ATI Maternal Newborn Proctored Exam:
Questions, Answers and Rationale 2025
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives, which of the following findings should the nurse include as an adverse effect of
this medication
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria ------- Correct Ans ---------- A) Depression
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching?
A) I can administer oxytocin 4 hours after the insertion of the medication
B) You will need a full bladder prior to the insertion of the medication
C) Remain in a side lying position for 15 minutes after the medication is inserted
D) An antacid will be given 20 minutes prior to the insertion of the medication ------- Correct Ans
---------- A) I can administer oxytocin 4 hours after the insertion of the medication
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A) Administer antiviral medication
B) Schedule an ultrasound examination
C) Administer Haemophilus influenza type B vaccine
D) Schedule an indirect coombs test ------- Correct Ans ---------- B) Schedule an ultrasound
examination
,To monitor the fetus during pregnancy to detect the possible development of fetal hydrops. The
virus can cause miscarriage, IUGR, fetal anemia, or stillbirth. There is no antiviral medication
available.
A nurse is caring for a client who is at 14 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect the provider to
prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin ratio
D) Maternal Alpha-fetoprotein ------- Correct Ans ---------- A) Kleihauer-Betke test
To determine if their is fetal blood in maternal circulation
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia ------- Correct Ans ---------- A) Abruptio placenta
A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?
A) 2+ dtr
B) Proteinuria of 200 mg in a 24 hr specimen
C) Polyuria
D) Blurred vision ------- Correct Ans ---------- D) Blurred vision
, A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?
A) Obtain informed consent
B) Collect at least 1 milliliter of urine for the test
C) Ensure the newborn has been receiving feedings for 24 hours prior to obtaining the specimen
D) Premature newborns may have false negative tests due to immature development of liver
enzymes ------- Correct Ans ---------- C) Ensure the newborn has been receiving feedings for 24
hours prior to obtaining the specimen
A nurse is performing a physical assessment of a newborn upon admission into the nursery.
Which of the following manifestations should the nurse expect? SATA
A) Yellow sclera
B) Acrocyanosis
C) Posterior fontanel larger than the anterior fontanel
D) Positive babinski
E) Two umbilical arteries ------- Correct Ans ---------- B, D, E
A nurse is performing a physical assessment of a newborn. Which of the following clinical
findings should the nurse expect? SATA
A) HR 154/min
B) Temp 96.8 F
C) RR 58/min
D) Length 16.9 inches
E) Weight 5 lb 12 oz ------- Correct Ans ---------- A, C, E
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of
the following findings should the nurse expect?
Questions, Answers and Rationale 2025
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives, which of the following findings should the nurse include as an adverse effect of
this medication
A) Depression
B) Polyuria
C) Hypotension
D) Urticaria ------- Correct Ans ---------- A) Depression
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse include in the
teaching?
A) I can administer oxytocin 4 hours after the insertion of the medication
B) You will need a full bladder prior to the insertion of the medication
C) Remain in a side lying position for 15 minutes after the medication is inserted
D) An antacid will be given 20 minutes prior to the insertion of the medication ------- Correct Ans
---------- A) I can administer oxytocin 4 hours after the insertion of the medication
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
A) Administer antiviral medication
B) Schedule an ultrasound examination
C) Administer Haemophilus influenza type B vaccine
D) Schedule an indirect coombs test ------- Correct Ans ---------- B) Schedule an ultrasound
examination
,To monitor the fetus during pregnancy to detect the possible development of fetal hydrops. The
virus can cause miscarriage, IUGR, fetal anemia, or stillbirth. There is no antiviral medication
available.
A nurse is caring for a client who is at 14 weeks of gestation and has a suspected placental
abruption. Which of the following laboratory tests should the nurse expect the provider to
prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin ratio
D) Maternal Alpha-fetoprotein ------- Correct Ans ---------- A) Kleihauer-Betke test
To determine if their is fetal blood in maternal circulation
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia ------- Correct Ans ---------- A) Abruptio placenta
A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?
A) 2+ dtr
B) Proteinuria of 200 mg in a 24 hr specimen
C) Polyuria
D) Blurred vision ------- Correct Ans ---------- D) Blurred vision
, A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?
A) Obtain informed consent
B) Collect at least 1 milliliter of urine for the test
C) Ensure the newborn has been receiving feedings for 24 hours prior to obtaining the specimen
D) Premature newborns may have false negative tests due to immature development of liver
enzymes ------- Correct Ans ---------- C) Ensure the newborn has been receiving feedings for 24
hours prior to obtaining the specimen
A nurse is performing a physical assessment of a newborn upon admission into the nursery.
Which of the following manifestations should the nurse expect? SATA
A) Yellow sclera
B) Acrocyanosis
C) Posterior fontanel larger than the anterior fontanel
D) Positive babinski
E) Two umbilical arteries ------- Correct Ans ---------- B, D, E
A nurse is performing a physical assessment of a newborn. Which of the following clinical
findings should the nurse expect? SATA
A) HR 154/min
B) Temp 96.8 F
C) RR 58/min
D) Length 16.9 inches
E) Weight 5 lb 12 oz ------- Correct Ans ---------- A, C, E
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of
the following findings should the nurse expect?
