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ATI Maternal Newborn Proctored Exam Test Bank 2025 –
Real Practice Questions, Nursing Study Guide, and
Comprehensive Maternity Review
Master the ATI Maternal Newborn Proctored Exam 2025 with this complete nursing test bank and
study guide. Access real ATI-style maternity and newborn care questions, postpartum and labor
practice exams, and expert review tips to help you boost your score and pass confidently.
• ATI Maternal Newborn Proctored Exam Test Bank 2025
• ATI Maternal Newborn test bank with answers
• ATI Maternal Newborn proctored exam questions
• ATI Maternal Newborn study guide PDF downloa
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a
contraindication for the use of this medication?
Prolonged rupture of membranes at 38 weeks of gestation
Intrauterine growth restriction
Postterm pregnancy
Active genital herpes - ANSWER-Active genital herpes
The use of oxytocin is contraindicated for clients who have an active genital herpes infection. The
newborn can acquire the infection as they pass through the birth canal. Therefore, a cesarean birth is
recommended for clients who have an active genital herpes infection.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following
clinical findings should the nurse expect?
Extended periods of sleep
,2|Page
Poor muscle tone
Respiratory rate 50/min
Exaggerated reflexes - ANSWER-Exaggerated reflexes
A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity
within the central nervous system (CNS). Exaggerated reflexes are indicative of CNS irritability.
A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes apart.
Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 4-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 4 min followed by a period of relaxation
Contractions that last 45 seconds each with a 3-min rest between contractions - ANSWER-Contractions
that last for 60 seconds each with a 3-minute rest between contractions
A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval
from the beginning of one contraction to the beginning of the next contraction. A contraction lasting
60 seconds with a relaxation period of 3 min is equivalent to contractions every 4 min.
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER-A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the 90th
percentile. One of the most common etiologies of LGA newborns is a mother who is diabetic. LGA
newborns, especially those born to mothers who have diabetes, are at increased risk for hypoglycemia.
Other newborns at risk for hypoglycemia are small for gestational age (SGA) newborns (those below the
10th percentile), premature newborns, and newborns who have perinatal hypoxia.
,3|Page
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal pad has a
large amount of lochia rubra with several clots. Which of the following actions should the nurse take
first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
Administer carboprost IM. - ANSWER-Massage the fundus
The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed, boggy uterus.
Thus, the greatest risk for the client is hemorrhage. The nurse should massage the client's fundus first.
A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal monitor
tracing reveals late decelerations. Which of the following actions should the nurse take first?
Turn the client onto her left side.
Palpate the client's uterus.
Administer oxygen to the client.
Increase the client's IV fluids. - ANSWER-Turn the client onto her left side
Late decelerations indicate that the client is experiencing uteroplacental insufficiency. The client might
be experiencing pressure on the inferior vena cava, which decreases the oxygen to the placenta and thus
to the fetus. Turning the client onto her left side will relieve the pressure and facilitate better blood flow
to the placenta, thereby increasing the fetal oxygen supply.
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the
following findings is a risk factor for an ectopic pregnancy?
Anemia
Frequent urinary tract infections
Previous cesarean birth
Pelvic inflammatory disease (PID) - ANSWER-Pelvic inflammatory disease (PID)
, 4|Page
An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus and the
placenta and fetus begin to develop there. The most common site is within a fallopian tube, but ectopic
pregnancies can occasionally occur in the ovary or the abdomen. Most cases are a result of scarring
caused by a previous tubal infection or tubal surgery. Therefore, PID places the client at risk for an
ectopic pregnancy.
A nurse is caring for a client who is at 8 weeks of gestation with twins and primigravida. The client states
that even though she and her husband planned this pregnancy, she is experiencing many ambivalent
feelings about it. Which of the following responses should the nurse make?
"Have you told your husband about these feelings?"
"These feelings are quite normal at the beginning of pregnancy."
"Perhaps you should see a counselor to discuss these feelings."
"I am quite concerned about these feelings. Could you explain more?" - ANSWER-These feelings are
quite normal at the beginning of pregnancy
This client needs reassurance that these feelings are normal and there is no reason for concern.
A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the face and trunk. Which
of the following actions should the nurse take?
Administer phytonadione IM.
Obtain a stat prescription for a bilirubin level.
Obtain a bagged urine specimen.
Perform a gestational age assessment. - ANSWER-Obtain a stat prescription for a bilirubin level
Jaundice in the first 24 hr of life is pathologic. The nurse should notify the provider and obtain a stat
prescription for a bilirubin level.
A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following
statements should the nurse include in the teaching?
"You will have a cesarean birth prior to the onset of labor."
"Your baby will receive erythromycin eye ointment after birth to treat the infection."
"You should take oral metronidazole for 7 days prior to 37 weeks of gestation."
ATI Maternal Newborn Proctored Exam Test Bank 2025 –
Real Practice Questions, Nursing Study Guide, and
Comprehensive Maternity Review
Master the ATI Maternal Newborn Proctored Exam 2025 with this complete nursing test bank and
study guide. Access real ATI-style maternity and newborn care questions, postpartum and labor
practice exams, and expert review tips to help you boost your score and pass confidently.
• ATI Maternal Newborn Proctored Exam Test Bank 2025
• ATI Maternal Newborn test bank with answers
• ATI Maternal Newborn proctored exam questions
• ATI Maternal Newborn study guide PDF downloa
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a
contraindication for the use of this medication?
Prolonged rupture of membranes at 38 weeks of gestation
Intrauterine growth restriction
Postterm pregnancy
Active genital herpes - ANSWER-Active genital herpes
The use of oxytocin is contraindicated for clients who have an active genital herpes infection. The
newborn can acquire the infection as they pass through the birth canal. Therefore, a cesarean birth is
recommended for clients who have an active genital herpes infection.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following
clinical findings should the nurse expect?
Extended periods of sleep
,2|Page
Poor muscle tone
Respiratory rate 50/min
Exaggerated reflexes - ANSWER-Exaggerated reflexes
A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity
within the central nervous system (CNS). Exaggerated reflexes are indicative of CNS irritability.
A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes apart.
Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 4-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 4 min followed by a period of relaxation
Contractions that last 45 seconds each with a 3-min rest between contractions - ANSWER-Contractions
that last for 60 seconds each with a 3-minute rest between contractions
A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval
from the beginning of one contraction to the beginning of the next contraction. A contraction lasting
60 seconds with a relaxation period of 3 min is equivalent to contractions every 4 min.
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER-A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the 90th
percentile. One of the most common etiologies of LGA newborns is a mother who is diabetic. LGA
newborns, especially those born to mothers who have diabetes, are at increased risk for hypoglycemia.
Other newborns at risk for hypoglycemia are small for gestational age (SGA) newborns (those below the
10th percentile), premature newborns, and newborns who have perinatal hypoxia.
,3|Page
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal pad has a
large amount of lochia rubra with several clots. Which of the following actions should the nurse take
first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
Administer carboprost IM. - ANSWER-Massage the fundus
The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed, boggy uterus.
Thus, the greatest risk for the client is hemorrhage. The nurse should massage the client's fundus first.
A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal monitor
tracing reveals late decelerations. Which of the following actions should the nurse take first?
Turn the client onto her left side.
Palpate the client's uterus.
Administer oxygen to the client.
Increase the client's IV fluids. - ANSWER-Turn the client onto her left side
Late decelerations indicate that the client is experiencing uteroplacental insufficiency. The client might
be experiencing pressure on the inferior vena cava, which decreases the oxygen to the placenta and thus
to the fetus. Turning the client onto her left side will relieve the pressure and facilitate better blood flow
to the placenta, thereby increasing the fetal oxygen supply.
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the
following findings is a risk factor for an ectopic pregnancy?
Anemia
Frequent urinary tract infections
Previous cesarean birth
Pelvic inflammatory disease (PID) - ANSWER-Pelvic inflammatory disease (PID)
, 4|Page
An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus and the
placenta and fetus begin to develop there. The most common site is within a fallopian tube, but ectopic
pregnancies can occasionally occur in the ovary or the abdomen. Most cases are a result of scarring
caused by a previous tubal infection or tubal surgery. Therefore, PID places the client at risk for an
ectopic pregnancy.
A nurse is caring for a client who is at 8 weeks of gestation with twins and primigravida. The client states
that even though she and her husband planned this pregnancy, she is experiencing many ambivalent
feelings about it. Which of the following responses should the nurse make?
"Have you told your husband about these feelings?"
"These feelings are quite normal at the beginning of pregnancy."
"Perhaps you should see a counselor to discuss these feelings."
"I am quite concerned about these feelings. Could you explain more?" - ANSWER-These feelings are
quite normal at the beginning of pregnancy
This client needs reassurance that these feelings are normal and there is no reason for concern.
A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the face and trunk. Which
of the following actions should the nurse take?
Administer phytonadione IM.
Obtain a stat prescription for a bilirubin level.
Obtain a bagged urine specimen.
Perform a gestational age assessment. - ANSWER-Obtain a stat prescription for a bilirubin level
Jaundice in the first 24 hr of life is pathologic. The nurse should notify the provider and obtain a stat
prescription for a bilirubin level.
A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following
statements should the nurse include in the teaching?
"You will have a cesarean birth prior to the onset of labor."
"Your baby will receive erythromycin eye ointment after birth to treat the infection."
"You should take oral metronidazole for 7 days prior to 37 weeks of gestation."
