Duke university school of nursing RN Maternal
Newborn ATI Proctored Exam 2025: Ultimate Study
Guide, Practice Questions, and Expert Strategies for
High Scores WITH 100 QUESTIONS
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium sulfate via
continuous IV infusion for severe pre-eclampsia. What finding should the nurse report to the
provider? a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - - correct ans- -d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate
renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output
can also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-
eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of incompetent
cervix with cervical cerclage. What statement by the client indicates an understanding of
teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - - correct ans- -a. I should go to the hospital
if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should
immediately go to a facility for evaluation if she experiences any manifestations of labor while
,the cerclage is in place. If the client experiences preterm uterine contractions she might require
tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal
bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - - correct ans- -a. obtain blood samples
for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin and
hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal movement for 24
hr. What action should the nurse take? a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - - correct ans- -a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The nurse should
auscultate for the fetal heart rate using a Doppler device or an external fetal monitor. This is the
priority nursing action.
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 - - correct ans- -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 - - correct ans- -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 - - correct ans- -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 - - correct ans- -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 upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - - correct ans- -b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
continuous IV infusion. The nurse notes that the client is having contractions every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - - correct ans- -a. decrease the dose of oxytocin by half
Newborn ATI Proctored Exam 2025: Ultimate Study
Guide, Practice Questions, and Expert Strategies for
High Scores WITH 100 QUESTIONS
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium sulfate via
continuous IV infusion for severe pre-eclampsia. What finding should the nurse report to the
provider? a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - - correct ans- -d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate
renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output
can also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-
eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of incompetent
cervix with cervical cerclage. What statement by the client indicates an understanding of
teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - - correct ans- -a. I should go to the hospital
if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should
immediately go to a facility for evaluation if she experiences any manifestations of labor while
,the cerclage is in place. If the client experiences preterm uterine contractions she might require
tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal
bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - - correct ans- -a. obtain blood samples
for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin and
hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal movement for 24
hr. What action should the nurse take? a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - - correct ans- -a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The nurse should
auscultate for the fetal heart rate using a Doppler device or an external fetal monitor. This is the
priority nursing action.
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 - - correct ans- -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 - - correct ans- -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 - - correct ans- -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 - - correct ans- -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 upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - - correct ans- -b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via
continuous IV infusion. The nurse notes that the client is having contractions every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - - correct ans- -a. decrease the dose of oxytocin by half
