ATI Maternal Newborn Proctored Test Questions

Free preview · Original latest version

Sample questions from ATI Maternal Newborn Proctored Test Questions

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 26-year-old client at 39 weeks' gestation is in labor in the birthing unit. The cervix is 6 cm dilated, and the fetal heart rate baseline is 140/min with moderate variability. The client says, "I feel like I need to push." What should the nurse do first?

   • A.Assess the cervix for complete dilation
   • B.Encourage the client to push with each contraction
   • C.Assist the client to a side-lying position and reassess in 30 minutes
   • D.Prepare to administer an opioid analgesic

   Rationale: The urge to push can indicate cervical change, so the nurse should assess dilation before encouraging pushing. Pushing before complete dilation can cause cervical edema or injury. Repositioning and analgesia do not address the immediate need to determine labor progress.

2. 2.A 31-year-old client at 34 weeks' gestation arrives at the emergency department with a severe headache and blurred vision. Blood pressure is 168/112 mm Hg, and urine protein is 3+. Which action should the nurse take first?

   • A.Place the client in a quiet room and institute seizure precautions
   • B.Encourage oral fluids and recheck the blood pressure in 1 hour
   • C.Obtain a clean-catch urine specimen for culture
   • D.Assist the client to ambulate to reduce dependent edema

   Rationale: Severe hypertension with neurologic symptoms and proteinuria suggests preeclampsia with severe features and risk of eclampsia. Seizure precautions and a low-stimulation environment address immediate safety while urgent evaluation and treatment proceed. Waiting an hour, collecting a culture, or ambulating delays care and does not reduce the seizure risk.

3. 3.A 24-year-old client at 30 weeks' gestation is receiving magnesium sulfate for preeclampsia. The nurse finds a respiratory rate of 10/min, absent patellar reflexes, and urine output of 20 mL/hr. What is the priority action?

   • A.Stop the magnesium sulfate infusion
   • B.Increase the infusion rate because the urine output is low
   • C.Place the client supine and reassess in 15 minutes
   • D.Administer the next scheduled dose of an antihypertensive

   Rationale: Respiratory depression, absent reflexes, and oliguria are signs of magnesium toxicity, so the infusion should be stopped immediately. Increasing the dose or waiting to reassess could worsen toxicity. An antihypertensive does not treat magnesium toxicity; the nurse should also notify the provider and prepare to administer calcium gluconate as prescribed.

4. 4.A 28-year-old client is 20 minutes postpartum after a vaginal birth. The nurse notes a boggy uterus, heavy lochia, and a pulse of 118/min. What should the nurse do first?

   • A.Massage the fundus
   • B.Document the amount of lochia and reassess in 30 minutes
   • C.Assist the client to the bathroom to empty the bladder
   • D.Prepare the client for discharge teaching

   Answer and rationale are in the full material.

5. 5.A 35-year-old client at 38 weeks' gestation has painless bright-red vaginal bleeding. The fetal heart rate is 145/min, and the client is hemodynamically stable. Which action should the nurse avoid?

   • A.Performing a digital vaginal examination
   • B.Monitoring maternal vital signs
   • C.Applying external fetal monitoring
   • D.Establishing intravenous access

   Answer and rationale are in the full material.