Preparing for the ATI Maternal Newborn Proctored Exam can be overwhelming, but with the right resources, you can confidently navigate through it. This exam covers a wide range of topics that are essential for any nurse working with mothers and newborns. And to make sure you’re fully prepared, Ulosca.com has you covered.
Ulosca.com provides practice questions and answers that mirror the exact format and challenge of the exam, so you’re not only reviewing key concepts but also practicing the way the questions will be presented. Whether you’re preparing for the first time or need a refresher, knowing the types of questions that are typically asked can make a huge difference.
In this guide, we’ll walk you through some sample questions from the 2019 ATI Maternal Newborn Proctored Exam. We’ve also included correct answers along with detailed explanations, which will help you understand not only why certain answers are correct but also how to approach similar questions in the future. With Ulosca’s resources, you’ll walk into the exam feeling prepared and confident.
Let’s dive into these questions!
ATI Maternal Newborn Proctored Exam 2019 Questions & Answers
Question 1: A nurse is caring for a client who is at 24 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 (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP)
Answer: A. Kleihauer-Betke test
Explanation: The Kleihauer-Betke test is used to detect fetal blood in maternal circulation, which is critical for diagnosing conditions like placental abruption. This test helps determine if fetal blood cells have entered the maternal bloodstream due to placental separation.
Question 2: A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones
Answer: A. BUN 25 mg/dL
Explanation: A BUN (Blood Urea Nitrogen) level of 25 mg/dL suggests dehydration, which is a concern in patients with hyperemesis gravidarum. Elevated BUN levels indicate that the body is not properly excreting waste due to fluid loss.
Question 3: A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions
Answer: A. Blood pressure 136/88 mm Hg
Explanation: Blood pressure of 136/88 mm Hg could indicate preeclampsia, a condition characterized by high blood pressure and potential organ damage. It is important for the nurse to report any signs of elevated blood pressure during late pregnancy.
Question 4: 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 prior to obtaining the specimen.”
B. “Collect at least 1 milliliter of urine for the test.”
C. “Ensure that 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 the liver.”
Answer: C. “Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen.”
Explanation: The universal newborn screening test requires that the newborn be fed for at least 24 hours to ensure accurate test results. The feedings help normalize metabolic levels, allowing for a more accurate screening outcome.
Question 5: A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
Answer: 50 mL/hr
Explanation: To administer 2g/hr, the nurse needs to calculate the infusion rate based on the available concentration. 20g in 500mL results in 40mg/mL. To administer 2g/hr, the nurse should set the infusion pump to 50 mL/hr (2g ÷ 40mg/mL).
Question 6: A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?
A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed
Answer: C. Respiratory rate 10/min
Explanation: A respiratory rate of 10/min is a sign of magnesium sulfate toxicity. This drug can depress the respiratory system, and low respiratory rates require immediate attention from the healthcare provider.
Question 7: A nurse is caring for a postpartum client who has a diagnosis of uterine atony. Which of the following medications should the nurse expect the provider to prescribe?
A. Oxytocin
B. Methylergonovine
C. Misoprostol
D. Terbutaline
Answer: A. Oxytocin
Explanation: Oxytocin is the first-line medication used to treat uterine atony because it stimulates uterine contractions, helping the uterus to contract and reduce bleeding.
Question 8: A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the puncture.
B. Request a prescription for IM analgesic.
C. Use a manual lance blade to pierce the skin.
D. Place the newborn skin to skin on the mother’s chest.
Answer: D. Place the newborn skin to skin on the mother’s chest.
Explanation: Skin-to-skin contact is a well-established method to reduce pain and stress in newborns during procedures. It provides comfort and helps regulate the baby’s heart rate and body temperature, reducing discomfort during the heel stick.
Question 9: A nurse is admitting a client to the labor and delivery unit when the client states, “My water just broke.” Which of the following interventions is the nurse’s priority?
A. Perform Nitrazine testing.
B. Assess the fluid.
C. Check cervical dilation.
D. Begin FHR monitoring.
Answer: B. Assess the fluid.
Explanation: The first priority when a client’s water breaks is to assess the amniotic fluid. The nurse should check for signs of meconium-stained fluid or signs of infection to guide further care decisions.
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ATI Maternal Newborn Proctored Exam 2019: Sample Questions & Answers
Sample Question 1
A nurse is caring for a postpartum client who has an episiotomy. Which of the following findings should the nurse report to the provider?
A. Redness of the perineal area
B. Moderate swelling at the episiotomy site
C. Bright red bleeding from the incision
D. A slight increase in pain when ambulating
Answer: C. Bright red bleeding from the incision
Explanation: Bright red bleeding from the episiotomy site may indicate active hemorrhage, which requires immediate assessment and intervention. This finding should be reported to the provider to prevent further complications.
Sample Question 2
A nurse is assessing a newborn who is 6 hours old. The nurse notes that the newborn has a respiratory rate of 60/min and occasional nasal flaring. Which of the following actions should the nurse take?
A. Reposition the newborn
B. Administer oxygen via a nasal cannula
C. Notify the provider
D. Reassess the newborn in 30 minutes
Answer: C. Notify the provider
Explanation: A respiratory rate of 60/min with nasal flaring is concerning for respiratory distress. The nurse should notify the provider to ensure proper assessment and early intervention to prevent complications like respiratory failure.
Sample Question 3
A nurse is teaching a prenatal class about prenatal vitamins. Which of the following instructions should the nurse include in the teaching?
A. “Take prenatal vitamins with an empty stomach to improve absorption.”
B. “Avoid taking prenatal vitamins with dairy products.”
C. “Take prenatal vitamins at night to prevent nausea.”
D. “Limit folic acid intake to 200 mcg per day.”
Answer: C. “Take prenatal vitamins at night to prevent nausea.”
Explanation: Taking prenatal vitamins at night can help reduce nausea, which some clients experience when taking them in the morning. This instruction also ensures that the vitamins are taken consistently.
Sample Question 4
A nurse is caring for a client in labor who is receiving an epidural block. Which of the following findings should the nurse report to the provider?
A. The client’s blood pressure is 90/60 mm Hg.
B. The client is feeling lightheaded.
C. The client has a low-grade fever.
D. The client is experiencing a slight headache.
Answer: A. The client’s blood pressure is 90/60 mm Hg.
Explanation: A blood pressure of 90/60 mm Hg is indicative of hypotension, a common side effect of epidural anesthesia. This could affect uteroplacental perfusion and should be reported to the provider immediately.
Sample Question 5
A nurse is caring for a client who is 34 weeks pregnant and has developed severe preeclampsia. Which of the following is the priority action?
A. Administer magnesium sulfate.
B. Assess fetal heart rate (FHR).
C. Provide a protein-rich snack.
D. Perform a urine dipstick test for protein.
Answer: A. Administer magnesium sulfate.
Explanation: Magnesium sulfate is the first-line treatment for severe preeclampsia to prevent seizures. While fetal monitoring is important, the priority is to manage the maternal condition first to prevent complications such as eclampsia.
Sample Question 6
A nurse is reviewing the lab results of a client who is 6 hours postpartum. The nurse notes that the client’s hematocrit is 28%. Which of the following actions should the nurse take?
A. Encourage the client to increase fluid intake.
B. Notify the provider of the low hematocrit level.
C. Administer iron supplements to the client.
D. Reassess the client’s hematocrit level in 24 hours.
Answer: B. Notify the provider of the low hematocrit level.
Explanation: A hematocrit level of 28% is low and indicates possible postpartum anemia, which could be due to blood loss during delivery. The nurse should notify the provider to initiate appropriate treatment to prevent complications.
Sample Question 7
A nurse is caring for a postpartum client who has a history of gestational diabetes. The nurse is assessing the newborn for hypoglycemia. Which of the following findings should the nurse report to the provider?
A. The newborn is lethargic.
B. The newborn has a temperature of 97.4°F.
C. The newborn’s blood glucose level is 48 mg/dL.
D. The newborn is feeding well.
Answer: A. The newborn is lethargic.
Explanation: Lethargy is a sign of hypoglycemia in newborns, particularly in those born to mothers with gestational diabetes. This symptom should be reported to the provider for further assessment and treatment.
Sample Question 8
A nurse is teaching a client about the signs of labor. Which of the following statements by the client indicates that the nurse’s teaching was successful?
A. “I should expect contractions to occur every 20 minutes if I am in labor.”
B. “I should call my healthcare provider if my water breaks.”
C. “I will go to the hospital if I have back pain during contractions.”
D. “I will wait until my contractions are 5 minutes apart before going to the hospital.”
Answer: B. “I should call my healthcare provider if my water breaks.”
Explanation: If a client’s water breaks, it is important to contact the healthcare provider immediately. This could indicate the onset of labor, and the provider will want to assess the situation to prevent any complications.
Sample Question 9
A nurse is caring for a client who has a prescription for an amniocentesis. Which of the following findings should the nurse report immediately?
A. Mild cramping after the procedure
B. The presence of blood-tinged fluid after the procedure
C. The client is feeling fatigued
D. A decrease in fetal movement after the procedure
Answer: D. A decrease in fetal movement after the procedure
Explanation
A decrease in fetal movement after an amniocentesis could indicate fetal distress or injury, which requires immediate reporting to the provider for further evaluation.
Sample Question 10
A nurse is caring for a newborn who is 1 hour old. The nurse observes that the newborn has a heart rate of 80 bpm and is not responding to stimulation. Which of the following actions should the nurse take?
A. Administer epinephrine.
B. Initiate resuscitation with positive pressure ventilation.
C. Perform a thorough physical assessment.
D. Obtain a glucose level.
Answer: B. Initiate resuscitation with positive pressure ventilation.
Explanation: A heart rate of 80 bpm and lack of response to stimulation are signs of neonatal depression. Positive pressure ventilation should be initiated immediately to support the newborn’s breathing and heart rate.
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ATI Maternal Newborn Proctored Exam 2019 Final Word
The ATI Maternal Newborn Proctored Exam is an important step in your nursing career. It tests your ability to provide safe and effective care for mothers and newborns. By understanding the types of questions and practicing regularly, you can improve your chances of success on the exam.
Remember, it’s not just about memorization—it’s about understanding concepts and applying them in real-world scenarios.
Utilizing tools such as Ulosca.com will provide comprehensive resources, including practice exams, rationales, and study tips, to help you further improve your readiness. Good luck, and remember, with dedicated preparation, you are fully capable of succeeding on the exam!