ATI RN MATERNAL NEWBORN PROCTORED EXAM LATEST
2024 -2025 COMPLETE 150 ACTUAL EXAM QUESTIONS
WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (Select all
that apply.)
a. Flaccid uterus
b. Cervical laceration
c. Excess vaginal bleeding
d. Increased afterbirth cramping
e. Increased maternal temperature - Correct Answer - Flaccid uterus is correct.
Oxytocin increases the contractility of the uterus. Cervical laceration is incorrect.
Bleeding resulting from a cervical laceration continues even when the uterus is
contracted and firm. It will require repair by the provider. Excess vaginal bleeding is
correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding. Increased
afterbirth cramping is incorrect. The use of oxytocin will increase, rather than decrease,
afterbirth cramping. Increased maternal temperature is incorrect. The use of oxytocin
will have no effect on maternal temperature.
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of
potential pregnancy complications to report to the provider. Which of the following
manifestations should the nurse include?
a. Shortness of breath when climbing stairs
b. Swelling of feet and ankles at the end of the day
c. Headache that is unrelieved by analgesia
d. Braxton Hicks contractions - Correct Answer - c. Headache that is unrelieved by
analgesia
pg. 1
,A headache that is unrelieved by analgesia can indicate preeclampsia and should be
reported to the provider.
A nurse is teaching a postpartum client about steps the nurses will take to promote the
security and safety of the client's newborn. Which of the following statements should the
nurse make?
a. "The nurse will carry your baby in their arms to the nursery for scheduled
procedures."
b. "We will document the relationship of visitors in your medical record."
c. "It's okay for your baby to sleep in the bed with you while in the hospital."
d. "Staff members who take care of your baby will be wearing a photo identification
badge." - Correct Answer - d. "Staff members who take care of your baby will be
wearing a photo identification badge."
The nurse should instruct the client that all staff members that care for newborns are
required to wear a photo identification badge so that the client will be reassured of the
newborn's safety. Some units' staff members wear special badges or a specific color
scrubs.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal
visit. Which of the following findings should the nurse report to the provider? a. Swelling
of the face
b. Varicose veins in the calves
c. Nonpitting 1+ ankle edema
d. Hyperpigmentation of the cheeks - Correct Answer - a. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New
Ballard Score. Which of the following findings should the nurse expect? a. Minimal arm
recoil
b. Popliteal angle of 90 degrees
c. Creases over the entire foot side
pg. 2
,d. Raised areolas with 3 to 4 mm buds - Correct Answer - a. Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestation to have
decreased muscular tone, or minimal arm recoil.
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They
are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a
vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify
that the client is in which of the following phases of labor?
a. Passive descent
b. Active
c. Early
d. Descent - Correct Answer - b. Active
The nurse should identify that the client is in the active phase of labor. This phase is
characterized by a cervical dilatation of 6 to 10 cm and contractions every 1.5 to 5 min,
each lasting 40 to 90 seconds.
A nurse is caring for a client who has preeclampsia and is receiving a continuous
infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
a. restrict hourly intake to 150 mL/hr
b. Have calcium gluconate readily available
c. assess deep tendon reflexes every 6 hr
d. monitor intake and output every 4 hr - Correct Answer - b. Have calcium gluconate
readily available
The nurse should have calcium gluconate readily available to prevent cardiac or
respiratory arrest in the event the client experiences magnesium toxicity.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations
should the nurse report to the provider?
a. acrocyanosis
b. transient strabismus
pg. 3
, c. jaundice
d. caput succedaneum - Correct Answer - c. jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the
provider.
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 Answer - a. depression
The nurse should instruct the client that depression is a common adverse effect of
combined oral contraceptives. Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast
tenderness.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
a. percutaneous umbilical blood sampling
b. amnioinfusion
c. biophysical profile (BPP)
d. Chorionic villus sampling (CVS) - Correct Answer - c. biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-being. A
positive contraction stress test indicates there is potential uteroplacental insufficiency. A
BPP uses a real time ultrasound to visualize physical and physiological characteristics
of the fetus and observe for fetal biophysical responses to stimuli.
pg. 4
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