1
ATI MATERNAL NEWBORN
PROCTORED EXAM WITH NGN
[2025 LATEST UPDATED]
• A nurse in a clinic is caring for a client who is at 32 weeks of
gestation. Which of the following clinical findings should alert
the nurse to a potential complication?
a. Fundal height is 34 cm
b. Client reports diarrhea for 3 days- Indicates illness or
infection
c. Client reports ankle edema
d. Blood pressure is 130/80
• A nurse is caring for a client who is anemic at 32 weeks of
gestation and is in preterm labor. The fetal monitor shows
uterine contractions every 6 min, lasting 20-25 seconds, and an
FHR of 150/min. The provider prescribed betamethasone
(celestone) 12 mg IM. Which of the following outcomes should
the nurse expect?
a. Decreased uterine contractions
b. An increase in the client’s hemoglobin levels
c. A reduction in respiratory distress in the newborn- Given
to stimulate fetal lung maturity and prevent respiratory
distress
d. Increased production of antibodies in the Newborn
• A nurse is caring for a client newly admitted to the PACU
following a cesarean birth. Which of the following is the priority
nursing assessment?
a. Parent-child attachment
b. Amount of postpartum lochia- The greatest risk to the
client is bleding. The amount of lochia can assist the nurse
in determining if excessive bleeding is occurring. Assess
the client for postpartum hemorrage.
c. Patency of the IV cathether
d. Quality and quantity of urine output
• A nurse is caring for a client whose labor is not progressing
due to should sytocia of the infant. Which of the following
,2
actions should the nurse take?
a. Apply fundal pressure
b. Apply suprapubic pressure- can be used to attempt to push
the shoulder to go under the symphysis pubis and thus pass
through the birth canals
, 3
c. Place the client in the trendelenburg position
d. Place the client in the fowlers position
• A nurse is preparing to initiate IV oxytocin for a client who
is admitted for induction of labor. Oxytocin 30 units is
available in 500 ml. At what rate should the nurse set the
infusion pump to deliver 2mu/min?
a. 30units/500ml = 0.06units/ml
b. 0.06units=60mU
c. 60mU/1=2mU/xmL
d. x=0.03mL/min 0.03x60=1.8mL/hr
• A nurse is planning care for a client who is to undergo a
nonstress test. Which of the following should the nurse include
in the plan of care?
a. Maintain the client NPO throughout the procedure
b. Place the client in a supine position
c. Instruct the client to massage the abdomen to stimulate
fetal movement
d. Instruct the client to press the provided button each time
fetal movement is detected- Fetal movement may not be
evident on the fetal monitor and tracing.
• A nurse is caring for a client who has been hyperemesis
gravidarum and is receiving IV fluid replacement. Which of the
following assessment findings by the nurse should be reported
to the provider?
a. BUN 25 – Elevated BUN can indicate dehydration and
should be reported to the provider
b. Serum creatinine 0.8
c. Urine output 280 mL in 8 hr
d. Weight gain of 0.9kg in 24 hr
• A nurse is assessing a fetal heart monitor tracing of a client
receiving oxytocin at 10 milliunits/min. Uterine contractions
are noted every 60 to 90 seconds. After turning the client to a
side-lying position, which of the following actions should the
nurse take next?
a. Discontinue the medication infusion- Prolonged
contractions reduce the blood flow to the placenta and
ATI MATERNAL NEWBORN
PROCTORED EXAM WITH NGN
[2025 LATEST UPDATED]
• A nurse in a clinic is caring for a client who is at 32 weeks of
gestation. Which of the following clinical findings should alert
the nurse to a potential complication?
a. Fundal height is 34 cm
b. Client reports diarrhea for 3 days- Indicates illness or
infection
c. Client reports ankle edema
d. Blood pressure is 130/80
• A nurse is caring for a client who is anemic at 32 weeks of
gestation and is in preterm labor. The fetal monitor shows
uterine contractions every 6 min, lasting 20-25 seconds, and an
FHR of 150/min. The provider prescribed betamethasone
(celestone) 12 mg IM. Which of the following outcomes should
the nurse expect?
a. Decreased uterine contractions
b. An increase in the client’s hemoglobin levels
c. A reduction in respiratory distress in the newborn- Given
to stimulate fetal lung maturity and prevent respiratory
distress
d. Increased production of antibodies in the Newborn
• A nurse is caring for a client newly admitted to the PACU
following a cesarean birth. Which of the following is the priority
nursing assessment?
a. Parent-child attachment
b. Amount of postpartum lochia- The greatest risk to the
client is bleding. The amount of lochia can assist the nurse
in determining if excessive bleeding is occurring. Assess
the client for postpartum hemorrage.
c. Patency of the IV cathether
d. Quality and quantity of urine output
• A nurse is caring for a client whose labor is not progressing
due to should sytocia of the infant. Which of the following
,2
actions should the nurse take?
a. Apply fundal pressure
b. Apply suprapubic pressure- can be used to attempt to push
the shoulder to go under the symphysis pubis and thus pass
through the birth canals
, 3
c. Place the client in the trendelenburg position
d. Place the client in the fowlers position
• A nurse is preparing to initiate IV oxytocin for a client who
is admitted for induction of labor. Oxytocin 30 units is
available in 500 ml. At what rate should the nurse set the
infusion pump to deliver 2mu/min?
a. 30units/500ml = 0.06units/ml
b. 0.06units=60mU
c. 60mU/1=2mU/xmL
d. x=0.03mL/min 0.03x60=1.8mL/hr
• A nurse is planning care for a client who is to undergo a
nonstress test. Which of the following should the nurse include
in the plan of care?
a. Maintain the client NPO throughout the procedure
b. Place the client in a supine position
c. Instruct the client to massage the abdomen to stimulate
fetal movement
d. Instruct the client to press the provided button each time
fetal movement is detected- Fetal movement may not be
evident on the fetal monitor and tracing.
• A nurse is caring for a client who has been hyperemesis
gravidarum and is receiving IV fluid replacement. Which of the
following assessment findings by the nurse should be reported
to the provider?
a. BUN 25 – Elevated BUN can indicate dehydration and
should be reported to the provider
b. Serum creatinine 0.8
c. Urine output 280 mL in 8 hr
d. Weight gain of 0.9kg in 24 hr
• A nurse is assessing a fetal heart monitor tracing of a client
receiving oxytocin at 10 milliunits/min. Uterine contractions
are noted every 60 to 90 seconds. After turning the client to a
side-lying position, which of the following actions should the
nurse take next?
a. Discontinue the medication infusion- Prolonged
contractions reduce the blood flow to the placenta and
