ATI MATERNAL NEWBORN PROCTORED EXAM |NURSING TEST
BANK | 200+ VERIFIED PRACTICE QUESTIONS WITH DETAILED
RATIONALES | COMPREHENSIVE ATI MATERNAL & CHILD
HEALTH STUDY GUIDE FOR RN STUDENTS AND NCLEX EXAM
PREPARATION
Question 1
A nurse is providing teaching to a client who is at 10 weeks of gestation and
reports frequent nausea and vomiting. Which of the following statements should
the nurse include?
A) "Eat three large meals daily to keep your stomach full."
B) "Eat dry crackers before getting out of bed in the morning." (CORRECT
OPTION)
C) "Increase your intake of high-fat foods to settle your stomach."
D) "Avoid all fluids until the nausea subsides."
RATIONALE: Eating dry crackers before getting out of bed can help relieve morning
sickness by stabilizing blood sugar and reducing gastric acidity. Large meals, high-
fat foods, and fluid restriction are not recommended and can worsen nausea.
Question 2
A nurse is assessing a newborn who is 12 hours old. Which of the following
findings should the nurse report to the provider?
A) Heart rate of 140/min
B) Respiratory rate of 70/min with grunting (CORRECT OPTION)
C) Axillary temperature of 36.8°C (98.2°F)
D) Blood glucose of 55 mg/dL
RATIONALE: A respiratory rate of 70/min with grunting indicates respiratory
distress and requires immediate evaluation. A heart rate of 140/min, temperature
of 36.8°C, and glucose of 55 mg/dL are within normal limits for a newborn.
,Question 3
A nurse is caring for a client who is in active labor and has an epidural for pain
management. Which of the following assessments is the nurse's priority?
A) Fetal heart rate
B) Maternal temperature
C) Maternal blood pressure (CORRECT OPTION)
D) Urinary output
RATIONALE: Epidural anesthesia can cause maternal hypotension due to
sympathetic blockade, which can reduce placental perfusion. Monitoring blood
pressure is the priority to ensure adequate perfusion to the fetus.
Question 4
A nurse is providing education to a client who is 32 weeks gestation about signs of
preterm labor. Which of the following should the nurse include?
A) Decreased fetal movement
B) Low, dull backache (CORRECT OPTION)
C) Increased energy level
D) Weight gain of 2 pounds in one week
RATIONALE: A persistent low, dull backache is a common sign of preterm labor.
Decreased fetal movement, increased energy, and rapid weight gain are not
typical indicators of preterm labor.
Question 5
A nurse is caring for a client who is 2 hours postpartum and reports heavy vaginal
bleeding with large clots. Which of the following actions should the nurse take
first?
A) Administer oxytocin as prescribed
B) Fundal massage (CORRECT OPTION)
,C) Insert an indwelling urinary catheter
D) Obtain a complete blood count
RATIONALE: The first action for postpartum hemorrhage is to perform fundal
massage to stimulate uterine contractions and control bleeding. While oxytocin,
catheterization, and lab work may be needed, they are not the immediate priority.
Question 6
A nurse is assessing a client at 36 weeks of gestation who reports a sudden gush
of fluid from the vagina. Which of the following actions should the nurse take?
A) Perform a vaginal examination to check for cord prolapse
B) Check the amniotic fluid for color and odor (CORRECT OPTION)
C) Instruct the client to ambulate to promote labor
D) Administer an oral glucose tolerance test
RATIONALE: When a client reports a gush of fluid, the nurse should assess the
amniotic fluid for color and odor to detect meconium or infection. Vaginal exams
should be avoided if rupture of membranes is suspected to prevent infection.
Question 7
A nurse is providing discharge teaching to a client who is postpartum. Which of
the following statements by the client indicates a need for further teaching?
A) "I will place my baby on their back to sleep."
B) "I will use a heating pad on my abdomen to relieve afterbirth pains."
(CORRECT OPTION)
C) "I will call my provider if I have a fever over 100.4°F."
D) "I will avoid lifting heavy objects for the next few weeks."
RATIONALE: Heating pads should not be used on the abdomen due to the risk of
burns and because they can increase bleeding. Infants should be placed on their
back to sleep, fever should be reported, and heavy lifting should be avoided
postpartum.
, Question 8
A nurse is preparing to administer Rh(D) immune globulin to a client who is at 28
weeks of gestation. Which of the following factors is a contraindication to
receiving this medication?
A) The client is Rh-negative and has a negative indirect Coombs test
B) The client is Rh-positive (CORRECT OPTION)
C) The client has a history of gestational diabetes
D) The client is carrying a fetus that is Rh-negative
RATIONALE: Rh(D) immune globulin is indicated only for Rh-negative clients to
prevent sensitization. It is contraindicated in Rh-positive clients as they are not at
risk for Rh incompatibility.
Question 9
A nurse is assessing a newborn who was born at 38 weeks of gestation. Which of
the following findings should the nurse recognize as an expected variation?
A) Acrocyanosis
B) Grunting respirations
C) Milia (CORRECT OPTION)
D) Hypotonia
RATIONALE: Milia are small white papules on the face and are a normal finding in
newborns. Acrocyanosis is also normal, but grunting and hypotonia are signs of
distress or abnormalities.
Question 10
A nurse is caring for a client who is 6 hours postpartum and has a third-degree
perineal laceration. Which of the following actions should the nurse take to
promote comfort?
A) Apply an ice pack to the perineum for the first 24 hours
B) Apply a warm sitz bath (CORRECT OPTION)
BANK | 200+ VERIFIED PRACTICE QUESTIONS WITH DETAILED
RATIONALES | COMPREHENSIVE ATI MATERNAL & CHILD
HEALTH STUDY GUIDE FOR RN STUDENTS AND NCLEX EXAM
PREPARATION
Question 1
A nurse is providing teaching to a client who is at 10 weeks of gestation and
reports frequent nausea and vomiting. Which of the following statements should
the nurse include?
A) "Eat three large meals daily to keep your stomach full."
B) "Eat dry crackers before getting out of bed in the morning." (CORRECT
OPTION)
C) "Increase your intake of high-fat foods to settle your stomach."
D) "Avoid all fluids until the nausea subsides."
RATIONALE: Eating dry crackers before getting out of bed can help relieve morning
sickness by stabilizing blood sugar and reducing gastric acidity. Large meals, high-
fat foods, and fluid restriction are not recommended and can worsen nausea.
Question 2
A nurse is assessing a newborn who is 12 hours old. Which of the following
findings should the nurse report to the provider?
A) Heart rate of 140/min
B) Respiratory rate of 70/min with grunting (CORRECT OPTION)
C) Axillary temperature of 36.8°C (98.2°F)
D) Blood glucose of 55 mg/dL
RATIONALE: A respiratory rate of 70/min with grunting indicates respiratory
distress and requires immediate evaluation. A heart rate of 140/min, temperature
of 36.8°C, and glucose of 55 mg/dL are within normal limits for a newborn.
,Question 3
A nurse is caring for a client who is in active labor and has an epidural for pain
management. Which of the following assessments is the nurse's priority?
A) Fetal heart rate
B) Maternal temperature
C) Maternal blood pressure (CORRECT OPTION)
D) Urinary output
RATIONALE: Epidural anesthesia can cause maternal hypotension due to
sympathetic blockade, which can reduce placental perfusion. Monitoring blood
pressure is the priority to ensure adequate perfusion to the fetus.
Question 4
A nurse is providing education to a client who is 32 weeks gestation about signs of
preterm labor. Which of the following should the nurse include?
A) Decreased fetal movement
B) Low, dull backache (CORRECT OPTION)
C) Increased energy level
D) Weight gain of 2 pounds in one week
RATIONALE: A persistent low, dull backache is a common sign of preterm labor.
Decreased fetal movement, increased energy, and rapid weight gain are not
typical indicators of preterm labor.
Question 5
A nurse is caring for a client who is 2 hours postpartum and reports heavy vaginal
bleeding with large clots. Which of the following actions should the nurse take
first?
A) Administer oxytocin as prescribed
B) Fundal massage (CORRECT OPTION)
,C) Insert an indwelling urinary catheter
D) Obtain a complete blood count
RATIONALE: The first action for postpartum hemorrhage is to perform fundal
massage to stimulate uterine contractions and control bleeding. While oxytocin,
catheterization, and lab work may be needed, they are not the immediate priority.
Question 6
A nurse is assessing a client at 36 weeks of gestation who reports a sudden gush
of fluid from the vagina. Which of the following actions should the nurse take?
A) Perform a vaginal examination to check for cord prolapse
B) Check the amniotic fluid for color and odor (CORRECT OPTION)
C) Instruct the client to ambulate to promote labor
D) Administer an oral glucose tolerance test
RATIONALE: When a client reports a gush of fluid, the nurse should assess the
amniotic fluid for color and odor to detect meconium or infection. Vaginal exams
should be avoided if rupture of membranes is suspected to prevent infection.
Question 7
A nurse is providing discharge teaching to a client who is postpartum. Which of
the following statements by the client indicates a need for further teaching?
A) "I will place my baby on their back to sleep."
B) "I will use a heating pad on my abdomen to relieve afterbirth pains."
(CORRECT OPTION)
C) "I will call my provider if I have a fever over 100.4°F."
D) "I will avoid lifting heavy objects for the next few weeks."
RATIONALE: Heating pads should not be used on the abdomen due to the risk of
burns and because they can increase bleeding. Infants should be placed on their
back to sleep, fever should be reported, and heavy lifting should be avoided
postpartum.
, Question 8
A nurse is preparing to administer Rh(D) immune globulin to a client who is at 28
weeks of gestation. Which of the following factors is a contraindication to
receiving this medication?
A) The client is Rh-negative and has a negative indirect Coombs test
B) The client is Rh-positive (CORRECT OPTION)
C) The client has a history of gestational diabetes
D) The client is carrying a fetus that is Rh-negative
RATIONALE: Rh(D) immune globulin is indicated only for Rh-negative clients to
prevent sensitization. It is contraindicated in Rh-positive clients as they are not at
risk for Rh incompatibility.
Question 9
A nurse is assessing a newborn who was born at 38 weeks of gestation. Which of
the following findings should the nurse recognize as an expected variation?
A) Acrocyanosis
B) Grunting respirations
C) Milia (CORRECT OPTION)
D) Hypotonia
RATIONALE: Milia are small white papules on the face and are a normal finding in
newborns. Acrocyanosis is also normal, but grunting and hypotonia are signs of
distress or abnormalities.
Question 10
A nurse is caring for a client who is 6 hours postpartum and has a third-degree
perineal laceration. Which of the following actions should the nurse take to
promote comfort?
A) Apply an ice pack to the perineum for the first 24 hours
B) Apply a warm sitz bath (CORRECT OPTION)
