RN Maternal Newborn ATI EXAM COMPLETE 500
QUESTIONS AND VERIFIED SOLUTIONS 2026-2027
LATEST UPDATE THIS YEAR
QUESTION: A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in
the first trimester. What info should the nurse include in the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - ANSWER-a. you will need to
have a full bladder during the ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the pelvis
during the examination. Therefore, it is important to ensure that the client has a full bladder to
obtain the most accurate image of the fetus.
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QUESTION: A nurse is assessing a client who is 34 wks gestation and has mild placental
abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count - ANSWER-c. dark red vaginal bleeding
The nurse should expect the client who has a mild placental abruption to have minimal dark red
vaginal bleeding.
QUESTION: A nurse is caring for a client whose last menstrual period began july 8. Using
Nageles rule, the nurse should identify the client's estimated DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - ANSWER-b. april 15
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QUESTION: A nurse is caring for a client who is at 39 wks gestation and is in the active phase of
labor. The nurse observes late decels in the FHR. What finding should the nurse identify as the
cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - ANSWER-c. uteroplacental insufficiency
QUESTION: A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the nurse
report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - ANSWER-d. urinary output 20 mL/hr
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The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate
renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output
can also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-
eclampsia.
QUESTION: A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER-a. I should go to the hospital if I
think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should
immediately go to a facility for evaluation if she experiences any manifestations of labor while
the cerclage is in place. If the client experiences preterm uterine contractions she might require
tocolytic therapy.