurse clarify with the provider? a.
insert a large-bore IV catheter
, b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - correct ans- -b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The
FHR is 130 without accelerations for the past 10 min. What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds - correct ans- -d. use vibroacoustic
stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity
because the fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the
client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O
neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - correct ans- -a. instruct the client to obtain a
rubella immunization after delivery
