ATI MATERNAL NEWBORN FINALE 2026 exam UPDATED QUESTIONS
AND ANSWERS
A nurse is providing teaching about home care to the parent of a newborn. Which of the
following statements indicates an understanding of the teaching?
A. I should make sure the baby's bath water is between 115 and 120 degrees Fahrenheit
B. I should let my baby sleep on the sofa until he is old enough to roll over
C. I should ensure the airbag is functional when my baby is riding in the front seat of a car
D. I should remove the bumper paf and stuffed toys from my babies crib
D. The parent should remove bumper pads, stuffed toys and blankets from the babies crib to
decrease the risk of suffocation and SIDs
A nurse is assessing a female client 24 hours after delivery and notes the fundus is 2 cm above
the umbilicus. Which of the following actions should the nurse take?
A. Administer a tocolytic medication
B. Apply a heating pad to the mid-abdominal area
C. Reassess the fundus in 2 hours
D. Ambulate the client to the bathroom
,D. An increased fundal height in the postpartum period is a sign of non-contracted uterus,
which increases the risk for hemorrhage. The most common postpartum cause of an elevated
fundal height is an over-distended bladder
A nurse is assessing a client who missed 2 menstrual cycles and reports that she might be
pregnant. Which of the following findings is a positive sign of pregnancy?
A. Quickening
B. Breast Tenderness
C. Uterine enlargement
D. Auscultation of a fetal heart rate
D. Auscultation of a fetal heart rate
The auscultation of a fetal heart rate is a conclusive sign of pregnancy
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta
previa and bleeding. Which of the following prescriptions should the nurse clarify with the
provider?
A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large bore IV catheter
D. Obtain a blood sample for laboratory testing
A. Perform a vaginal examination
, When a client has placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
A. Effacement
B. Dilation
C. Lightening
D. Quickening
C. Lightening
Lightning describe the engagement of the fetal head into the pelvis. When this occurs,
breathing becomes easier, but urination is more frequent
A charge nurse is providing teaching for a newly hired nurse about the potential side effects of
an epidural anesthetic for a laboring client. Which of the following effects should the charge
nurse include in teaching?
A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability
C. Impaired placental perfusion
AND ANSWERS
A nurse is providing teaching about home care to the parent of a newborn. Which of the
following statements indicates an understanding of the teaching?
A. I should make sure the baby's bath water is between 115 and 120 degrees Fahrenheit
B. I should let my baby sleep on the sofa until he is old enough to roll over
C. I should ensure the airbag is functional when my baby is riding in the front seat of a car
D. I should remove the bumper paf and stuffed toys from my babies crib
D. The parent should remove bumper pads, stuffed toys and blankets from the babies crib to
decrease the risk of suffocation and SIDs
A nurse is assessing a female client 24 hours after delivery and notes the fundus is 2 cm above
the umbilicus. Which of the following actions should the nurse take?
A. Administer a tocolytic medication
B. Apply a heating pad to the mid-abdominal area
C. Reassess the fundus in 2 hours
D. Ambulate the client to the bathroom
,D. An increased fundal height in the postpartum period is a sign of non-contracted uterus,
which increases the risk for hemorrhage. The most common postpartum cause of an elevated
fundal height is an over-distended bladder
A nurse is assessing a client who missed 2 menstrual cycles and reports that she might be
pregnant. Which of the following findings is a positive sign of pregnancy?
A. Quickening
B. Breast Tenderness
C. Uterine enlargement
D. Auscultation of a fetal heart rate
D. Auscultation of a fetal heart rate
The auscultation of a fetal heart rate is a conclusive sign of pregnancy
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta
previa and bleeding. Which of the following prescriptions should the nurse clarify with the
provider?
A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large bore IV catheter
D. Obtain a blood sample for laboratory testing
A. Perform a vaginal examination
, When a client has placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her
breathing has become easier but notes an increased frequency of urination. The nurse should
document this occurrence as which of the following?
A. Effacement
B. Dilation
C. Lightening
D. Quickening
C. Lightening
Lightning describe the engagement of the fetal head into the pelvis. When this occurs,
breathing becomes easier, but urination is more frequent
A charge nurse is providing teaching for a newly hired nurse about the potential side effects of
an epidural anesthetic for a laboring client. Which of the following effects should the charge
nurse include in teaching?
A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability
C. Impaired placental perfusion
