The 2025 Comprehensive Maternal-Newborn ATI Proctored Exam Study Guide with Detailed Questions, Answers, and Rationales for Guaranteed Success is an expertly crafted resource designed for nursing students preparing for the ATI Maternal-Newborn Proctored Exam in 2025. This study guide offers an extensive collection of practice questions that mirror the exam’s format, including Next Gen NCLEX (NGN)-style items such as case studies, bowtie questions, and trend items, ensuring alignment with the latest ATI testing standards. It covers critical maternal-newborn topics such as prenatal care, labor and delivery, postpartum care, newborn assessment, and management of complications like gestational diabetes, preeclampsia, and neonatal jaundice. Each question is paired with detailed answers and rationales, providing in-depth explanations of concepts like fetal heart rate monitoring, stages of labor, APGAR scoring, and breastfeeding techniques. The guide also addresses high-yield areas such as postpartum hemorrhage, preterm labor, and newborn reflexes, equipping students with the knowledge to handle both theoretical and clinical scenarios. Designed to boost confidence and ensure a passing score, this resource includes test-taking strategies, time management tips, and focused reviews to help students achieve success on the exam and build a strong foundation for NCLEX preparation. It’s an essential tool for mastering maternal-newborn nursing and securing a competitive performance in nursing school assessments.
Preview
1. Which of the following findings should the nurse expect in a client with abruptio
placentae?
A. Hypertension
B. Uterine tenderness
C. Fetal tachycardia
D. Leukorrhea
Correct Answer: B. Uterine tenderness
Rationale: Uterine tenderness is a common symptom of abruptio placentae, which is the
premature separation of the placenta from the uterine wall. This condition often presents
with pain and tenderness in the uterus.
2. A nurse is caring for a client who is at 28 weeks of gestation and received no
immunizations during childhood. Which of the following vaccines should the nurse
plan to administer?
A. Human papillomavirus
B. Rubella
C. Tetanus
D. Varicella
Correct Answer: C. Tetanus
Rationale: The tetanus vaccine is safe during pregnancy and is recommended for all
pregnant women, especially in the third trimester, to protect both the mother and newborn
from tetanus.
3. A nurse is assessing a newborn who was born via a forceps-assisted birth. Which of
the following findings should the nurse identify as an injury caused by the forceps?
A. Depressed anterior fontanel
B. Uneven gluteal skinfolds
C. Epicanthal folds
D. Facial asymmetry
Correct Answer: D. Facial asymmetry
Rationale: Forceps-assisted delivery can cause pressure on the baby’s facial nerves,
resulting in facial asymmetry, which is a common injury seen in such deliveries.
4. A nurse is caring for a client who is taking an oral contraceptive. The nurse should
instruct the client to report which of the following findings to the provider
immediately?
A. Breast tenderness
B. Persistent headaches
C. Vaginal itching
D. Painful intercourse
Correct Answer: B. Persistent headaches
Rationale: Persistent headaches may indicate a serious side effect, such as a stroke or
blood clot, especially with oral contraceptives. These should be reported immediately to
the provider.
placentae?
A. Hypertension
B. Uterine tenderness
C. Fetal tachycardia
D. Leukorrhea
Correct Answer: B. Uterine tenderness
Rationale: Uterine tenderness is a common symptom of abruptio placentae, which is the
premature separation of the placenta from the uterine wall. This condition often presents
with pain and tenderness in the uterus.
2. A nurse is caring for a client who is at 28 weeks of gestation and received no
immunizations during childhood. Which of the following vaccines should the nurse
plan to administer?
A. Human papillomavirus
B. Rubella
C. Tetanus
D. Varicella
Correct Answer: C. Tetanus
Rationale: The tetanus vaccine is safe during pregnancy and is recommended for all
pregnant women, especially in the third trimester, to protect both the mother and newborn
from tetanus.
3. A nurse is assessing a newborn who was born via a forceps-assisted birth. Which of
the following findings should the nurse identify as an injury caused by the forceps?
A. Depressed anterior fontanel
B. Uneven gluteal skinfolds
C. Epicanthal folds
D. Facial asymmetry
Correct Answer: D. Facial asymmetry
Rationale: Forceps-assisted delivery can cause pressure on the baby’s facial nerves,
resulting in facial asymmetry, which is a common injury seen in such deliveries.
4. A nurse is caring for a client who is taking an oral contraceptive. The nurse should
instruct the client to report which of the following findings to the provider
immediately?
A. Breast tenderness
B. Persistent headaches
C. Vaginal itching
D. Painful intercourse
Correct Answer: B. Persistent headaches
Rationale: Persistent headaches may indicate a serious side effect, such as a stroke or
blood clot, especially with oral contraceptives. These should be reported immediately to
the provider.
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