ATI PN MATERNAL NEWBORN
PROCTORED EXAM 2 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025
1. A nurse is caring for a client in the first stage of labor. Which of the
following findings should the nurse report to the provider?
A. Moderate contractions every 5 minutes
B. Cervical dilation of 4 cm
C. Fetal heart rate of 180/min
D. Bloody show present
Fetal heart rate above 160/min indicates fetal tachycardia, which may suggest
fetal distress and should be reported immediately.
2. A nurse is reinforcing teaching with a postpartum client who is
breastfeeding. Which of the following statements by the client indicates
understanding?
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,A. "I will alternate breasts during each feeding."
B. "I should feed my baby every 6 hours."
C. "I will give my baby water between feedings."
D. "I will stop breastfeeding if my nipples become sore."
Alternating breasts helps ensure both are emptied regularly and promotes milk
production.
3. A client at 30 weeks of gestation reports leg cramps at night. Which of the
following instructions should the nurse reinforce?
A. Increase calcium intake
B. Perform dorsiflexion of the foot
C. Elevate the legs before bed
D. Apply heat compresses
Dorsiflexing the foot stretches the calf muscle and relieves the cramp.
4. A nurse is assisting with the care of a newborn immediately after birth.
Which of the following is the priority nursing action?
A. Administer vitamin K
B. Obtain footprints
C. Dry the newborn
D. Measure head circumference
Drying the newborn prevents heat loss due to evaporation, which is essential
immediately after birth.
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, 5. A nurse is caring for a postpartum client who is experiencing uterine atony.
Which of the following actions should the nurse take first?
A. Notify the provider
B. Check vital signs
C. Massage the fundus
D. Start an IV line
Massaging the fundus stimulates uterine contractions, which is the first-line
treatment for uterine atony.
6. A nurse is caring for a newborn who has a respiratory rate of 68/min and
nasal flaring. Which of the following actions should the nurse take?
A. Place the newborn in prone position
B. Notify the provider
C. Suction the mouth and nose
D. Recheck in 15 minutes
Nasal flaring and a respiratory rate over 60/min are signs of respiratory distress
and require immediate intervention.
7. A nurse is caring for a client who is postpartum and reports increased lochia
and feeling faint. Which of the following should be the nurse’s priority?
A. Check for bladder distention
B. Assess vital signs
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PROCTORED EXAM 2 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025
1. A nurse is caring for a client in the first stage of labor. Which of the
following findings should the nurse report to the provider?
A. Moderate contractions every 5 minutes
B. Cervical dilation of 4 cm
C. Fetal heart rate of 180/min
D. Bloody show present
Fetal heart rate above 160/min indicates fetal tachycardia, which may suggest
fetal distress and should be reported immediately.
2. A nurse is reinforcing teaching with a postpartum client who is
breastfeeding. Which of the following statements by the client indicates
understanding?
1|Page
,A. "I will alternate breasts during each feeding."
B. "I should feed my baby every 6 hours."
C. "I will give my baby water between feedings."
D. "I will stop breastfeeding if my nipples become sore."
Alternating breasts helps ensure both are emptied regularly and promotes milk
production.
3. A client at 30 weeks of gestation reports leg cramps at night. Which of the
following instructions should the nurse reinforce?
A. Increase calcium intake
B. Perform dorsiflexion of the foot
C. Elevate the legs before bed
D. Apply heat compresses
Dorsiflexing the foot stretches the calf muscle and relieves the cramp.
4. A nurse is assisting with the care of a newborn immediately after birth.
Which of the following is the priority nursing action?
A. Administer vitamin K
B. Obtain footprints
C. Dry the newborn
D. Measure head circumference
Drying the newborn prevents heat loss due to evaporation, which is essential
immediately after birth.
2|Page
, 5. A nurse is caring for a postpartum client who is experiencing uterine atony.
Which of the following actions should the nurse take first?
A. Notify the provider
B. Check vital signs
C. Massage the fundus
D. Start an IV line
Massaging the fundus stimulates uterine contractions, which is the first-line
treatment for uterine atony.
6. A nurse is caring for a newborn who has a respiratory rate of 68/min and
nasal flaring. Which of the following actions should the nurse take?
A. Place the newborn in prone position
B. Notify the provider
C. Suction the mouth and nose
D. Recheck in 15 minutes
Nasal flaring and a respiratory rate over 60/min are signs of respiratory distress
and require immediate intervention.
7. A nurse is caring for a client who is postpartum and reports increased lochia
and feeling faint. Which of the following should be the nurse’s priority?
A. Check for bladder distention
B. Assess vital signs
3|Page
