ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2025-2026 QUESTIONS
AND ANSWERS
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic
fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
b. dark brown vaginal discharge
,A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
chorionic villi, which gives rise to multiple cysts. The products of conception
transform into a large number of edematous, fluid-filled vesicles. As cells slough
off the uterine wall, vaginal discharge is usually dark brown and can contain
grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hr because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
progression of preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
d. you should continue to take zidovudine throughout the pregnancy
,-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication
every day decreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info should the
nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the client is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
a. decrease the dose of oxytocin by half
, The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
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
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 reviewing the medical record of a client who is at 33 wks gestation and
has placenta previa and bleeding. What scripts should the nurse clarify with the
provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
b. perform a vaginal exam
PROCTORED EXAM 2025-2026 QUESTIONS
AND ANSWERS
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic
fracture due to blunt abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
b. dark brown vaginal discharge
,A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the
chorionic villi, which gives rise to multiple cysts. The products of conception
transform into a large number of edematous, fluid-filled vesicles. As cells slough
off the uterine wall, vaginal discharge is usually dark brown and can contain
grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is 480 mL of urine output in 24 hr because the
minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate
progression of preeclampsia to preeclampsia with severe features, which requires
immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV. What
statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
d. you should continue to take zidovudine throughout the pregnancy
,-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication
every day decreases the risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info should the
nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the client is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
a. decrease the dose of oxytocin by half
, The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
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
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 reviewing the medical record of a client who is at 33 wks gestation and
has placenta previa and bleeding. What scripts should the nurse clarify with the
provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
b. perform a vaginal exam
