RN MATERNAL NEWBORN ATI PROCTORED LATEST
UPDATED 2026-2027 ACTUAL FINAL EXAM WITH WELL
ELLABORATED PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS A+ GRADED MOST
RECENT!!!
1. A nurse is caring for a client who is 12 hours
postpartum. The fundus is firm and at the umbilicus,
and lochia is moderate rubra. Which action should
the nurse take?
A) Massage the fundus vigorously
B) Document the findings as normal
C) Notify the provider immediately
D) Increase IV fluids
Answer: B
Rationale: Firm fundus at umbilicus with moderate
rubra lochia is normal at 12 hours postpartum.
2. A client at 38 weeks gestation is admitted with
painless, bright red vaginal bleeding. The nurse
should first:
, A) Perform a vaginal examination
B) Assess fetal heart rate and maternal vital signs
C) Prepare for immediate cesarean section
D) Administer oxytocin
Answer: B
Rationale: Suspected placenta previa requires
assessment of fetal and maternal status; vaginal
exam is contraindicated.
3. A nurse is caring for a client receiving magnesium
sulfate for preeclampsia. Which finding indicates
magnesium toxicity?
A) Respiratory rate 14 breaths/min
B) Deep tendon reflexes 2+
C) Urine output 25 mL in 2 hours
D) Blood pressure 130/80 mmHg
Answer: C
Rationale: Urine output <30 mL/hr indicates
magnesium toxicity; also absent DTRs and
respiratory depression.
4. A primigravida at 40 weeks gestation is in active
labor. The nurse notes late decelerations on the fetal
monitor. The priority intervention is:
, A) Increase oxytocin infusion
B) Position the client on her left side and administer
oxygen
C) Prepare for immediate vaginal delivery
D) Administer tocolytics
Answer: B
Rationale: Late decelerations indicate uteroplacental
insufficiency; position change and oxygen are first
steps.
5. A newborn is delivered via cesarean section due to
fetal distress. The Apgar score at 1 minute is 4. The
nurse should:
A) Continue routine care
B) Initiate resuscitation (ventilation, oxygen)
C) Bathe the newborn immediately
D) Feed the newborn
Answer: B
Rationale: Apgar <7 at 1 minute requires
resuscitation; <3 severe distress.
6. A postpartum client reports a large, red, painful area
on her left calf. The nurse should:
A) Massage the calf
, B) Apply warm compresses
C) Assess for Homans sign and notify provider
D) Encourage ambulation
Answer: C
Rationale: Suspected DVT requires immediate
assessment and provider notification; do not
massage.
7. A client with gestational diabetes has a fasting blood
glucose of 105 mg/dL. The nurse should:
A) Reassure the client that this is normal
B) Notify the provider for possible insulin adjustment
C) Administer oral glucose
D) Withhold all carbohydrates
Answer: B
Rationale: Fasting glucose >95 mg/dL may require
intervention in gestational diabetes.
8. A nurse is teaching a new mother about
breastfeeding. Which infant behavior indicates
effective latch and feeding?
A) Audible swallowing after several sucks
B) Clicking sounds during feeding
C) Infant falls asleep within 2 minutes
UPDATED 2026-2027 ACTUAL FINAL EXAM WITH WELL
ELLABORATED PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS A+ GRADED MOST
RECENT!!!
1. A nurse is caring for a client who is 12 hours
postpartum. The fundus is firm and at the umbilicus,
and lochia is moderate rubra. Which action should
the nurse take?
A) Massage the fundus vigorously
B) Document the findings as normal
C) Notify the provider immediately
D) Increase IV fluids
Answer: B
Rationale: Firm fundus at umbilicus with moderate
rubra lochia is normal at 12 hours postpartum.
2. A client at 38 weeks gestation is admitted with
painless, bright red vaginal bleeding. The nurse
should first:
, A) Perform a vaginal examination
B) Assess fetal heart rate and maternal vital signs
C) Prepare for immediate cesarean section
D) Administer oxytocin
Answer: B
Rationale: Suspected placenta previa requires
assessment of fetal and maternal status; vaginal
exam is contraindicated.
3. A nurse is caring for a client receiving magnesium
sulfate for preeclampsia. Which finding indicates
magnesium toxicity?
A) Respiratory rate 14 breaths/min
B) Deep tendon reflexes 2+
C) Urine output 25 mL in 2 hours
D) Blood pressure 130/80 mmHg
Answer: C
Rationale: Urine output <30 mL/hr indicates
magnesium toxicity; also absent DTRs and
respiratory depression.
4. A primigravida at 40 weeks gestation is in active
labor. The nurse notes late decelerations on the fetal
monitor. The priority intervention is:
, A) Increase oxytocin infusion
B) Position the client on her left side and administer
oxygen
C) Prepare for immediate vaginal delivery
D) Administer tocolytics
Answer: B
Rationale: Late decelerations indicate uteroplacental
insufficiency; position change and oxygen are first
steps.
5. A newborn is delivered via cesarean section due to
fetal distress. The Apgar score at 1 minute is 4. The
nurse should:
A) Continue routine care
B) Initiate resuscitation (ventilation, oxygen)
C) Bathe the newborn immediately
D) Feed the newborn
Answer: B
Rationale: Apgar <7 at 1 minute requires
resuscitation; <3 severe distress.
6. A postpartum client reports a large, red, painful area
on her left calf. The nurse should:
A) Massage the calf
, B) Apply warm compresses
C) Assess for Homans sign and notify provider
D) Encourage ambulation
Answer: C
Rationale: Suspected DVT requires immediate
assessment and provider notification; do not
massage.
7. A client with gestational diabetes has a fasting blood
glucose of 105 mg/dL. The nurse should:
A) Reassure the client that this is normal
B) Notify the provider for possible insulin adjustment
C) Administer oral glucose
D) Withhold all carbohydrates
Answer: B
Rationale: Fasting glucose >95 mg/dL may require
intervention in gestational diabetes.
8. A nurse is teaching a new mother about
breastfeeding. Which infant behavior indicates
effective latch and feeding?
A) Audible swallowing after several sucks
B) Clicking sounds during feeding
C) Infant falls asleep within 2 minutes
