2024-2025 ATI RN MATERNAL
NEWBORN PROCTORED EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS |WITH RATIONALES|
ALREADY 100% A+ GRADED
1. 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 - ANSWER-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 providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse
include in the teaching? - ANSWER-A. "You should replace the diaphragm every
5 years."
B. "You should leave the diaphragm in place for at least 6 hours after
intercourse."
C. "You should use an oil-based product as a lubricant when inserting the
diaphragm."
D. "You should insert the diaphragm when your bladder is full."
Answer: "You should leave the diaphragm in place for at least 6 hours after
intercourse."
A. "You should replace the diaphragm every 5 years.".
The client should replace the diaphragm every 2 years.
, B. "You should leave the diaphragm in place for at least 6 hours after intercourse."
The client should keep the diaphragm in place for at least 6 hr after intercourse to
provide protection against pregnancy.
C. "You should use an oil-based product as a lubricant when inserting the diaphragm."
1003. The client should avoid using oil-based products because they can weaken the
rubber in the diaphragm.
D. "You should insert the diaphragm when your bladder is full."
. The client should have an empty bladder prior to inserting the diaphragm.
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin.
Which of the following statements by the client indicated an understanding of the
teahing? - ANSWER-A. "I will receive this medication if my baby is Rh-negative."
B."I will receive this medication when I am in labor."
1009. C. "I will need a second dose of this medication when my baby is 6 weeks old."
1010. D. "I will need this medication if I have an amniocentesis."
1011. Answer: "I will need this medication if I have an amniocentesis."
A. "I will receive this medication if my baby is Rh-negative."
1012. Rho(D) immune globulin is administered to a client who is Rh-negative and gives
birth to an Rh-positive newborn.
1013. B."I will receive this medication when I am in labor."
1014. Rho(D) immune globulin is administered at 28 weeks of gestation or after birth if
the newborn is Rh-positive.
1015. C. "I will need a second dose of this medication when my baby is 6 weeks old."
1016. Rho(D) immune globulin is administered at 28 weeks of gestation to clients who
are Rh-negative and following the birth of a newborn who is Rh-positive.
1017. D. "I will need this medication if I have an amniocentesis."
1018. Rho(D) immune globulin is given to clients who are Rh negative following an
amniocentesis because of the potential of fetal RBCs entering the maternal
circulation.
1019. A nurse is reviewing the medical record of a newly admitted client who is at 32
weeks of gestation. Which of the following conditions is an indication for fetal
assessment using electronic fetal monitoring? - ANSWER-A. Oligohydramnios
1020. B. Hyperemesis gravidarum
1021. C. Leukorrhea
1022. D. Periodic tingling of the fingers
,1023. Answer: Oligohydramnios
A. Oligohydramnios
1024. The nurse should identify that oligohydramnios requires further fetal assessment
using electronic fetal monitoring. Other conditions that require further assessment
include hypertension, diabetes, intrauterine growth restriction, renal disease,
decreased fetal movement, previous fetal death, post-term pregnancy, systemic
lupus erythematosus, and intrahepatic cholestasis.
1025. B. Hyperemesis gravidarum
1026. Hyperemesis gravidarum is not an indication for further fetal assessment using
electronic fetal monitoring unless complications occur.
1027. C. Leukorrhea
1028. Leukorrhea is a common finding during pregnancy and is not an indication for
further fetal assessment using electronic fetal monitoring unless complications
occur.
1029. D. Periodic tingling of the fingers
1030. Periodic tingling of the fingers is a common finding during pregnancy and is not
an indication for further fetal assessment using electronic fetal monitoring.
1031. A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr
glucose tolerance test. Which of the following statements should the nurse
include in the teaching? - ANSWER-A. "You will need to drink the glucose
solution 2 hours prior to the test."
1032. B. "Limit your carbohydrate intake for 3 days prior to the test."
1033. C. "A blood glucose of 130 to 140 is considered a positive screening result."
1034. D. "You will need to fast for 12 hours prior to the test."
1035. Answer: "A blood glucose of 130 to 140 is considered a positive screening result."
A. "You will need to drink the glucose solution 2 hours prior to the test."
1036. The nurse should instruct the client to drink the glucose solution 1 hr prior to the
test.
1037. B. "Limit your carbohydrate intake for 3 days prior to the test."
1038. The nurse should instruct the client that she should not limit her carbohydrate
intake.
1039. C. "A blood glucose of 130 to 140 is considered a positive screening result."
, 1040. The nurse should instruct the client that a blood glucose level of 130 to 140
mg/dL is considered a positive screening. If the client receives a positive result,
she will need to undergo a 3-hr glucose tolerance test to confirm if she has
gestational diabetes mellitus.
1041. D. "You will need to fast for 12 hours prior to the test."
1042. The nurse should instruct the client that fasting is not required for a 1-hr glucose
tolerance test.
1043. A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her
uterus to the right above the unbilicus. Which of the following interventions should
the nurse perform? - ANSWER-A. Reassess the client in 2 hr.
1044. B. Administer simethicone.
1045. C. Assist the client to empty her bladder.
1046. D. Instruct the client to lie on her right side.
1047. Answer: Assist the client to empty her bladder.
A. Reassess the client in 2 hr.
1048. The nurse should assess the client more frequently after birth to determine the
position of the uterus and to intervene as soon as possible if necessary.
1049. B. Administer simethicone.
1050. The nurse should administer simethicone to reduce bloating, discomfort, or pain
caused by excessive gas.
1051. C. Assist the client to empty her bladder.
1052. The nurse should assist the client to empty her bladder because the assessment
findings indicate that the client's bladder is distended. This can prevent the uterus
from contracting, resulting in increased vaginal bleeding or postpartum
hemorrhage.
1055. D. Instruct the client to lie on her right side.
1056. Lying on her right side will not resolve the client's displaced uterus.
1057. Answer: Assist the client to empty her bladder.
1058. A nurse in a women's health clinic is providing teaching about nutritional intake to
a client who is at 8 weeks of gestation. The nurse should instruct the client to
increase her daily intake of which of the following nutrients? - ANSWER-A.
Calcium 1059. B. Vitamin E
1060. C. Iron
1061. D. Vitamin D
NEWBORN PROCTORED EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS |WITH RATIONALES|
ALREADY 100% A+ GRADED
1. 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 - ANSWER-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 providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse
include in the teaching? - ANSWER-A. "You should replace the diaphragm every
5 years."
B. "You should leave the diaphragm in place for at least 6 hours after
intercourse."
C. "You should use an oil-based product as a lubricant when inserting the
diaphragm."
D. "You should insert the diaphragm when your bladder is full."
Answer: "You should leave the diaphragm in place for at least 6 hours after
intercourse."
A. "You should replace the diaphragm every 5 years.".
The client should replace the diaphragm every 2 years.
, B. "You should leave the diaphragm in place for at least 6 hours after intercourse."
The client should keep the diaphragm in place for at least 6 hr after intercourse to
provide protection against pregnancy.
C. "You should use an oil-based product as a lubricant when inserting the diaphragm."
1003. The client should avoid using oil-based products because they can weaken the
rubber in the diaphragm.
D. "You should insert the diaphragm when your bladder is full."
. The client should have an empty bladder prior to inserting the diaphragm.
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin.
Which of the following statements by the client indicated an understanding of the
teahing? - ANSWER-A. "I will receive this medication if my baby is Rh-negative."
B."I will receive this medication when I am in labor."
1009. C. "I will need a second dose of this medication when my baby is 6 weeks old."
1010. D. "I will need this medication if I have an amniocentesis."
1011. Answer: "I will need this medication if I have an amniocentesis."
A. "I will receive this medication if my baby is Rh-negative."
1012. Rho(D) immune globulin is administered to a client who is Rh-negative and gives
birth to an Rh-positive newborn.
1013. B."I will receive this medication when I am in labor."
1014. Rho(D) immune globulin is administered at 28 weeks of gestation or after birth if
the newborn is Rh-positive.
1015. C. "I will need a second dose of this medication when my baby is 6 weeks old."
1016. Rho(D) immune globulin is administered at 28 weeks of gestation to clients who
are Rh-negative and following the birth of a newborn who is Rh-positive.
1017. D. "I will need this medication if I have an amniocentesis."
1018. Rho(D) immune globulin is given to clients who are Rh negative following an
amniocentesis because of the potential of fetal RBCs entering the maternal
circulation.
1019. A nurse is reviewing the medical record of a newly admitted client who is at 32
weeks of gestation. Which of the following conditions is an indication for fetal
assessment using electronic fetal monitoring? - ANSWER-A. Oligohydramnios
1020. B. Hyperemesis gravidarum
1021. C. Leukorrhea
1022. D. Periodic tingling of the fingers
,1023. Answer: Oligohydramnios
A. Oligohydramnios
1024. The nurse should identify that oligohydramnios requires further fetal assessment
using electronic fetal monitoring. Other conditions that require further assessment
include hypertension, diabetes, intrauterine growth restriction, renal disease,
decreased fetal movement, previous fetal death, post-term pregnancy, systemic
lupus erythematosus, and intrahepatic cholestasis.
1025. B. Hyperemesis gravidarum
1026. Hyperemesis gravidarum is not an indication for further fetal assessment using
electronic fetal monitoring unless complications occur.
1027. C. Leukorrhea
1028. Leukorrhea is a common finding during pregnancy and is not an indication for
further fetal assessment using electronic fetal monitoring unless complications
occur.
1029. D. Periodic tingling of the fingers
1030. Periodic tingling of the fingers is a common finding during pregnancy and is not
an indication for further fetal assessment using electronic fetal monitoring.
1031. A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr
glucose tolerance test. Which of the following statements should the nurse
include in the teaching? - ANSWER-A. "You will need to drink the glucose
solution 2 hours prior to the test."
1032. B. "Limit your carbohydrate intake for 3 days prior to the test."
1033. C. "A blood glucose of 130 to 140 is considered a positive screening result."
1034. D. "You will need to fast for 12 hours prior to the test."
1035. Answer: "A blood glucose of 130 to 140 is considered a positive screening result."
A. "You will need to drink the glucose solution 2 hours prior to the test."
1036. The nurse should instruct the client to drink the glucose solution 1 hr prior to the
test.
1037. B. "Limit your carbohydrate intake for 3 days prior to the test."
1038. The nurse should instruct the client that she should not limit her carbohydrate
intake.
1039. C. "A blood glucose of 130 to 140 is considered a positive screening result."
, 1040. The nurse should instruct the client that a blood glucose level of 130 to 140
mg/dL is considered a positive screening. If the client receives a positive result,
she will need to undergo a 3-hr glucose tolerance test to confirm if she has
gestational diabetes mellitus.
1041. D. "You will need to fast for 12 hours prior to the test."
1042. The nurse should instruct the client that fasting is not required for a 1-hr glucose
tolerance test.
1043. A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her
uterus to the right above the unbilicus. Which of the following interventions should
the nurse perform? - ANSWER-A. Reassess the client in 2 hr.
1044. B. Administer simethicone.
1045. C. Assist the client to empty her bladder.
1046. D. Instruct the client to lie on her right side.
1047. Answer: Assist the client to empty her bladder.
A. Reassess the client in 2 hr.
1048. The nurse should assess the client more frequently after birth to determine the
position of the uterus and to intervene as soon as possible if necessary.
1049. B. Administer simethicone.
1050. The nurse should administer simethicone to reduce bloating, discomfort, or pain
caused by excessive gas.
1051. C. Assist the client to empty her bladder.
1052. The nurse should assist the client to empty her bladder because the assessment
findings indicate that the client's bladder is distended. This can prevent the uterus
from contracting, resulting in increased vaginal bleeding or postpartum
hemorrhage.
1055. D. Instruct the client to lie on her right side.
1056. Lying on her right side will not resolve the client's displaced uterus.
1057. Answer: Assist the client to empty her bladder.
1058. A nurse in a women's health clinic is providing teaching about nutritional intake to
a client who is at 8 weeks of gestation. The nurse should instruct the client to
increase her daily intake of which of the following nutrients? - ANSWER-A.
Calcium 1059. B. Vitamin E
1060. C. Iron
1061. D. Vitamin D
