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2025 ATI Maternal Newborn Proctored Exam
Questions
What is the expected reference range for hematocrit (Hct) in a
postpartum client? - . . ANSWER ✓✓ An Hct of 39% is within the
expected reference range.
What does a serum albumin level of 4.5 g/dL indicate for a client
with mild preeclampsia? - . . ANSWER ✓✓ It is within the
expected reference range and does not indicate worsening of the
condition.
What is the expected reference range for white blood cells
(WBC) postpartum? - . . ANSWER ✓✓ A WBC of 9,000/mm3 is
within the expected reference range.
What external indications should a nurse look for to identify
spina bifida occulta? - . . ANSWER ✓✓ A dimpled area over the
defect, a birthmark, or a hairy patch above the area.
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What medication should a nurse plan to administer for a client
experiencing preterm labor at 32 weeks gestation? - . . ANSWER
✓✓ Betamethasone
What lab test will confirm a client's pregnancy? - . . ANSWER ✓✓
Urine test for presence of HCG
What is a positive sign of pregnancy that a nurse should identify?
- . . ANSWER ✓✓ Palpable fetal movement
What fetal anomaly should a nurse expect in a client with
oligohydramnios? - . . ANSWER ✓✓ Renal agenesis
What findings should a nurse expect in a client at 37 weeks
gestation with suspected pelvic fracture due to blunt abdominal
trauma? - . . ANSWER ✓✓ Uterine contractions
What finding should a nurse expect in a client with hydatidiform
mole at 12 weeks gestation? - . . ANSWER ✓✓ Dark brown
vaginal discharge
What is the priority finding for a client at 35 weeks of gestation
with mild gestational hypertension? - . . ANSWER ✓✓ 480 mL
urine output in 24 hours
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What statement should a nurse include when teaching a client
with HIV at 12 weeks gestation? - . . ANSWER ✓✓ You should
continue to take zidovudine throughout the pregnancy.
What should a client continue to take throughout pregnancy if
they are HIV positive? - . . ANSWER ✓✓ Zidovudine.
How can HIV be transmitted from a mother to her child? - . .
ANSWER ✓✓ Through breastfeeding.
What is the effect of taking prescription antiviral medication daily
during pregnancy for an HIV positive client? - . . ANSWER ✓✓ It
decreases the risk of transmission of HIV to the newborn.
What manifestation should a nurse instruct a client at 8 weeks
gestation to report? - . . ANSWER ✓✓ Blurred or double vision.
What action should a nurse take if a client in the latent phase of
labor is having contractions every 2 minutes lasting 100-110
seconds? - . . ANSWER ✓✓ Decrease the dose of oxytocin by
half.
Why should the nurse decrease the dose of oxytocin for a client
experiencing frequent contractions? - . . ANSWER ✓✓ Because
the client is experiencing uterine tachysystole.
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What action should a nurse take when caring for a client with
meconium staining of the amniotic fluid and a reassuring fetal
heart rate? - . . ANSWER ✓✓ Prepare equipment needed for
newborn resuscitation.
When should endotracheal suctioning be performed in cases of
meconium staining? - . . ANSWER ✓✓ Only if the newborn has
poor respiratory effort, decreased muscle tone, and bradycardia
after delivery.
What prescription should a nurse clarify for a client with
placenta previa? - . . ANSWER ✓✓ Perform a vaginal exam.
Why should a vaginal exam be avoided in clients with placenta
previa? - . . ANSWER ✓✓ It can cause tearing of the placenta and
increased bleeding.
What should a nurse do if a client at 37 weeks gestation has a
nonreactive nonstress test? - . . ANSWER ✓✓ Use vibroacoustic
stimulation on the client's abdomen for 3 seconds.
What is the purpose of using vibroacoustic stimulation during a
nonstress test? - . . ANSWER ✓✓ To elicit fetal activity and cause
accelerations in the fetal heart rate.
2025 ATI Maternal Newborn Proctored Exam
Questions
What is the expected reference range for hematocrit (Hct) in a
postpartum client? - . . ANSWER ✓✓ An Hct of 39% is within the
expected reference range.
What does a serum albumin level of 4.5 g/dL indicate for a client
with mild preeclampsia? - . . ANSWER ✓✓ It is within the
expected reference range and does not indicate worsening of the
condition.
What is the expected reference range for white blood cells
(WBC) postpartum? - . . ANSWER ✓✓ A WBC of 9,000/mm3 is
within the expected reference range.
What external indications should a nurse look for to identify
spina bifida occulta? - . . ANSWER ✓✓ A dimpled area over the
defect, a birthmark, or a hairy patch above the area.
,2|Page
What medication should a nurse plan to administer for a client
experiencing preterm labor at 32 weeks gestation? - . . ANSWER
✓✓ Betamethasone
What lab test will confirm a client's pregnancy? - . . ANSWER ✓✓
Urine test for presence of HCG
What is a positive sign of pregnancy that a nurse should identify?
- . . ANSWER ✓✓ Palpable fetal movement
What fetal anomaly should a nurse expect in a client with
oligohydramnios? - . . ANSWER ✓✓ Renal agenesis
What findings should a nurse expect in a client at 37 weeks
gestation with suspected pelvic fracture due to blunt abdominal
trauma? - . . ANSWER ✓✓ Uterine contractions
What finding should a nurse expect in a client with hydatidiform
mole at 12 weeks gestation? - . . ANSWER ✓✓ Dark brown
vaginal discharge
What is the priority finding for a client at 35 weeks of gestation
with mild gestational hypertension? - . . ANSWER ✓✓ 480 mL
urine output in 24 hours
,3|Page
What statement should a nurse include when teaching a client
with HIV at 12 weeks gestation? - . . ANSWER ✓✓ You should
continue to take zidovudine throughout the pregnancy.
What should a client continue to take throughout pregnancy if
they are HIV positive? - . . ANSWER ✓✓ Zidovudine.
How can HIV be transmitted from a mother to her child? - . .
ANSWER ✓✓ Through breastfeeding.
What is the effect of taking prescription antiviral medication daily
during pregnancy for an HIV positive client? - . . ANSWER ✓✓ It
decreases the risk of transmission of HIV to the newborn.
What manifestation should a nurse instruct a client at 8 weeks
gestation to report? - . . ANSWER ✓✓ Blurred or double vision.
What action should a nurse take if a client in the latent phase of
labor is having contractions every 2 minutes lasting 100-110
seconds? - . . ANSWER ✓✓ Decrease the dose of oxytocin by
half.
Why should the nurse decrease the dose of oxytocin for a client
experiencing frequent contractions? - . . ANSWER ✓✓ Because
the client is experiencing uterine tachysystole.
, 4|Page
What action should a nurse take when caring for a client with
meconium staining of the amniotic fluid and a reassuring fetal
heart rate? - . . ANSWER ✓✓ Prepare equipment needed for
newborn resuscitation.
When should endotracheal suctioning be performed in cases of
meconium staining? - . . ANSWER ✓✓ Only if the newborn has
poor respiratory effort, decreased muscle tone, and bradycardia
after delivery.
What prescription should a nurse clarify for a client with
placenta previa? - . . ANSWER ✓✓ Perform a vaginal exam.
Why should a vaginal exam be avoided in clients with placenta
previa? - . . ANSWER ✓✓ It can cause tearing of the placenta and
increased bleeding.
What should a nurse do if a client at 37 weeks gestation has a
nonreactive nonstress test? - . . ANSWER ✓✓ Use vibroacoustic
stimulation on the client's abdomen for 3 seconds.
What is the purpose of using vibroacoustic stimulation during a
nonstress test? - . . ANSWER ✓✓ To elicit fetal activity and cause
accelerations in the fetal heart rate.
