ATI RN MATERNAL NEWBORN CMS
PROCTORED 2024-2025 ACTUAL
EXAM ALL 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
• A nurse is caring for a newborn. The nurse should obtain informed consent before taking which
of the following actions?
• administering erythromycin ophthalmic ointment
• conducting a newborn hearing screening
• giving the hepatitis B vaccine
• screening for critical congenital heart disease - c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states, "I've
gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of
the following is the appropriate response by the nurse.
• "Babies are not fun. They're a lot of work"
• "I'm so glad to see you're happy about the baby"
• "How are your parents reacting to the pregnancy?"
• "Tell me how you think your life will be after the baby is born" - d) "Tell me how you think your
life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree
perineal laceration. Which of the following interventions should the nurse take?
• prepare to initiate a warm water sitz bath for the client's perineum
• encourage the client to sit on a soft pillow
• apply cold ice packs to the client's perineum
• administer an acetaminophen suppository rectally - c) apply cold ice packs to the client's
perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after
lying on her back on the couch. Which of the following actions should the nurse take?
• request a prescription for preeclampsia laboratory studies
• advise the client to lie on her side
• request an ultrasound to evaluate fetal wellbeing
• advise the client to add a calcium supplement to her diet - b) advise the client to lie on her side
,A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should
monitor the client for which of the following potential adverse effects?
• diarrhea
• thromboembolism
• fetal asphyxia
• oliguria - c) fetal asphyxia
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client
asks about expected weight loss. Which of the following responses should the nurse make?
• "Losing 2.2 pounds each month would be acceptable"
• "Losing 4.4 pounds each month would be acceptable"
• "Losing 5.5 pounds each month would be acceptable"
• "Losing 6.6 pounds each month would be acceptable" - a) "Losing 2.2 pounds each month would
be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client
states, "I am here to have my regular prenatal checkup, but I do not want any pictures taken of my
baby." Which of the following responses should the nurse make?
• "Do not worry. We can do the sonogram without showing you the sex of the baby"
• "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
• "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
• "You have the right to tell the doctor that you do not want the sonogram" - b) "I would like to
hear more about why you do not want the sonogram, including any cultural reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing
has become easier but notes an increased frequency of urination. The nurse should document this
occurrence as which of the following?
• effacement
• dilation
• lightening
• quickening - c) lightening
,A nurse is providing teaching about weight gain during pregnancy for a client who is primigravida of
normal pre-pregnancy weight. Which of the following statements should the nurse include?
• "You should plan to gain 25 to 35 pounds during your pregnancy"
• "You should plan to gain 11 to 20 pounds during your pregnancy"
• "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as
long as you follow a healthy, balanced diet"
• d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40
pounds during pregnancy" - a) "You should plan to gain 25 to 35 pounds during your pregnancy"
A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following
statements should the nurse identify as an indication that the client understands the instructions?
• "I will put bumper pads in the crib"
• "I will warm my baby's formula in the microwave on a low setting"
• "I will place my baby on his stomach to sleep"
• "I will purchase a firm mattress for the crib" - d) "I will purchase a firm mattress for the crib"
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the
following actions should the nurse take?
• assist the client to ambulate in the hallway
• instruct the client to splint the incision with a pillow
• have the client drink fluids through a straw
• encourage the client to drink carbonated beverages - a) assist the client to ambulate in the
hallway
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should
the nurse expect?
• breast engorgement
• hypothermia
• urinary retention
• rupture of membranes - c) urinary retention
A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that she
should report to her provider. Which of the following findings should the nurse include in the teaching?
a) mild constipation
b) nasal congestion
, c) vaginal bleeding
d) 10 fetal movements per hour - c) vaginal bleeding
The guardian of a 3-day-old female newborn tells the nurse that he noticed a small amount of blood-
tinged mucus discharge on the newborn's labia. Which of the following responses should the nurse
make?
a) "The blood-tinged mucus is a result of pseudomenstruation"
b) "The blood-tinged mucus indicates a urinary tract infection"
c) "The blood-tinged mucus is due to uric acid crystals"
d) "The blood-tinged mucus is a result of the initial genital examination" - a) "The blood-tinged mucus is
a result of pseudomenstruation"
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the
following responses by the nurse is appropriate?
a) "You should drink 1 oz of mineral oil every morning"
b) "You should walk for at least 30 minutes every day"
c) "You should eat at least 3 oz of red meat per day"
d) "You should stop taking your prenatal vitamin" - b) "You should walk for at least 30 minutes every
day"
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report
to the provider?
a) overlapping suture lines
b) generalized petechiae
c) acrocyanosis
d) transient strabismus - b) generalized petechiae
A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of
information should the nurse include about the hepatitis B immunization?
a) "The first dose should be administered at 3 months of age"
b) "Your baby will receive this immunization subcutaneously, which means under the skin"
PROCTORED 2024-2025 ACTUAL
EXAM ALL 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
• A nurse is caring for a newborn. The nurse should obtain informed consent before taking which
of the following actions?
• administering erythromycin ophthalmic ointment
• conducting a newborn hearing screening
• giving the hepatitis B vaccine
• screening for critical congenital heart disease - c) giving the hepatitis B vaccine
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states, "I've
gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of
the following is the appropriate response by the nurse.
• "Babies are not fun. They're a lot of work"
• "I'm so glad to see you're happy about the baby"
• "How are your parents reacting to the pregnancy?"
• "Tell me how you think your life will be after the baby is born" - d) "Tell me how you think your
life will be after the baby is born"
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree
perineal laceration. Which of the following interventions should the nurse take?
• prepare to initiate a warm water sitz bath for the client's perineum
• encourage the client to sit on a soft pillow
• apply cold ice packs to the client's perineum
• administer an acetaminophen suppository rectally - c) apply cold ice packs to the client's
perineum
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after
lying on her back on the couch. Which of the following actions should the nurse take?
• request a prescription for preeclampsia laboratory studies
• advise the client to lie on her side
• request an ultrasound to evaluate fetal wellbeing
• advise the client to add a calcium supplement to her diet - b) advise the client to lie on her side
,A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should
monitor the client for which of the following potential adverse effects?
• diarrhea
• thromboembolism
• fetal asphyxia
• oliguria - c) fetal asphyxia
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client
asks about expected weight loss. Which of the following responses should the nurse make?
• "Losing 2.2 pounds each month would be acceptable"
• "Losing 4.4 pounds each month would be acceptable"
• "Losing 5.5 pounds each month would be acceptable"
• "Losing 6.6 pounds each month would be acceptable" - a) "Losing 2.2 pounds each month would
be acceptable"
A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client
states, "I am here to have my regular prenatal checkup, but I do not want any pictures taken of my
baby." Which of the following responses should the nurse make?
• "Do not worry. We can do the sonogram without showing you the sex of the baby"
• "I would like to hear more about why you do not want the sonogram, including any cultural
reasons"
• "I think you should reconsider because the sonogram is an important part of the baby's
checkup"
• "You have the right to tell the doctor that you do not want the sonogram" - b) "I would like to
hear more about why you do not want the sonogram, including any cultural reasons"
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing
has become easier but notes an increased frequency of urination. The nurse should document this
occurrence as which of the following?
• effacement
• dilation
• lightening
• quickening - c) lightening
,A nurse is providing teaching about weight gain during pregnancy for a client who is primigravida of
normal pre-pregnancy weight. Which of the following statements should the nurse include?
• "You should plan to gain 25 to 35 pounds during your pregnancy"
• "You should plan to gain 11 to 20 pounds during your pregnancy"
• "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as
long as you follow a healthy, balanced diet"
• d) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40
pounds during pregnancy" - a) "You should plan to gain 25 to 35 pounds during your pregnancy"
A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following
statements should the nurse identify as an indication that the client understands the instructions?
• "I will put bumper pads in the crib"
• "I will warm my baby's formula in the microwave on a low setting"
• "I will place my baby on his stomach to sleep"
• "I will purchase a firm mattress for the crib" - d) "I will purchase a firm mattress for the crib"
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the
following actions should the nurse take?
• assist the client to ambulate in the hallway
• instruct the client to splint the incision with a pillow
• have the client drink fluids through a straw
• encourage the client to drink carbonated beverages - a) assist the client to ambulate in the
hallway
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should
the nurse expect?
• breast engorgement
• hypothermia
• urinary retention
• rupture of membranes - c) urinary retention
A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that she
should report to her provider. Which of the following findings should the nurse include in the teaching?
a) mild constipation
b) nasal congestion
, c) vaginal bleeding
d) 10 fetal movements per hour - c) vaginal bleeding
The guardian of a 3-day-old female newborn tells the nurse that he noticed a small amount of blood-
tinged mucus discharge on the newborn's labia. Which of the following responses should the nurse
make?
a) "The blood-tinged mucus is a result of pseudomenstruation"
b) "The blood-tinged mucus indicates a urinary tract infection"
c) "The blood-tinged mucus is due to uric acid crystals"
d) "The blood-tinged mucus is a result of the initial genital examination" - a) "The blood-tinged mucus is
a result of pseudomenstruation"
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the
following responses by the nurse is appropriate?
a) "You should drink 1 oz of mineral oil every morning"
b) "You should walk for at least 30 minutes every day"
c) "You should eat at least 3 oz of red meat per day"
d) "You should stop taking your prenatal vitamin" - b) "You should walk for at least 30 minutes every
day"
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report
to the provider?
a) overlapping suture lines
b) generalized petechiae
c) acrocyanosis
d) transient strabismus - b) generalized petechiae
A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of
information should the nurse include about the hepatitis B immunization?
a) "The first dose should be administered at 3 months of age"
b) "Your baby will receive this immunization subcutaneously, which means under the skin"
