,Contents
RN MATERNAL NEWBORN ATI PROCTORED FORM A.............................................................. 2
RN MATERNAL NEWBORN ATI PROCTORED FORM B ......................................................... 46
RN MATERNAL NEWBORN ATI PROCTORED FORM C ................................................... 153
RN MATERNAL NEWBORN RETAKE EXAM……………………………………………………………310
,RN MATERNAL NEWBORN ATI PROCTORED FORM A
1. A nurse is caring for a client who is at 22 weeks of gestation and is HIV
positive. Which of the following actions should the nurse take? a.
Administer penicillin G 2.4 million units IM to the client
b. Instruct the client to schedule an annual pelvic examination
c. Tell the client she will start medication for HIV immediately after delivery
d. Report the client’s condition to the local health department
Correct Answer: d. Report the client’s condition to the local health department
Rationale: HIV is a reportable disease in all jurisdictions; the nurse must report the
diagnosis to local health authorities for public health tracking. Option A (penicillin
G) is indicated for syphilis, not HIV. Option B is incorrect because HIVpositive
pregnant clients require more frequent exams. Option C is wrong because
antiretroviral therapy should begin as early as possible during pregnancy to
minimize vertical transmission.
DIF: Application
REF: Maternity & Infectious Disease Guidelines – CDC HIV in Pregnancy
OBJ: Implement nursing interventions for HIV-positive pregnant client
TOP: Nursing Process Step: Implementation
, 2. A nurse is assessing a client at 28 weeks’ gestation who has gestational
hypertension. Which of the following findings indicates worsening
preeclampsia?
a. Deep tendon reflexes 1+
b. Proteinuria of 1+
c. Weight loss of 1 kg in one week
d. Headache and visual disturbances
Correct Answer: d. Headache and visual disturbances
Rationale: New-onset or worsening headache and visual disturbances are signs of
severe preeclampsia (central nervous system involvement). Hyporeflexia (1+) is
less likely; proteinuria 1+ is mild; weight loss is not typical in this context.
DIF: Application
REF: Maternal–Fetal, Hypertensive Disorders Texts
OBJ: Recognize signs of severe preeclampsia
TOP: Assessment / Early warning
3. A nurse is planning care for a client in preterm labor at 32 weeks. Which of
the following medications should the nurse anticipate administering to
enhance fetal lung maturity? a. Magnesium sulfate
b. Betamethasone
c. Oxytocin
d. Nifedipine
RN MATERNAL NEWBORN ATI PROCTORED FORM A.............................................................. 2
RN MATERNAL NEWBORN ATI PROCTORED FORM B ......................................................... 46
RN MATERNAL NEWBORN ATI PROCTORED FORM C ................................................... 153
RN MATERNAL NEWBORN RETAKE EXAM……………………………………………………………310
,RN MATERNAL NEWBORN ATI PROCTORED FORM A
1. A nurse is caring for a client who is at 22 weeks of gestation and is HIV
positive. Which of the following actions should the nurse take? a.
Administer penicillin G 2.4 million units IM to the client
b. Instruct the client to schedule an annual pelvic examination
c. Tell the client she will start medication for HIV immediately after delivery
d. Report the client’s condition to the local health department
Correct Answer: d. Report the client’s condition to the local health department
Rationale: HIV is a reportable disease in all jurisdictions; the nurse must report the
diagnosis to local health authorities for public health tracking. Option A (penicillin
G) is indicated for syphilis, not HIV. Option B is incorrect because HIVpositive
pregnant clients require more frequent exams. Option C is wrong because
antiretroviral therapy should begin as early as possible during pregnancy to
minimize vertical transmission.
DIF: Application
REF: Maternity & Infectious Disease Guidelines – CDC HIV in Pregnancy
OBJ: Implement nursing interventions for HIV-positive pregnant client
TOP: Nursing Process Step: Implementation
, 2. A nurse is assessing a client at 28 weeks’ gestation who has gestational
hypertension. Which of the following findings indicates worsening
preeclampsia?
a. Deep tendon reflexes 1+
b. Proteinuria of 1+
c. Weight loss of 1 kg in one week
d. Headache and visual disturbances
Correct Answer: d. Headache and visual disturbances
Rationale: New-onset or worsening headache and visual disturbances are signs of
severe preeclampsia (central nervous system involvement). Hyporeflexia (1+) is
less likely; proteinuria 1+ is mild; weight loss is not typical in this context.
DIF: Application
REF: Maternal–Fetal, Hypertensive Disorders Texts
OBJ: Recognize signs of severe preeclampsia
TOP: Assessment / Early warning
3. A nurse is planning care for a client in preterm labor at 32 weeks. Which of
the following medications should the nurse anticipate administering to
enhance fetal lung maturity? a. Magnesium sulfate
b. Betamethasone
c. Oxytocin
d. Nifedipine
