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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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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
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?
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?
A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider?
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?
A nurse is teaching a client about using a diaphragm. Which of the following instructions should the nurse include in the teaching?