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Maternal Newborn RN A.T.I Proctored Exam 2025: Ultimate Study Guide, Practice Questions, Exams of Nursing

Maternal Newborn RN A.T.I Proctored Exam 2025: Ultimate Study Guide, Practice Questions, and Expert Strategies for High Scores WITH QUESTIONS

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2024/2025

Available from 05/30/2025

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Maternity 2025 ATI Exam: Comprehensive Study Guide
with Practice Questions and Expert Answers for Nursing
Students
1. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the
following findings should the nurse report to the provider?
A. Blood glucose 110 mg/dL
B. Deep tendon reflexes of 2+
C. Urine protein of 3+
D. Hemoglobin of 13 g/dL
Correct Answer: C. Urine protein of 3+
Rationale: Proteinuria (3+ or more) is a key diagnostic indicator of severe preeclampsia and
requires immediate attention. The other values listed are within normal limits.
2. A nurse is providing teaching about the expected effects of magnesium sulfate to a client
who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by
the nurse is appropriate?
A. "This medication improves tissue perfusion."
B. "This medication increases cardiac output."
C. "This medication stabilizes the fetal heart rate."
D. "This medication prevents seizures."
Correct Answer: D. "This medication prevents seizures."
Rationale: Magnesium sulfate is administered to prevent seizures (eclampsia) in clients with
preeclampsia. It does not primarily improve tissue perfusion, increase cardiac output, or
stabilize the fetal heart rate.
3. A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which
of the following clinical findings should the nurse identify as an indication of postpartum
infection?
A. Unilateral breast pain
B. Lochia alba
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Maternity 2025 ATI Exam: Comprehensive Study Guide

with Practice Questions and Expert Answers for Nursing

Students

1. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider? A. Blood glucose 110 mg/dL B. Deep tendon reflexes of 2+ C. Urine protein of 3+ D. Hemoglobin of 13 g/dL ✅ Correct Answer: C. Urine protein of 3+ Rationale: Proteinuria (3+ or more) is a key diagnostic indicator of severe preeclampsia and requires immediate attention. The other values listed are within normal limits. 2. A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate? A. "This medication improves tissue perfusion." B. "This medication increases cardiac output." C. "This medication stabilizes the fetal heart rate." D. "This medication prevents seizures." Correct Answer: D. "This medication prevents seizures." Rationale: Magnesium sulfate is administered to prevent seizures (eclampsia) in clients with preeclampsia. It does not primarily improve tissue perfusion, increase cardiac output, or stabilize the fetal heart rate. 3. A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of the following clinical findings should the nurse identify as an indication of postpartum infection? A. Unilateral breast pain B. Lochia alba

C. Stretch marks D. WBC count 12,000/mm³ ✅ Correct Answer: A. Unilateral breast pain Rationale: Unilateral breast pain can indicate mastitis, a common postpartum infection. Lochia alba is a normal postpartum discharge, stretch marks are not indicative of infection, and a WBC count of 12,000/mm³ is within the expected postpartum range.

4. A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? A. "You will have dilation and effacement of the cervix." B. "Your contractions will become temporarily regular." C. "You will have bloody show." D. "Your contractions will become more intense when walking." ✅ Correct Answer: B. "Your contractions will become temporarily regular." Rationale: False labor contractions can be regular but do not cause cervical dilation or effacement. They often resolve with rest and do not intensify with activity. 5. A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy? A. Check the newborn’s identification using the crib card. B. Replace the infant’s identification band after his name has been recorded. C. Require visitors to wear an identification band. D. Obtain an imprint of the infant’s feet prior to taking him to the nursery.Correct Answer: D. Obtain an imprint of the infant’s feet prior to taking him to the nursery. Rationale: Footprinting is a standard newborn identification procedure used to prevent mix-ups and ensure safety. 6. A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take? A. Apply an ice pack to the incision site.

D. Prepare the client for what to expect the fetus to look like.Correct Answer: D. Prepare the client for what to expect the fetus to look like. Rationale: Preparing the client for the appearance of the stillborn fetus helps reduce shock and allows for emotional processing. Clients should not be rushed in spending time with the baby.

10. A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client’s arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take? A. Demonstrate how to hold the newborn and allow the client to practice. B. Persuade the client to breastfeed the newborn to promote bonding. C. Offer to take the newborn to the nursery to finish feeding. D. Insist that the mother pick up the newborn to feed him. ✅ Correct Answer: A. Demonstrate how to hold the newborn and allow the client to practice. Rationale: The nurse should provide education and support without forcing the mother to hold the baby. Demonstrating proper techniques encourages bonding without creating additional stress. A nurse is caring for a client who is in labor. Which of the following finding should prompt the nurse to reassess the client? 1. intense contractions lasting 45-60 seconds 2. an urge to have a bowel movement during contractions 3. a sense of excitement and warm, flushed skin 4. progressive sacral discomfort during contractions - - correct ans- - A sense of excitement and warm, flushed skin A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? 1. hemoglobin 14.8 g/dL

  1. urine protein concentration 200 mg/24 hr
  2. platelet count 60,000/mm3 - - correct ans- - platelet count 60,000/mm A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?
  3. lay the tape measure horizontally over the middle of the clients abdomen
  4. place the client in a left-lateral position to obtain the measurement
  5. ensure that the client has a full bladder before taking the measurement
  6. measure from the upper border of the pubis to the upper border of the fundus - - correct ans- - Measure from the upper border of the pubis to the upper border of the fundus A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Which of the following recommendations should the nurse make to help retrieve this common discomfort of pregnancy?
  7. include 18 g of fiber in the diet each day
  8. drink 2-3 L of water each day
  9. Add 30 mL of mineral oil to each meal
  10. Take 60 mL of magnesium hydroxide once daily - - correct ans- - Drink 2-3 L of water each day A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the fetal heart beat. Which of the following terms should the nurse use to document this finding?
  11. Goodell's sign
  12. Funic souffle
  13. Quickening
  14. Hegar's sign - - correct ans- - Funic souffle
  1. Transmission can occur via the saliva and urine of the newborn
  2. This infection requires airborne precautions are initiated for the newborn
  3. Lesions are visible on the mothers genitalia - - correct ans- - Transmission can occur via the saliva and urine of the newborn A nurse in a prenatal clinic is caring for a client who has hyperemessis agravidarum. Which of the following is the initial laboratory test used to evaluate this condition?
  4. liver enzymes
  5. complete blood count
  6. urine ketones
  7. thyroid levels - - correct ans- - Urine ketones A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks gestation. Which of the following actions should the nurse take?
  8. administer ceftriaxone IM
  9. administer rubella vaccine
  10. obtain a maternal serum alpha-fetoprotein specimen
  11. obtain a blood culture - - correct ans- - administer ceftriaxone IM A nurse is teaching a client about the basal body temperature method of contraception. Which of the following statements should the nurse include in the teaching?
  12. Your risk of pregnancy is greatest on days 21-28 of your cycle
  13. You should take your temperature before getting up for the day
  14. You should abstain from intercourse when your temperature is above 100 F
  15. Your temperature may increase slightly immediately prior to ovulation - - correct ans- - You should take your temperature before getting up for the day

A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching?

  1. you will lie on your side for 40 minutes after I administer the med
  2. I will begin an oxytocin infusion within 2 hours of your last dose of med
  3. You will receive an antacid containing magnesium before the medication
  4. I will insert a urinary catheter before I administer the med - - correct ans- - You will lie on your side for 40 minutes after I administer the med A nurse is planning care for a client in the postpartum unit. Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
  5. the client will identify individual family member roles
  6. The client will have adequate nutritional intake
  7. The client will verbalize appropriate car seat safety
  8. The client will demonstrate proper bathing of the infant - - correct ans- - The client will have adequate nutritional intake A nurse in the antepartum clinic is teaching a client who is at 28 weeks of gestation and has preeclampsia. Which of the following instructions should the nurse include in the teaching?
  9. limit your fluid intake to four 8 ounce glasses per day
  10. count your baby's movements aily
  11. reduce your calcium intake to less than 1 gram per day
  12. Alternate arms each time you check your blood pressure - - correct ans- - Count your baby movements daily A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?

A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

  1. Increase the infusion rate every 30-60 min 2.Maintain the client in a supine position
    1. Limit IV intake to 4 L per 24 hours
    2. Titrate the infusion rate by 4 mu/min - - correct ans- - Increase the infusion rate every 3060 min A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include?
    3. you should expect your uterus to double in size
    4. your stomach will empty rapidly
    5. your nipples will become lighter in color
    6. you should anticipate nasal stuffiness - - correct ans- - You should anticipate nasal stuffiness A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
    7. verify that the informed consent is obtained prior to administration
    8. allow the med to reach room temp prior to administration
    9. Instruct the client to avoid urinary elimination until after administration
    10. Place the client in a semi-fowlers position for 1 hour after administration - - correct ans- - Verify that the informed consent is obtained prior to administration A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference? 1. A client who is at 37 weeks gestation and has an L/S ration 2:
    11. A client who is at 35 weeks of gestation and has a biophysical profile of 6
    12. A client who is at 39 weeks of gestation and has a negative contraction stress test
  1. A client who is at 28 weeks of gestation and has a negative Coombs titer - - correct ans- - A client who is at 35 weeks of gestation and has a biophysical profile of 6 A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching?
  2. Thawed breast milk that is unused can be refrozen
  3. Breast milk can be stored at room temperature for up to 12 hours
  4. Breast milk can be stored in a deep freezer for 12 months
  5. Thawed breast milk can be refrigerated for up to 72 hours - - correct ans- - Breast milk can be stored in a deep freezer for 12 months A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
  6. Erythema toxicum
  7. Periauricular papillomas
  8. Facial petechiae
  9. Telangiectatic nevi - - correct ans- - Facial petechiae A nurse is assessing a newborn upon admission to the nursery. Which of the following findings should the nurse expect?
  10. Length from head to heel of 40 cm
  11. Bulging Fontanels
  12. Chest circumference 2 cm smaller than the head circumference
  13. Nasal flaring - - correct ans- - Chest circumference 2 cm smaller than the head circumference A nurse is assisting with a precipitous delivery of a term newborn. After the head emerges, the nurse palpates the cord around the newborns neck. Which of the following actions should the nurse take?

A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider?

  1. A newborn who has molding with overlapping suture lines
  2. A female newborn who has blood-tinged vaginal discharge
  3. A newborn who has a high-pitched cry with exaggerated moro reflex
  4. A male newborn who has a scrotal edema - - correct ans- - A newborn who has a highpitched cry with exaggerated moro reflex A nurse in a provider's office is caring for a 20 year old client who is at 12 weeks of gestation and requests an amniocentesis to determine the gender of the fetus. Which of the following responses should the nurse take?
  5. We can schedule the procedure for later today If you'd like
  6. You cannot have an amniocentesis until you are at least 35 years of age
  7. This procedure determines if your baby has genetic or congenital disorders
  8. Your provider will schedule a chorionic villus sampling to determine the sex of your baby
    • correct ans- - This procedure determines if your baby has genetic or congenital disorders A nurse is caring for a client who is postpartum. The client reports no relief in perineal pain following the administration of oxycodone/acetaminophen. Which of the following actions should the nurse take first?
  1. reposition the client
  2. Apply an ice pack to the clients perineum
  3. Assess the clients perineal area for swelling
  4. Administer ibuprofen to the client - - correct ans- - Assess the clients perineal area for swelling A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?
  1. Chorioamnionitis
  2. vaginal laceration during birth
  3. Excessive bleeding after birth
  4. Oligohydramnios - - correct ans- - Chorioamnionitis A nurse I caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
  5. Decrease the rate of IV fluids
  6. Elevate the clients head
  7. Administer oxygen via a face mask
  8. Perform fetal scalp stimulation - - correct ans- - Administer oxygen via a face mask A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?
  9. Keep the newborn in a side-lying position
  10. Restrict the newborns fluid intake
  11. cover the newborns bladder with a sterile, non-adherent dressing
  12. Exert gentle pressure on the newborns bladder with sterile gauze - - correct ans- - Cover the newborns bladder with a sterile, non-adherent dressing A nurse is reviewing the laboratory report of a client who is 24 hours postpartum vaginal delivery. The client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of the following actions should the nurse take?
  13. Initiate IV access for isotonic solution with an 18 gauge catheter
  14. Prepare the client for a blood transfusion
  15. Administer an iron supplement to the client
  16. Instruct the client that the provider will check for placental fragments - - correct ans- -
  1. oatmeal
  2. cabbage
  3. asparagus - - correct ans- - Oatmeal A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?
  4. proteinuria
  5. hyperemesis
  6. hypoxia
  7. hemorrhage - - correct ans- - Hemorrhage A nurse is in a clinic caring for a client who is in her second trimester pregnancy. The client expresses concern about preparing her 2 year old child for a new sibling. Which of the following is an appropriate response by the nurse?
  8. Move your toddler to his new bed 2 months before the baby comes home
  9. Let the toddler see you carrying the baby into the home for the first time
  10. Avoid bringing your toddler to prenatal visits
  11. Required scheduled interactions between toddler and the baby - - correct ans- - Required scheduled interactions between toddler and the baby A nurse is assessing current mediation use with a client who is at 6 weeks of gestation. The nurse should recognize that pregnancy is a contraindication the administration of which of the following meds?
  12. azithromycin
  13. metformin
  14. diphenhyamine
  15. isotretinoin - - correct ans- - Isotretinoin

A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position (LOA). On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the FHR? - - correct ans- - Place the fetal monitor on the bottom left box A nurse is reviewing the immunization status of a client who is pregnant. The nurse should inform the client that it is safe for her to receive which of the following immunizations during pregnancy?

  1. varicella
  2. Rubella
  3. Tetanus
  4. Rubela - - correct ans- - Tetanus A nurse is reviewing laboratory findings a client who is at 20 weeks of gestation. Which of the following dinging should the nurse report to the provider?
  5. Creatinine 0.9 mg/dL
  6. WBC count 11,000/mm
  7. Fasting blood glucose 180 mg/dL
  8. Hematocrit 35% - - correct ans- - Fasting blood glucose 180 mg/dL A nurse is caring for a client who is at 35 weeks of gestation and is on bed rest due to preeclampsia. Which of the following is an important action for the nurse to take?
  9. Maintain NPO status
  10. Obtain a BP every 8 hours
  11. Keep the lights dimmed in the room
  12. Auscultate fetal heart tones twice per day - - correct ans- - Keep the lights dimmed in the room

A nurse is teaching a client about using a diaphragm. Which of the following instructions should the nurse include in the teaching?

  1. Insert the diaphragm up to 12 hours before intercourse
  2. Remove the diaphragm 2 hours after intercourse
  3. Replace the diaphragm every 2 years
  4. Use 2 teaspoons baby oil to lubricate the diaphragm before insertion - - correct ans- - Replace the diaphragm every 2 years A nurse is admitting a client to the birthing unit who reports her contractions started one hour ago. The nurse determines client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
  5. hyperemesis gravidarum
  6. postpartum hemorrhage
  7. incompetent cervix
  8. ectopic pregnancy - - correct ans- - postpartum hemorrhage A nurse is providing vehicle safety education to parents of a premature newborn. Which of the following statements should the nurse include in the teaching? 1. You should secure your newborns car seat a t a 60 degree angle
  9. Your newborn will need to have a car seat test prior to discharge
  10. Place your newborn in a front-facing car seat in the back seat of the vehicle
  11. Position the retainer clip at the level of your newborns abdomen - - correct ans- - Your newborn will need to have a car seat test prior to discharge A nurse is providing discharge instructions to a client who is 2 days postpartum. Which of the following findings indicates a complication?
  12. Hypotonic uterus
  13. Hit 36%
  1. Platelet count 370,000/ mm
  2. Perineal edema - - correct ans- - Hypotonic uterus A nurse is reviewing the medical record of a client who had vaginal delivery 3 hours ago. Which of the following findings place the client at risk for postpartum hemorrhage? (SATA) 1. history of HPV
  3. vacuum assisted delivery
  4. labor induction with oxytocin
  5. newborn weight 2.9 kg
  6. history of uterine atony - - correct ans- - Labor induction with oxytocin History of uterine atony A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
  7. Temperature 97.7 degrees
  8. Blood pressure 80/50 mmHg
  9. Respiratory rate 55/min
  10. Heart rate 72/min - - correct ans- - Heart rate 72/min A nurse is admitting a client who is in preterm labor to the labor and delivery unit. The nurse should anticipate which of the following tests to assess for fetal lung maturity? - - correct ans- - Lecithin/sphingomyelin ratio A nurse is assessing a newborn who is 2 hours old. Which of the following findings should the nurse report to the provider? - - correct ans- - Single transverse palmar crease bilaterally A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider - - correct ans- - Bulging fontaneles