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ATI Proctored ASN Maternity NSG 2520 Exam-3B

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Exam Details

Title ATI Proctored ASN Maternity NSG 2520 Exam-3B

Type Nursing

Category RN Nursing Exams

Subcategory ATI Exams (RN)

Domain Maternal & Newborn Care (RN ati)

Fragment N/A

Module RN-NURSING

Status active

Rating 95.00%

Attempts 15

Year 2026

Duration 130 min

Questions 10

Pass Score 90%

Difficulty Intermediate

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1 :
A nurse is assessing a client who is 48 hours postpartum following a vaginal delivery. The fundus is firm, midline, and located 1 fingerbreadth below the umbilicus. The client reports moderate lochia rubra without clots and mild uterine cramping during breastfeeding. Vital signs are within normal limits. Which interpretation should the nurse make?

The client requires immediate uterotonic medication administration

The client is demonstrating expected postpartum uterine involution

The client is experiencing early postpartum hemorrhage

The client has signs of uterine subinvolution

Hint : 🔍Consider whether the fundal tone, position, and lochia match normal recovery.

Correct Answers:

No Correct Answers Available !

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2 :
A nurse is assessing a client who is three days postpartum. The client has a fever of 101.2°F (38.4°C) and reports malodorous, purulent lochia. Based on these findings, which complication should the nurse suspect?

Mastitis

Endometritis

Urinary tract infection (UTI)

Wound infection

Hint : 🔬Focus on the source associated with foul-smelling postpartum vaginal discharge.

Correct Answers:

No Correct Answers Available !

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3 :
A nurse is caring for a newborn who was born 6 hours ago. Review the newborn's medical record and answer the question that follows.

Vital signs
Nurses Notes
Medical History
Diagnostic Results
Maternal Medical History

0800

Axillary temperature: 36.5°C (97.7°F)
Heart rate: 132/min
Respiratory rate: 52/min
Birth weight: 2,948 g (6 lb 8 oz)

0800:

The newborn is alert and active with an occasional strong cry. Skin color is pink except for mild yellowing on the bridge of the nose and acrocyanosis. The anterior fontanel is soft and flat. Molding of the skull with overlapping sutures is noted. Generalized soft swelling is present over the occipital area. Respirations are easy and unlabored. The newborn is formula-fed at least every 2 to 3 hours.

0900

ABO/Rh: A positive Coombs test, indirect: positive (Reference Range: negative) Urine toxicology screen: marijuana-negative (Reference Range: negative Maternal Medical History G1P1-Spontaneous vaginal delivery at 38 weeks gestation Pregnancy uncomplicated Maternal prenatal laboratory results: ABO/Rh: AB- Urine toxicology screen: positive for marijuana (Reference Range: negative)

0900

ABO/Rh: A positive
Indirect Coombs test: Positive (Reference range: Negative)
Urine toxicology screen: Negative for marijuana (Reference range: Negative)

G1P1
Spontaneous vaginal delivery at 38 weeks' gestation
Pregnancy uncomplicated
Maternal prenatal laboratory results:
- ABO/Rh: AB negative
- Urine toxicology screen: Positive for marijuana (Reference range: Negative)

Complete the sentence using the list of options. After reviewing the information in the newborn's medical record, the nurse should recognize that the newborn is at risk for developingas evidenced by

Hint : 🧪Think about what happens when maternal antibodies destroy newborn red blood cells.

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4 :
A nurse is performing pulse oximetry screening on a newborn 24 hours after birth as part of routine screening for critical congenital heart disease (CCHD). The right hand oxygen saturation is 95% and the right foot oxygen saturation is 88%. What is the most appropriate nursing action?

Document the findings as normal and repeat screening in 24 hours

Begin oxygen therapy and prepare for immediate intubation

Notify the provider and anticipate repeat screening per protocol

Reassure the parents that this is a normal transitional finding

Hint : 🎯Focus on the lowest oxygen saturation reading.

Correct Answers:

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5 :
A nurse is assessing a 2-day-old newborn for developmental dysplasia of the hip (DDH). Which finding is most concerning and requires further evaluation?

A palpable "clunk" during the Ortolani maneuver

External rotation of the lower extremities in the supine position

Flexion contractures of the hips

Symmetrical abduction of both hips

Hint : 🎧Distinguish a definite clunk from normal newborn positioning.

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6 :
A newborn weighing 4.2 kg is prescribed vitamin K 0.3 mg/kg IM at birth. The available concentration is 1 mg/mL. How many mL should the nurse administer? (Include the numeric value only. Round the answer to the nearest tenths place if applicable. Use a leading zero if it applies. Do not use a trailing zero.)

Hint : 📐Calculate the milligram dose before converting it to milliliters.

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7 :
A nurse is providing discharge teaching to the parents of a newborn who underwent a Gomco circumcision 24 hours ago. Which statements indicate the parents understand proper circumcision care? (Select all that apply.)

"We will monitor for excessive bleeding, foul odor, or any signs of infection."

"We will sponge bathe our baby until the circumcision is fully healed."

"We should apply hydrogen peroxide or alcohol to clean the circumcision site."

"A small amount of yellow exudate on the tip of the penis is normal as it heals."

"We should not use petroleum jelly with this type of circumcision."

"We will apply a thin layer of petroleum jelly to the circumcision site with each diaper change."

Hint : 🛡️Choose actions that protect the exposed site without irritating it.

Correct Answers:

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8 :
A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn's chest circumference?

Sternal notch

Nipple line

Xiphoid process

Fifth intercostal space

Hint : 🎽Use the landmark that creates a level circle around the widest standard area of the chest.

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9 :
A nurse is assessing a newborn whose mother has a history of opioid use during pregnancy. Which of the following findings is a common manifestation of neonatal abstinence syndrome (NAS)?

High-pitched cry and poor feeding

Excessive sleep and hypotonia

Bradycardia and lethargy

Hypoactive reflexes and constipation

Hint : 🎵Think of an overstimulated newborn rather than a sedated newborn.

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10 :
A nurse is performing an initial assessment of a full-term newborn who is one hour old. Which of the following findings should the nurse identify as the most concerning and report immediately to the provider?

Acrocyanosis

Presence of a Moro reflex

Soft anterior fontanel

Flaccid extremities

Hint : 🧍Identify which finding reflects absent normal newborn muscle tone.

Correct Answers:

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Ans

2 : A nurse is assessing a client who is three days postpartum. The client has a fever of 101.2°F (38.4°C) and reports malodorous, purulent lochia. Based on these findings, which complication should the nurse suspect?

3 : A nurse is caring for a newborn who was born 6 hours ago. Review the newborn's medical record and answer the question that follows.

4 : A nurse is performing pulse oximetry screening on a newborn 24 hours after birth as part of routine screening for critical congenital heart disease (CCHD). The right hand oxygen saturation is 95% and the right foot oxygen saturation is 88%. What is the most appropriate nursing action?

5 : A nurse is assessing a 2-day-old newborn for developmental dysplasia of the hip (DDH). Which finding is most concerning and requires further evaluation?

7 : A nurse is providing discharge teaching to the parents of a newborn who underwent a Gomco circumcision 24 hours ago. Which statements indicate the parents understand proper circumcision care? (Select all that apply.)

8 : A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn's chest circumference?

9 : A nurse is assessing a newborn whose mother has a history of opioid use during pregnancy. Which of the following findings is a common manifestation of neonatal abstinence syndrome (NAS)?

10 : A nurse is performing an initial assessment of a full-term newborn who is one hour old. Which of the following findings should the nurse identify as the most concerning and report immediately to the provider?

2 :
A nurse is assessing a client who is three days postpartum. The client has a fever of 101.2°F (38.4°C) and reports malodorous, purulent lochia. Based on these findings, which complication should the nurse suspect?

3 :
A nurse is caring for a newborn who was born 6 hours ago. Review the newborn's medical record and answer the question that follows.

4 :
A nurse is performing pulse oximetry screening on a newborn 24 hours after birth as part of routine screening for critical congenital heart disease (CCHD). The right hand oxygen saturation is 95% and the right foot oxygen saturation is 88%. What is the most appropriate nursing action?

5 :
A nurse is assessing a 2-day-old newborn for developmental dysplasia of the hip (DDH). Which finding is most concerning and requires further evaluation?

7 :
A nurse is providing discharge teaching to the parents of a newborn who underwent a Gomco circumcision 24 hours ago. Which statements indicate the parents understand proper circumcision care? (Select all that apply.)

8 :
A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn's chest circumference?

9 :
A nurse is assessing a newborn whose mother has a history of opioid use during pregnancy. Which of the following findings is a common manifestation of neonatal abstinence syndrome (NAS)?

10 :
A nurse is performing an initial assessment of a full-term newborn who is one hour old. Which of the following findings should the nurse identify as the most concerning and report immediately to the provider?