ATI RN Maternal newborn proctored exam
2026
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 - 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 - 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 - 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 - 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 - 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 mupon mawakening m
b. blurred mor mdouble mvision m
c. increase min mwhite mvaginal mdischarge m
d. leg mcramps mwhen msleeping m- mb. mblurred mor mdouble mvision m
m
A mnurse mis mcaring mfor ma mclient mwho mis min mthe mlatent mphase mof mlabor mand mis mreceiving
moxytocin m
via mcontinuous mIV minfusion. mThe mnurse mnotes mthat mthe mclient mis mhaving mcontractions
mevery m2 m
min mwhich mlast m100-110 mseconds mthat mthe mfetal mheart mrate mis mreassuring. mWhat
maction m
m
should mthe mnurse
mtake?
m
a. mdecrease mthe mdose mof moxytocin mby
mhalf
m
b. madminister moxygen mvia mnonrebreather
mmask
m
c. mdecrease mthe minfusion mrate mof mthe mmaintenance mIV
mfluid
m
d. madminister mterbutaline m0.25mg msubq m- ma. mdecrease mthe mdose mof moxytocin mby
mhalf
m
The mnurse mshould mdecrease mthe mdose mof moxytocin mby mhalf mbecause mthe
mclient mis m
m
experiencing muterine
mtachysystole.
m
A mnurse mis mcaring mfor ma mclient mwho mis min mactive mlabor mand mhas mmeconium mstaining mof
mthe mamniotic mfluid. mThe mnurse mnotes ma mreassuring mFHR mtracing mfrom mthe mexternal
mfetal mmonitor. m
What maction mshould mthe mnurse mtake? m
a. prepare mthe mclient mfor memergency mc-section m
b. perform mendotrach msuctioning mas msoon mas mthe mfetal mhead mis mdelivered m
c. prepare mequipment mneeded mfor mnewborn mresuscitation m
d. prepare mthe mclient mfor man multrasound mexam m- mc. mprepare mequipment mneeded mfor
mnewborn mresuscitation m
m
The mnurse mshould mensure mthat mall msupplies mand mequipment mneeded mfor mresuscitation
mof mthe m
m
newborn mare mreadily mavailable mfor mevery mdelivery. mEndotracheal
msuctioning mis
m
recommended min mcases mof mmeconium mstaining monly mif mthe mnewborn mhas mpoor
mrespiratory
, m
effort, mdecreased mmuscle mtone, mand mbradycardia mafter
mdelivery.
m
A mnurse mis mreviewing mthe mmedical mrecord mof ma mclient mwho mis mat m33 mwks mgestation
mand mhas m
placenta mprevia mand mbleeding. mWhat mscripts mshould mthe mnurse mclarify mwith mthe
mprovider?
m
a. minsert ma mlarge-bore mIV
mcatheter
m
b. mperform ma mvaginal
mexam
m
c. mperform mcontinuous mexternal mfetal
mmonitoring
m
d. mobtain ma mblood msample mfor mlab mtesting m- mb. mperform ma mvaginal
mexam
m
When ma mclient mhas ma mplacenta mprevia, mthe mplacenta mimplants min mthe mlower mpart mof mthe
muterus mand mobstructs mthe mcervical mos m(the mopening mto mthe mvagina). mThe mnurse mshould
mclarify mthis mprescription mbecause many mmanipulation mcan mcause mtearing mof mthe
mplacenta mand mincreased mbleeding. m
m
A mnurse mis mcaring mfor ma mclient mwho mis mat m37 mwks mgestation mand mis mundergoing ma
mnonstress m
test. mThe mFHR mis m130 mwithout maccelerations mfor mthe mpast m10 mmin. mWhat maction
mshould mthe m
m
nurse
mtake?
m
a. mrequest ma mscript mfor man minternal mfetal mscalp
melectrode
m
b. mauscultate mthe mFHR mwith ma mdoppler
mtransducer
m
c. mreport mthe mnonreactive mtest mresult mto mthe mprovider
mimmediately
d. muse mvibroacoustic mstim mon mthe mclient's mabd mfor m3 mseconds m- md. muse mvibroacoustic
mstim mon m
m
the mclient's mabd mfor m3
mseconds
m
The mnurse mshould muse ma mvibroacoustic mstimulator mon mthe mclient's mabdomen mto melicit
mfetal m
m
activity mbecause mthe mfetus mis mmost mlikely msleeping. mFetal mmovement mshould
mcause
m
accelerations min mthe
mFHR.
m
2026
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 - 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 - 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 - 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 - 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 - 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 mupon mawakening m
b. blurred mor mdouble mvision m
c. increase min mwhite mvaginal mdischarge m
d. leg mcramps mwhen msleeping m- mb. mblurred mor mdouble mvision m
m
A mnurse mis mcaring mfor ma mclient mwho mis min mthe mlatent mphase mof mlabor mand mis mreceiving
moxytocin m
via mcontinuous mIV minfusion. mThe mnurse mnotes mthat mthe mclient mis mhaving mcontractions
mevery m2 m
min mwhich mlast m100-110 mseconds mthat mthe mfetal mheart mrate mis mreassuring. mWhat
maction m
m
should mthe mnurse
mtake?
m
a. mdecrease mthe mdose mof moxytocin mby
mhalf
m
b. madminister moxygen mvia mnonrebreather
mmask
m
c. mdecrease mthe minfusion mrate mof mthe mmaintenance mIV
mfluid
m
d. madminister mterbutaline m0.25mg msubq m- ma. mdecrease mthe mdose mof moxytocin mby
mhalf
m
The mnurse mshould mdecrease mthe mdose mof moxytocin mby mhalf mbecause mthe
mclient mis m
m
experiencing muterine
mtachysystole.
m
A mnurse mis mcaring mfor ma mclient mwho mis min mactive mlabor mand mhas mmeconium mstaining mof
mthe mamniotic mfluid. mThe mnurse mnotes ma mreassuring mFHR mtracing mfrom mthe mexternal
mfetal mmonitor. m
What maction mshould mthe mnurse mtake? m
a. prepare mthe mclient mfor memergency mc-section m
b. perform mendotrach msuctioning mas msoon mas mthe mfetal mhead mis mdelivered m
c. prepare mequipment mneeded mfor mnewborn mresuscitation m
d. prepare mthe mclient mfor man multrasound mexam m- mc. mprepare mequipment mneeded mfor
mnewborn mresuscitation m
m
The mnurse mshould mensure mthat mall msupplies mand mequipment mneeded mfor mresuscitation
mof mthe m
m
newborn mare mreadily mavailable mfor mevery mdelivery. mEndotracheal
msuctioning mis
m
recommended min mcases mof mmeconium mstaining monly mif mthe mnewborn mhas mpoor
mrespiratory
, m
effort, mdecreased mmuscle mtone, mand mbradycardia mafter
mdelivery.
m
A mnurse mis mreviewing mthe mmedical mrecord mof ma mclient mwho mis mat m33 mwks mgestation
mand mhas m
placenta mprevia mand mbleeding. mWhat mscripts mshould mthe mnurse mclarify mwith mthe
mprovider?
m
a. minsert ma mlarge-bore mIV
mcatheter
m
b. mperform ma mvaginal
mexam
m
c. mperform mcontinuous mexternal mfetal
mmonitoring
m
d. mobtain ma mblood msample mfor mlab mtesting m- mb. mperform ma mvaginal
mexam
m
When ma mclient mhas ma mplacenta mprevia, mthe mplacenta mimplants min mthe mlower mpart mof mthe
muterus mand mobstructs mthe mcervical mos m(the mopening mto mthe mvagina). mThe mnurse mshould
mclarify mthis mprescription mbecause many mmanipulation mcan mcause mtearing mof mthe
mplacenta mand mincreased mbleeding. m
m
A mnurse mis mcaring mfor ma mclient mwho mis mat m37 mwks mgestation mand mis mundergoing ma
mnonstress m
test. mThe mFHR mis m130 mwithout maccelerations mfor mthe mpast m10 mmin. mWhat maction
mshould mthe m
m
nurse
mtake?
m
a. mrequest ma mscript mfor man minternal mfetal mscalp
melectrode
m
b. mauscultate mthe mFHR mwith ma mdoppler
mtransducer
m
c. mreport mthe mnonreactive mtest mresult mto mthe mprovider
mimmediately
d. muse mvibroacoustic mstim mon mthe mclient's mabd mfor m3 mseconds m- md. muse mvibroacoustic
mstim mon m
m
the mclient's mabd mfor m3
mseconds
m
The mnurse mshould muse ma mvibroacoustic mstimulator mon mthe mclient's mabdomen mto melicit
mfetal m
m
activity mbecause mthe mfetus mis mmost mlikely msleeping. mFetal mmovement mshould
mcause
m
accelerations min mthe
mFHR.
m
