RN MATERNAL NEWBORN ATI PROCTORED EXAM
ACTUAL EXAM 2026 | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS |
GRADED A+ | VERIFIED ANSWERS
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 ------------Correct Answer--------------------d.
urinary output 20 mL/hr
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.
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 ------------Correct
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.
A nurse is admitting a client who is in labor and experiencing moderate
bright red vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation ------------
Correct Answer--------------------a. obtain blood samples for baseline lab
values
The nurse should obtain samples of the client's blood for baseline
testing of hemoglobin and hematocrit levels.
,A nurse is caring for a client who is at 38 wks of gestation and reports
no fetal movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement ------------Correct Answer-------
-------------a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal
well-being. The nurse should auscultate for the fetal heart rate using a
Doppler device or an external fetal monitor. This is the priority
nursing action.
A nurse is assessing a client who is 14 hr postpartum and has a 3rd
degree perineal laceration. The client's temp is 37.8 C (100F), her
fundus is firm and slightly deviated to the right. The client reports a
gush of blood when she ambulates and no bm since delivery. What
action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
, d. assist the client to empty her bladder ------------Correct Answer---------
-----------d. assist the client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate
that her bladder is full. The nurse should assist the client to empty her
bladder to prevent uterine atony and excessive lochia.
A nurse is preparing to administer morphine oral solution 0.04 mg/kg to
a newborn who weighs 2.5kg. The amount available is 0.4 mg/ml. how
many ml should the nurse administer? ------------Correct Answer-----------
---------0.25
A nurse is assessing a 12 hr old newborn and notes a resp rate of 44
with shallow respirations and periods of apnea lasting up to 10 seconds.
What action should the nurse take?
a. continue routine monitoring
b. place newborn prone
c. request a script for supplemental o2
d. perform chest percussion ------------Correct Answer--------------------a.
continue routine monitoring
The nurse should continue routine monitoring because the newborn's
assessments findings indicate he is adapting to extrauterine life.
ACTUAL EXAM 2026 | ALL QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS |
GRADED A+ | VERIFIED ANSWERS
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 ------------Correct Answer--------------------d.
urinary output 20 mL/hr
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.
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 ------------Correct
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.
A nurse is admitting a client who is in labor and experiencing moderate
bright red vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation ------------
Correct Answer--------------------a. obtain blood samples for baseline lab
values
The nurse should obtain samples of the client's blood for baseline
testing of hemoglobin and hematocrit levels.
,A nurse is caring for a client who is at 38 wks of gestation and reports
no fetal movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement ------------Correct Answer-------
-------------a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal
well-being. The nurse should auscultate for the fetal heart rate using a
Doppler device or an external fetal monitor. This is the priority
nursing action.
A nurse is assessing a client who is 14 hr postpartum and has a 3rd
degree perineal laceration. The client's temp is 37.8 C (100F), her
fundus is firm and slightly deviated to the right. The client reports a
gush of blood when she ambulates and no bm since delivery. What
action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
, d. assist the client to empty her bladder ------------Correct Answer---------
-----------d. assist the client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate
that her bladder is full. The nurse should assist the client to empty her
bladder to prevent uterine atony and excessive lochia.
A nurse is preparing to administer morphine oral solution 0.04 mg/kg to
a newborn who weighs 2.5kg. The amount available is 0.4 mg/ml. how
many ml should the nurse administer? ------------Correct Answer-----------
---------0.25
A nurse is assessing a 12 hr old newborn and notes a resp rate of 44
with shallow respirations and periods of apnea lasting up to 10 seconds.
What action should the nurse take?
a. continue routine monitoring
b. place newborn prone
c. request a script for supplemental o2
d. perform chest percussion ------------Correct Answer--------------------a.
continue routine monitoring
The nurse should continue routine monitoring because the newborn's
assessments findings indicate he is adapting to extrauterine life.
