,Contents
ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM ...................................................................... 2
ATI RN MATERNAL NEWBORN FORM A .............................................................................................. 32
ATI RN MATERNAL NEWBORN FORM B .......................................................................................... 67
ATI RN MATERNAL NEWBORN FORM C ........................................................................................ 142
ATI RN MATERNAL NEWBORN FORM A RETAKE ............................................................................ 173
ATI RN MATERNAL NEWBORN FORM B RETAKE ............................................................................ 212
ATI RN MATERNAL NEWBORN FORM C RETAKE ............................................................................ 263
MOST TESTED QUESTIONS AND ANSWERS....................................................................................... 298
ATI RN Pediatric Nursing Form A ...................................................................................................... 357
ATI RN Pediatric Nursing Form B .................................................................................................. 400
ATI RN Pediatric Nursing Form C .................................................................................................. 440
FORM A RETAKE.............................................................................................................................. 463
FORM B RETAKE .......................................................................................................................... 488
FORM C RETAKE .......................................................................................................................... 518
ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM
QUESTION 1
A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor. Which of the following medications should the
nurse plan to administer to promote fetal lung maturity?
a. Misoprostol
b. Betamethasone
c. Poractant alfa
d. Methylergonovine
Correct Answer: b. Betamethasone
,Expert Rationale
Betamethasone is a synthetic corticosteroid administered to pregnant
clients between 24 and 34 weeks of gestation who are at risk for preterm
delivery. It crosses the placenta and stimulates the production of pulmonary
surfactant in the fetal lungs, which reduces the incidence and severity of
respiratory distress syndrome (RDS) in the newborn. The medication also
decreases the risk of intraventricular hemorrhage and necrotizing
enterocolitis. Misoprostol (a) is a prostaglandin analogue used for cervical
ripening and induction of labor, not for fetal lung maturity. Poractant alfa (c)
is an exogenous surfactant administered to newborns with RDS after birth,
not to the mother prenatally. Methylergonovine (d) is an ergot alkaloid used
to treat postpartum hemorrhage by promoting uterine contraction.
Therefore, betamethasone is the correct medication for promoting fetal lung
maturity in preterm labor.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process Step:
Planning MSC: NCLEX: Physiological Integrity (Pharmacological and
Parenteral Therapies / Medications for Preterm Labor)
QUESTION 2
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 which of the following laboratory
tests will be used to confirm her pregnancy?
a. Urine test for the presence of human chorionic gonadotropin (hCG)
b. Urine test for the presence of human chorionic somatomammotropin
(hCS)
c. Blood test for the presence of estrogen
d. Blood test for the amount of circulating progesterone
Correct Answer: a. Urine test for the presence of human chorionic
gonadotropin (hCG)
Expert Rationale
Human chorionic gonadotropin (hCG) is a hormone produced by the
trophoblastic cells of the developing embryo shortly after implantation. It is
detectable in maternal serum and urine as early as 7 to 10 days after
conception. A positive urine pregnancy test detecting hCG is a presumptive
, sign of pregnancy, but when confirmed by a blood test measuring
quantitative hCG levels, it provides definitive confirmation of pregnancy.
Human chorionic somatomammotropin (hCS) (b) is a hormone produced by
the placenta that has anti-insulin effects and is not used for pregnancy
confirmation. Estrogen (c) and progesterone (d) levels increase during
pregnancy but are not specific or definitive tests for confirming pregnancy.
Therefore, a urine test for the presence of hCG is the correct laboratory test
for pregnancy confirmation.
DIF: Cognitive Level: Knowledge TOP: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance
(Antepartum Testing / Pregnancy Confirmation)
QUESTION 3
A nurse is caring for a client who believes she may be pregnant. Which of
the following findings 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
Expert Rationale
Signs of pregnancy are categorized as presumptive, probable, or positive.
Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus and provide definitive confirmation of pregnancy.
Palpable fetal movement (a) felt by the examiner, visualization of the fetus
on ultrasound, auscultation of fetal heart tones, and identification of fetal
parts on palpation are all positive signs. Amenorrhea (b) is a presumptive
sign because it can be caused by other conditions such as stress, illness, or
hormonal imbalances. Chadwick's sign (c), which is a bluish-purple
discoloration of the cervix and vaginal mucosa, is a probable sign of
pregnancy, as it can also occur in other conditions causing increased
vascularity. A positive pregnancy test (d) is a probable sign because it
detects hCG, which can also be present in conditions such as molar
ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM ...................................................................... 2
ATI RN MATERNAL NEWBORN FORM A .............................................................................................. 32
ATI RN MATERNAL NEWBORN FORM B .......................................................................................... 67
ATI RN MATERNAL NEWBORN FORM C ........................................................................................ 142
ATI RN MATERNAL NEWBORN FORM A RETAKE ............................................................................ 173
ATI RN MATERNAL NEWBORN FORM B RETAKE ............................................................................ 212
ATI RN MATERNAL NEWBORN FORM C RETAKE ............................................................................ 263
MOST TESTED QUESTIONS AND ANSWERS....................................................................................... 298
ATI RN Pediatric Nursing Form A ...................................................................................................... 357
ATI RN Pediatric Nursing Form B .................................................................................................. 400
ATI RN Pediatric Nursing Form C .................................................................................................. 440
FORM A RETAKE.............................................................................................................................. 463
FORM B RETAKE .......................................................................................................................... 488
FORM C RETAKE .......................................................................................................................... 518
ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM
QUESTION 1
A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor. Which of the following medications should the
nurse plan to administer to promote fetal lung maturity?
a. Misoprostol
b. Betamethasone
c. Poractant alfa
d. Methylergonovine
Correct Answer: b. Betamethasone
,Expert Rationale
Betamethasone is a synthetic corticosteroid administered to pregnant
clients between 24 and 34 weeks of gestation who are at risk for preterm
delivery. It crosses the placenta and stimulates the production of pulmonary
surfactant in the fetal lungs, which reduces the incidence and severity of
respiratory distress syndrome (RDS) in the newborn. The medication also
decreases the risk of intraventricular hemorrhage and necrotizing
enterocolitis. Misoprostol (a) is a prostaglandin analogue used for cervical
ripening and induction of labor, not for fetal lung maturity. Poractant alfa (c)
is an exogenous surfactant administered to newborns with RDS after birth,
not to the mother prenatally. Methylergonovine (d) is an ergot alkaloid used
to treat postpartum hemorrhage by promoting uterine contraction.
Therefore, betamethasone is the correct medication for promoting fetal lung
maturity in preterm labor.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process Step:
Planning MSC: NCLEX: Physiological Integrity (Pharmacological and
Parenteral Therapies / Medications for Preterm Labor)
QUESTION 2
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 which of the following laboratory
tests will be used to confirm her pregnancy?
a. Urine test for the presence of human chorionic gonadotropin (hCG)
b. Urine test for the presence of human chorionic somatomammotropin
(hCS)
c. Blood test for the presence of estrogen
d. Blood test for the amount of circulating progesterone
Correct Answer: a. Urine test for the presence of human chorionic
gonadotropin (hCG)
Expert Rationale
Human chorionic gonadotropin (hCG) is a hormone produced by the
trophoblastic cells of the developing embryo shortly after implantation. It is
detectable in maternal serum and urine as early as 7 to 10 days after
conception. A positive urine pregnancy test detecting hCG is a presumptive
, sign of pregnancy, but when confirmed by a blood test measuring
quantitative hCG levels, it provides definitive confirmation of pregnancy.
Human chorionic somatomammotropin (hCS) (b) is a hormone produced by
the placenta that has anti-insulin effects and is not used for pregnancy
confirmation. Estrogen (c) and progesterone (d) levels increase during
pregnancy but are not specific or definitive tests for confirming pregnancy.
Therefore, a urine test for the presence of hCG is the correct laboratory test
for pregnancy confirmation.
DIF: Cognitive Level: Knowledge TOP: Nursing Process Step:
Implementation MSC: NCLEX: Health Promotion and Maintenance
(Antepartum Testing / Pregnancy Confirmation)
QUESTION 3
A nurse is caring for a client who believes she may be pregnant. Which of
the following findings 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
Expert Rationale
Signs of pregnancy are categorized as presumptive, probable, or positive.
Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus and provide definitive confirmation of pregnancy.
Palpable fetal movement (a) felt by the examiner, visualization of the fetus
on ultrasound, auscultation of fetal heart tones, and identification of fetal
parts on palpation are all positive signs. Amenorrhea (b) is a presumptive
sign because it can be caused by other conditions such as stress, illness, or
hormonal imbalances. Chadwick's sign (c), which is a bluish-purple
discoloration of the cervix and vaginal mucosa, is a probable sign of
pregnancy, as it can also occur in other conditions causing increased
vascularity. A positive pregnancy test (d) is a probable sign because it
detects hCG, which can also be present in conditions such as molar
