ATI Maternal Newborn Proctored
Exam 2025 With 60 Questions: Essential Practice
Questions, Expert Rationales, and Proven Strategies for
Top Scores
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole.
Which of the following instructions should the nurse provide to the client about the treatment
plan?
"Your partner needs to be cultured and be treated with metronidazole only if his cultures are
positive."
"You and your partner need to take the medication and use a condom during intercourse until
cultures are negative."
"If both you and your partner are treated simultaneously, you may continue to engage in sexual
intercourse."
"Only you will need to take the metronidazole, but you should not have intercourse until your
culture is negative." - - correct ans- -You and your partner need to take the medication and use a
condom during intercourse until cultures are negative
Trichomonas vaginalis is the organism that causes the sexually transmitted infection
trichomoniasis. Both men and women can be infected with trichomoniasis. Clinical findings
include yellowish to greenish, frothy, mucopurulent, copious discharge with an unpleasant odor,
as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated
easily with metronidazole. However, for the treatment to work, it is important to make sure
both sexual partners receive treatment to prevent reinfection. Instruct the client to use
condoms during sexual intercourse while being treated.
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder.
Which of the following nursing actions should the nurse identify as a contraindication for the
care of the newborn?
Promoting maternal-newborn bonding
Tight swaddling of the newborn
Small frequent feedings
,Frequent stimulation - - correct ans- -Frequent stimulation
This newborn needs a quiet, calm environment with minimal stimulation to promote rest and
reduce stress. A stimulating environment can trigger irritability and hyperactive behaviors.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the
following actions should the nurse include in the plan of care?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - - correct ans- -Check the cervix prior to
analgesic administration
Prior to administering an analgesic during active labor, the nurse must know how many
centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic
could cause respiratory depression in the newborn.
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical record?
Transverse
Breech
Vertex
Mentum - - correct ans- -Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this
case, the occipital bone is the presenting part and is located anteriorly in the client's right side.
Based on the presentation of the fetus, the position is vertex.
, A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which
of the following findings is a contraindication for the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - - correct ans- -Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that changes the uterine
environment to prevent pregnancy. An IUD is contraindicated for women who have
menorrhagia, severe dysmenorrhea, or history of ectopic pregnancy.
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - - correct ans- -A newborn who is large for
gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the
90th percentile. One of the most common etiologies of LGA newborns is a mother who is
diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased
risk for hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age
(SGA) newborns (those below the 10th percentile), premature newborns, and newborns who
have perinatal hypoxia.
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal
pad has a large amount of lochia rubra with several clots. Which of the following actions should
the nurse take first?
Exam 2025 With 60 Questions: Essential Practice
Questions, Expert Rationales, and Proven Strategies for
Top Scores
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole.
Which of the following instructions should the nurse provide to the client about the treatment
plan?
"Your partner needs to be cultured and be treated with metronidazole only if his cultures are
positive."
"You and your partner need to take the medication and use a condom during intercourse until
cultures are negative."
"If both you and your partner are treated simultaneously, you may continue to engage in sexual
intercourse."
"Only you will need to take the metronidazole, but you should not have intercourse until your
culture is negative." - - correct ans- -You and your partner need to take the medication and use a
condom during intercourse until cultures are negative
Trichomonas vaginalis is the organism that causes the sexually transmitted infection
trichomoniasis. Both men and women can be infected with trichomoniasis. Clinical findings
include yellowish to greenish, frothy, mucopurulent, copious discharge with an unpleasant odor,
as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated
easily with metronidazole. However, for the treatment to work, it is important to make sure
both sexual partners receive treatment to prevent reinfection. Instruct the client to use
condoms during sexual intercourse while being treated.
A nurse is caring for a newborn who was born to a client who has a narcotic use disorder.
Which of the following nursing actions should the nurse identify as a contraindication for the
care of the newborn?
Promoting maternal-newborn bonding
Tight swaddling of the newborn
Small frequent feedings
,Frequent stimulation - - correct ans- -Frequent stimulation
This newborn needs a quiet, calm environment with minimal stimulation to promote rest and
reduce stress. A stimulating environment can trigger irritability and hyperactive behaviors.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the
following actions should the nurse include in the plan of care?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - - correct ans- -Check the cervix prior to
analgesic administration
Prior to administering an analgesic during active labor, the nurse must know how many
centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic
could cause respiratory depression in the newborn.
A nurse is caring for a client who is in labor. A vaginal examination reveals the following
information: 2cm, 50%, +1, right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical record?
Transverse
Breech
Vertex
Mentum - - correct ans- -Vertex
ROA describes the relationship of the presenting part of the fetus to the client's pelvis. In this
case, the occipital bone is the presenting part and is located anteriorly in the client's right side.
Based on the presentation of the fetus, the position is vertex.
, A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which
of the following findings is a contraindication for the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - - correct ans- -Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that changes the uterine
environment to prevent pregnancy. An IUD is contraindicated for women who have
menorrhagia, severe dysmenorrhea, or history of ectopic pregnancy.
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - - correct ans- -A newborn who is large for
gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the
90th percentile. One of the most common etiologies of LGA newborns is a mother who is
diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased
risk for hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age
(SGA) newborns (those below the 10th percentile), premature newborns, and newborns who
have perinatal hypoxia.
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal
pad has a large amount of lochia rubra with several clots. Which of the following actions should
the nurse take first?
