ATI RN MATERNAL NEWBORN 2026/2027 PROCTORED
EXAM COMPLETE 70 QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100% CORRECT ANSWERS
)ALREADY GRADED A+ ,WELL RATIONALIZED AND
REVIEWED | LATEST EXAM AND NEWEST UPDATED
VERSION!!!
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
Correct Answer: b. dark brown vaginal discharge
Rationale: 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
Correct Answer: a. 480 mL urine output in 24 hrs
Rationale: 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
Correct Answer: d. you should continue to take zidovudine throughout the
pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
Rationale: 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 caring for a client who is at 32 wks gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
Correct Answer: b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant and asks the nurse how the provider will confirm her pregnancy. The
nurse should inform the client that what lab test will be used to confirm her
pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
Correct Answer: a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding
should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
,b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
Correct Answer: a. palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
Correct Answer: a. renal agenesis
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
Correct Answer: a. uterine contractions
Rationale: The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
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
Correct Answer: 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
Correct Answer: a. decrease the dose of oxytocin by half
Rationale: 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
Correct Answer: c. prepare equipment needed for newborn resuscitation
Rationale: 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
Correct Answer: b. perform a vaginal exam
Rationale: When a client has a placenta previa, the placenta implants in the
lower part of the uterus and obstructs the cervical os (the opening to the
vagina). The nurse should clarify this prescription because any manipulation can
cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a
nonstress test. The FHR is 130 without accelerations for the past 10 min. What
action should the nurse take?
a. request a script for an internal fetal scalp electrode
EXAM COMPLETE 70 QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100% CORRECT ANSWERS
)ALREADY GRADED A+ ,WELL RATIONALIZED AND
REVIEWED | LATEST EXAM AND NEWEST UPDATED
VERSION!!!
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
Correct Answer: b. dark brown vaginal discharge
Rationale: 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
Correct Answer: a. 480 mL urine output in 24 hrs
Rationale: 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
Correct Answer: d. you should continue to take zidovudine throughout the
pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
Rationale: 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 caring for a client who is at 32 wks gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
Correct Answer: b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be
pregnant and asks the nurse how the provider will confirm her pregnancy. The
nurse should inform the client that what lab test will be used to confirm her
pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
Correct Answer: a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding
should the nurse identify as a positive sign of pregnancy?
a. palpable fetal movement
,b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
Correct Answer: a. palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies
should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
Correct Answer: a. renal agenesis
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
Correct Answer: a. uterine contractions
Rationale: The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
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
Correct Answer: 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
Correct Answer: a. decrease the dose of oxytocin by half
Rationale: 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
Correct Answer: c. prepare equipment needed for newborn resuscitation
Rationale: 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
Correct Answer: b. perform a vaginal exam
Rationale: When a client has a placenta previa, the placenta implants in the
lower part of the uterus and obstructs the cervical os (the opening to the
vagina). The nurse should clarify this prescription because any manipulation can
cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a
nonstress test. The FHR is 130 without accelerations for the past 10 min. What
action should the nurse take?
a. request a script for an internal fetal scalp electrode
