ATI RN Integrated Nursing Exam 2026/2027 – 1-180 Maternal Child Nursing Questions
and Correct Answers
Assessment Technologies Institute (ATI) RN Comprehensive Predictor/Integrated Nursing Exam | Core Domains:
Antepartum Care, Intrapartum Care, Postpartum Care, Newborn Care, Pediatric Growth & Development, Pediatric
Health Promotion & Acute/Chronic Illness Management, Pediatric Pharmacology, Family-Centered Care,
Complications of Pregnancy & Childbirth, High-Risk Neonates, Pediatric Emergency & Critical Care, and
Ethical/Legal Issues in Maternal-Child Nursing | RN Licensure Preparation Focus | ATI-Specific Content Mastery
and Predictor Exam Format
Exam Structure
The ATI RN Integrated Nursing Exam (Comprehensive Predictor) for the 2026/2027 testing cycle is a 180-question,
multiple-choice examination designed to predict NCLEX-RN success and assess comprehensive knowledge across
all nursing content areas, with a significant focus on maternal-child health.
Introduction
This comprehensive ATI RN Integrated Nursing Exam study guide for the 2026/2027 testing cycle focuses on the
1-180 maternal-child nursing questions. It prepares candidates to synthesize knowledge, prioritize care, and apply
clinical judgment to scenarios involving childbearing families, neonates, and pediatric patients across the
health-illness continuum.
Answer Format
All correct answers and key maternal-child nursing concepts must be presented in bold and green, followed by
detailed rationales citing ATI content guidelines, current evidence-based practice (e.g., AWHONN, AAP), and
principles of safe, family-centered care.
Maternal-Child Nursing Questions (1–180)
1. A client at 10 weeks of gestation reports nausea and vomiting. Which statement by the
nurse is appropriate?
A) “This will likely resolve by the end of the first trimester.”
B) “You should avoid all fluids until vomiting stops.”
, C) “Take ibuprofen for abdominal discomfort.”
D) “This is a sign of preeclampsia.”
A) “This will likely resolve by the end of the first trimester.”
Nausea and vomiting of pregnancy (NVP) typically peaks at 9–10 weeks and resolves by 14–16 weeks in most
women. It is caused by elevated hCG and estrogen. Fluids should be encouraged in small amounts; ibuprofen is
contraindicated in pregnancy; preeclampsia occurs after 20 weeks.
2. A newborn is born at 38 weeks gestation with Apgar scores of 8 at 1 minute and 9 at 5
minutes. What is the priority nursing action?
A) Administer oxygen via nasal cannula
B) Place under radiant warmer
C) Initiate skin-to-skin contact with mother
D) Obtain blood glucose level
C) Initiate skin-to-skin contact with mother
For a stable newborn (Apgar ≥7), immediate skin-to-skin contact promotes thermoregulation, bonding, and
breastfeeding initiation per AAP and WHO recommendations. Radiant warmers are used if the infant is unstable or
requires resuscitation.
3. A postpartum client reports severe perineal pain 24 hours after vaginal delivery with a
second-degree laceration. What is the priority intervention?
A) Administer a stool softener
B) Apply a cold pack to the perineum
, C) Encourage Kegel exercises
D) Assess for signs of infection
B) Apply a cold pack to the perineum
Cold therapy in the first 24–48 hours reduces edema, pain, and inflammation after perineal trauma. After 48 hours,
warm sitz baths are more appropriate. Infection assessment is important but not the immediate priority for acute
pain.
4. A 4-year-old child is admitted with suspected epiglottitis. Which action should the nurse
avoid?
A) Keeping the child calm and in a position of comfort
B) Preparing for possible intubation or tracheostomy
C) Obtaining a throat culture
D) Monitoring oxygen saturation
C) Obtaining a throat culture
In epiglottitis, any attempt to visualize or swab the throat can trigger complete airway obstruction due to the
inflamed, fragile epiglottis. The child should not be agitated; airway management must be prepared, but
examination is avoided until in a controlled setting (e.g., OR).
5. A pregnant client at 28 weeks gestation has a blood pressure of 142/92 mm Hg and 2+
proteinuria. What condition does this suggest?
A) Gestational hypertension
B) Preeclampsia
, C) Chronic hypertension
D) Eclampsia
B) Preeclampsia
Preeclampsia is defined as new-onset hypertension (≥140/90 mm Hg) after 20 weeks of gestation with proteinuria or
other end-organ dysfunction (e.g., thrombocytopenia, renal insufficiency). Gestational hypertension lacks
proteinuria; eclampsia includes seizures.
6. A newborn exhibits jitteriness, poor feeding, and a high-pitched cry. Blood glucose is 30
mg/dL. What is the priority action?
A) Administer IV dextrose
B) Offer glucose water by bottle
C) Encourage breastfeeding
D) Monitor for hypocalcemia
A) Administer IV dextrose
Neonatal hypoglycemia (<45 mg/dL in first 24 hours) with symptoms requires immediate IV dextrose (e.g., D10W)
to prevent neurological damage. Oral interventions are insufficient in symptomatic infants. IV access and rapid
correction are critical per AAP guidelines.
7. A 6-month-old infant is scheduled to receive routine immunizations. Which vaccine is
contraindicated if the infant has a severe egg allergy?
A) DTaP
B) Hepatitis B
and Correct Answers
Assessment Technologies Institute (ATI) RN Comprehensive Predictor/Integrated Nursing Exam | Core Domains:
Antepartum Care, Intrapartum Care, Postpartum Care, Newborn Care, Pediatric Growth & Development, Pediatric
Health Promotion & Acute/Chronic Illness Management, Pediatric Pharmacology, Family-Centered Care,
Complications of Pregnancy & Childbirth, High-Risk Neonates, Pediatric Emergency & Critical Care, and
Ethical/Legal Issues in Maternal-Child Nursing | RN Licensure Preparation Focus | ATI-Specific Content Mastery
and Predictor Exam Format
Exam Structure
The ATI RN Integrated Nursing Exam (Comprehensive Predictor) for the 2026/2027 testing cycle is a 180-question,
multiple-choice examination designed to predict NCLEX-RN success and assess comprehensive knowledge across
all nursing content areas, with a significant focus on maternal-child health.
Introduction
This comprehensive ATI RN Integrated Nursing Exam study guide for the 2026/2027 testing cycle focuses on the
1-180 maternal-child nursing questions. It prepares candidates to synthesize knowledge, prioritize care, and apply
clinical judgment to scenarios involving childbearing families, neonates, and pediatric patients across the
health-illness continuum.
Answer Format
All correct answers and key maternal-child nursing concepts must be presented in bold and green, followed by
detailed rationales citing ATI content guidelines, current evidence-based practice (e.g., AWHONN, AAP), and
principles of safe, family-centered care.
Maternal-Child Nursing Questions (1–180)
1. A client at 10 weeks of gestation reports nausea and vomiting. Which statement by the
nurse is appropriate?
A) “This will likely resolve by the end of the first trimester.”
B) “You should avoid all fluids until vomiting stops.”
, C) “Take ibuprofen for abdominal discomfort.”
D) “This is a sign of preeclampsia.”
A) “This will likely resolve by the end of the first trimester.”
Nausea and vomiting of pregnancy (NVP) typically peaks at 9–10 weeks and resolves by 14–16 weeks in most
women. It is caused by elevated hCG and estrogen. Fluids should be encouraged in small amounts; ibuprofen is
contraindicated in pregnancy; preeclampsia occurs after 20 weeks.
2. A newborn is born at 38 weeks gestation with Apgar scores of 8 at 1 minute and 9 at 5
minutes. What is the priority nursing action?
A) Administer oxygen via nasal cannula
B) Place under radiant warmer
C) Initiate skin-to-skin contact with mother
D) Obtain blood glucose level
C) Initiate skin-to-skin contact with mother
For a stable newborn (Apgar ≥7), immediate skin-to-skin contact promotes thermoregulation, bonding, and
breastfeeding initiation per AAP and WHO recommendations. Radiant warmers are used if the infant is unstable or
requires resuscitation.
3. A postpartum client reports severe perineal pain 24 hours after vaginal delivery with a
second-degree laceration. What is the priority intervention?
A) Administer a stool softener
B) Apply a cold pack to the perineum
, C) Encourage Kegel exercises
D) Assess for signs of infection
B) Apply a cold pack to the perineum
Cold therapy in the first 24–48 hours reduces edema, pain, and inflammation after perineal trauma. After 48 hours,
warm sitz baths are more appropriate. Infection assessment is important but not the immediate priority for acute
pain.
4. A 4-year-old child is admitted with suspected epiglottitis. Which action should the nurse
avoid?
A) Keeping the child calm and in a position of comfort
B) Preparing for possible intubation or tracheostomy
C) Obtaining a throat culture
D) Monitoring oxygen saturation
C) Obtaining a throat culture
In epiglottitis, any attempt to visualize or swab the throat can trigger complete airway obstruction due to the
inflamed, fragile epiglottis. The child should not be agitated; airway management must be prepared, but
examination is avoided until in a controlled setting (e.g., OR).
5. A pregnant client at 28 weeks gestation has a blood pressure of 142/92 mm Hg and 2+
proteinuria. What condition does this suggest?
A) Gestational hypertension
B) Preeclampsia
, C) Chronic hypertension
D) Eclampsia
B) Preeclampsia
Preeclampsia is defined as new-onset hypertension (≥140/90 mm Hg) after 20 weeks of gestation with proteinuria or
other end-organ dysfunction (e.g., thrombocytopenia, renal insufficiency). Gestational hypertension lacks
proteinuria; eclampsia includes seizures.
6. A newborn exhibits jitteriness, poor feeding, and a high-pitched cry. Blood glucose is 30
mg/dL. What is the priority action?
A) Administer IV dextrose
B) Offer glucose water by bottle
C) Encourage breastfeeding
D) Monitor for hypocalcemia
A) Administer IV dextrose
Neonatal hypoglycemia (<45 mg/dL in first 24 hours) with symptoms requires immediate IV dextrose (e.g., D10W)
to prevent neurological damage. Oral interventions are insufficient in symptomatic infants. IV access and rapid
correction are critical per AAP guidelines.
7. A 6-month-old infant is scheduled to receive routine immunizations. Which vaccine is
contraindicated if the infant has a severe egg allergy?
A) DTaP
B) Hepatitis B
