ATI RN Integrated Nursing Exam (2026/2027) | 1–180 Maternal Child Nursing Questions
and Correct Answers
ATI RN Comprehensive Predictor/Integrated Nursing Exam - Maternal Child Nursing Section | Core
Domains: Antepartum Care, Intrapartum Management, Postpartum Care, Newborn Assessment,
Pediatric Growth & Development, Pediatric Acute & Chronic Conditions, Family-Centered Care,
Pharmacological Management, and Ethical/Legal Considerations in Maternal-Child Health |
NCLEX-RN® Focus | Comprehensive Nursing Assessment Format
Exam Structure
The ATI RN Integrated Nursing Exam Maternal Child section for the 2026/2027 academic cycle typically
includes:
● 180 comprehensive maternal-child nursing questions
● Multiple-choice format with select-all-that-apply, ordered response, and hot spot items
● Computer-adaptive testing principles
● Focus on application, analysis, and clinical judgment
● Based on latest NCLEX-RN® test plan and ATI content guidelines
Introduction
This ATI RN Integrated Nursing Exam preparation guide for the 2026/2027 cycle reflects the latest
evidence-based practices in maternal-child nursing. The question bank emphasizes clinical judgment, safe
medication administration, developmental considerations, and family-centered care across the continuum
from pregnancy through adolescence.
Answer Format
All correct answers and nursing interventions must be presented in bold and green, followed by
detailed rationales incorporating maternal-child pathophysiology, developmental milestones,
pharmacological principles, and NCLEX-RN® clinical judgment measurement model.
1. A nurse is caring for a client at 36 weeks of gestation who reports visual disturbances
and headache. Which action should the nurse take first?
A. Administer acetaminophen
B. Encourage rest in a dark room
, C. Check the client’s blood pressure
D. Assess fetal heart rate
Visual disturbances and headache in the third trimester are classic signs of preeclampsia. The
priority is to assess blood pressure immediately, as uncontrolled hypertension can progress to
eclampsia. Fetal monitoring is important but secondary to maternal stabilization per the ABCs and
maternal safety principles.
2. A newborn is 1 hour old and has an Apgar score of 8 at 1 minute and 9 at 5 minutes.
Which finding should the nurse report to the provider?
A. Heart rate of 140/min
B. Respiratory rate of 50/min
C. Central cyanosis
D. Flexed extremities
Central cyanosis (bluish discoloration of the trunk or mucous membranes) indicates inadequate
oxygenation and requires immediate evaluation. Acrocyanosis (blue hands/feet) is normal in the
first 24–48 hours. A heart rate >100, RR 30–60, and flexion are expected newborn findings.
3. A client in active labor has a fetal heart rate of 170 bpm with minimal variability and no
accelerations. Which condition does this indicate?
A. Fetal well-being
B. Fetal sleep cycle
C. Non-reassuring fetal status
D. Maternal fever
, A baseline FHR >160 (tachycardia) with minimal variability and absent accelerations is
non-reassuring and may indicate fetal hypoxia, infection, or cardiac abnormality. Immediate
interventions include maternal repositioning, oxygen, IV fluids, and notifying the provider.
4. Which developmental milestone should a 6-month-old infant be expected to achieve?
A. Walk with assistance
B. Say "mama" and "dada" specifically
C. Roll from back to front
D. Use a pincer grasp
By 6 months, infants typically roll from back to front, sit with support, and babble. Walking with
assistance occurs around 9–12 months. Specific "mama/dada" (with meaning) emerges at 9–12
months. Pincer grasp develops at 9–12 months.
5. A postpartum client 24 hours after vaginal delivery has a boggy uterus above the
umbilicus and moderate lochia rubra. What is the priority nursing action?
A. Administer prescribed oxytocin
B. Encourage ambulation
C. Massage the fundus until firm
D. Increase IV fluid rate
A boggy (soft) fundus indicates uterine atony, the leading cause of postpartum hemorrhage. The
immediate action is fundal massage to stimulate contractions. Oxytocin may be given per order, but
massage is the first-line intervention.
6. A nurse is teaching a new parent about car seat safety. Which statement by the parent
indicates understanding?
A. "I will place the car seat in the front seat with airbag off."
, B. "My baby can face forward once she weighs 15 pounds."
C. "The car seat should be rear-facing in the back seat until at least age 2."
D. "It’s okay to use a secondhand car seat if it looks intact."
The American Academy of Pediatrics (AAP) recommends rear-facing car seats in the back seat until
age 2 or until the child reaches the height/weight limit of the seat. Front seats are unsafe due to
airbags. Secondhand seats may be expired or recalled.
7. A 4-year-old child is admitted with suspected epiglottitis. Which action should the nurse
take?
A. Obtain a throat culture
B. Administer nebulized epinephrine
C. Maintain airway and avoid throat examination
D. Encourage oral fluids
Epiglottitis is a medical emergency. Any stimulation (e.g., throat culture, tongue depressor) can
trigger complete airway obstruction. The priority is to keep the child calm, maintain spontaneous
breathing, and prepare for possible intubation or tracheostomy.
8. A pregnant client at 28 weeks has a hemoglobin of 10.2 g/dL. Which food should the
nurse recommend to increase iron intake?
A. Milk and cheese
B. Bananas and apples
C. Lean red meat and spinach
D. White bread and rice
and Correct Answers
ATI RN Comprehensive Predictor/Integrated Nursing Exam - Maternal Child Nursing Section | Core
Domains: Antepartum Care, Intrapartum Management, Postpartum Care, Newborn Assessment,
Pediatric Growth & Development, Pediatric Acute & Chronic Conditions, Family-Centered Care,
Pharmacological Management, and Ethical/Legal Considerations in Maternal-Child Health |
NCLEX-RN® Focus | Comprehensive Nursing Assessment Format
Exam Structure
The ATI RN Integrated Nursing Exam Maternal Child section for the 2026/2027 academic cycle typically
includes:
● 180 comprehensive maternal-child nursing questions
● Multiple-choice format with select-all-that-apply, ordered response, and hot spot items
● Computer-adaptive testing principles
● Focus on application, analysis, and clinical judgment
● Based on latest NCLEX-RN® test plan and ATI content guidelines
Introduction
This ATI RN Integrated Nursing Exam preparation guide for the 2026/2027 cycle reflects the latest
evidence-based practices in maternal-child nursing. The question bank emphasizes clinical judgment, safe
medication administration, developmental considerations, and family-centered care across the continuum
from pregnancy through adolescence.
Answer Format
All correct answers and nursing interventions must be presented in bold and green, followed by
detailed rationales incorporating maternal-child pathophysiology, developmental milestones,
pharmacological principles, and NCLEX-RN® clinical judgment measurement model.
1. A nurse is caring for a client at 36 weeks of gestation who reports visual disturbances
and headache. Which action should the nurse take first?
A. Administer acetaminophen
B. Encourage rest in a dark room
, C. Check the client’s blood pressure
D. Assess fetal heart rate
Visual disturbances and headache in the third trimester are classic signs of preeclampsia. The
priority is to assess blood pressure immediately, as uncontrolled hypertension can progress to
eclampsia. Fetal monitoring is important but secondary to maternal stabilization per the ABCs and
maternal safety principles.
2. A newborn is 1 hour old and has an Apgar score of 8 at 1 minute and 9 at 5 minutes.
Which finding should the nurse report to the provider?
A. Heart rate of 140/min
B. Respiratory rate of 50/min
C. Central cyanosis
D. Flexed extremities
Central cyanosis (bluish discoloration of the trunk or mucous membranes) indicates inadequate
oxygenation and requires immediate evaluation. Acrocyanosis (blue hands/feet) is normal in the
first 24–48 hours. A heart rate >100, RR 30–60, and flexion are expected newborn findings.
3. A client in active labor has a fetal heart rate of 170 bpm with minimal variability and no
accelerations. Which condition does this indicate?
A. Fetal well-being
B. Fetal sleep cycle
C. Non-reassuring fetal status
D. Maternal fever
, A baseline FHR >160 (tachycardia) with minimal variability and absent accelerations is
non-reassuring and may indicate fetal hypoxia, infection, or cardiac abnormality. Immediate
interventions include maternal repositioning, oxygen, IV fluids, and notifying the provider.
4. Which developmental milestone should a 6-month-old infant be expected to achieve?
A. Walk with assistance
B. Say "mama" and "dada" specifically
C. Roll from back to front
D. Use a pincer grasp
By 6 months, infants typically roll from back to front, sit with support, and babble. Walking with
assistance occurs around 9–12 months. Specific "mama/dada" (with meaning) emerges at 9–12
months. Pincer grasp develops at 9–12 months.
5. A postpartum client 24 hours after vaginal delivery has a boggy uterus above the
umbilicus and moderate lochia rubra. What is the priority nursing action?
A. Administer prescribed oxytocin
B. Encourage ambulation
C. Massage the fundus until firm
D. Increase IV fluid rate
A boggy (soft) fundus indicates uterine atony, the leading cause of postpartum hemorrhage. The
immediate action is fundal massage to stimulate contractions. Oxytocin may be given per order, but
massage is the first-line intervention.
6. A nurse is teaching a new parent about car seat safety. Which statement by the parent
indicates understanding?
A. "I will place the car seat in the front seat with airbag off."
, B. "My baby can face forward once she weighs 15 pounds."
C. "The car seat should be rear-facing in the back seat until at least age 2."
D. "It’s okay to use a secondhand car seat if it looks intact."
The American Academy of Pediatrics (AAP) recommends rear-facing car seats in the back seat until
age 2 or until the child reaches the height/weight limit of the seat. Front seats are unsafe due to
airbags. Secondhand seats may be expired or recalled.
7. A 4-year-old child is admitted with suspected epiglottitis. Which action should the nurse
take?
A. Obtain a throat culture
B. Administer nebulized epinephrine
C. Maintain airway and avoid throat examination
D. Encourage oral fluids
Epiglottitis is a medical emergency. Any stimulation (e.g., throat culture, tongue depressor) can
trigger complete airway obstruction. The priority is to keep the child calm, maintain spontaneous
breathing, and prepare for possible intubation or tracheostomy.
8. A pregnant client at 28 weeks has a hemoglobin of 10.2 g/dL. Which food should the
nurse recommend to increase iron intake?
A. Milk and cheese
B. Bananas and apples
C. Lean red meat and spinach
D. White bread and rice
