1|Page
ATI RN MATERNAL NEWBORN FINAL EXAM ACTUAL
EXAM 2026/2027 | ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+
1. The perinatal nurse is assessing a woman at 36 weeks' gestation. Her
fundal height measurement was last recorded at 34 cm. The patient's
abdomen appears to be widest from side to side. The nurse suspects
the possibility of which type of fetal presentation?
A. Breech
B. Cephalic
C. Face
D. Shoulder ......ANSWER......ANS: D
The fetal presentation may be cephalic, breech, or shoulder. The part of
the fetal body first felt by the examining finger during a vaginal
examination is the "presenting part." The shoulder presentation is a
transverse lie. This presentation is rare and occurs in less than 1% of
births. When a transverse lie is present, the maternal abdomen appears
large from side to side rather than up and down. The fetal head is
palpated on one maternal side and the breech is palpated on the other
side. Additionally, the woman may demonstrate a lower-than-expected
fundal height measurement for gestational age.
2. The perinatal nurse assessing a laboring woman's contraction
intensity by internal monitoring would expect, during the transition
phase, a reading in which of the following ranges?
pg. 1
,2|Page
A. 10 to 12 mm Hg
B. 20 to 40 mm Hg
C. 50 to 70 mm Hg
D. 70 to 90 mm Hg ......ANSWER......ANS: D
One method to measure the intensity of uterine contractions is with the
use of an internal monitor. If the amniotic membranes have ruptured,
an internal pressure catheter is inserted through the cervix and into the
uterus to measure the internal pressure generated during the
contraction. Normally, the resting pressure in the uterus (between
contractions) is 10 to 12 mm Hg. During the acme, contraction intensity
ranges from 25 to 40 mm Hg during early labor, 50 to 70 mm Hg during
active labor, 70 to 90 mm Hg during the transition phase, and 70 to 100
mm Hg during maternal pushing in the second stage
3. The perinatal nurse knows that when the fetal head is fully extended
and the occiput is near the spine, the delivery team should prepare for
the presenting fetal part to be which of the following?
A. Brow
B. Chin
C. Face
D. Sacrum ......ANSWER......ANS: C
In the face presentation, the fetal head is fully extended and the occiput
is near the fetal spine. The submentobregmatic diameter presents to
the maternal pelvis; the face is the presenting part
pg. 2
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4. The perinatal nurse describes different breech positions to the
student nurse. The fetal position with extended legs toward the fetal
shoulders is best described as which of the following?
A. Complete breech
B. Footling breech
C. Frank breech
D. Incomplete breech ......ANSWER......ANS: C
There are three types of breech presentations: frank, complete, and
footling. The frank breech is the most common of all breech
presentations. In this position, the fetal legs are completely extended
up toward the fetal shoulders. The hips are flexed, the knees are
extended, and the fetal buttocks present first in the maternal pelvis.
The complete, or full, breech position is the same as the frank breech
position, except the knees are flexed and the legs crossed, with the fetal
buttocks presenting first. In the footling breech position, one or both of
the fetal leg(s) are extended, with one foot ("single footling") or both
feet ("double footling") presenting first into the maternal pelvis.
5. The perinatal nurse is describing the process of fetal engagement to a
group of first-time parents in a prenatal class. The nurse explains that in
primigravidas, the usual time for engagement to occur is which of the
following?
A. 2 weeks before the due date
B. 4 weeks before the due date
C. 6 weeks before the due date
D. During labor ......ANSWER......ANS: A
pg. 3
, 4|Page
Engagement is said to have occurred when the widest diameter of the
fetal presenting part has passed through the pelvic inlet. In
primigravidas, engagement usually occurs approximately 2 weeks
before the due date. In multiparas, engagement may occur many weeks
before the onset of labor, or it may take place during labor.
6. A nurse is measuring the frequency of a laboring woman's
contractions. How does the nurse accomplish this correctly?
A. Counts the number of contractions measured at the same intensity in
1 full minute
B. Feels the fundus during the acme of the contraction and notes the
fundal firmness
C. Measures the beginning of one contraction to the beginning of the
next contraction
D. Measures the time from the beginning of one contraction to the end
of the same contraction ......ANSWER......ANS: C
The frequency of contractions is measured from the beginning of one
contraction to the beginning of the next contraction, not by counting
contractions in 1 minute. Feeling the firmness of the fundus during
contractions measures intensity. Measuring the time from the start of
one contraction to the end of the same contraction measures duration.
7. A patient's cervix is 8 cm dilated and she is 100% effaced. What
action by the nurse is most important at this time?
A. Allow the support person to be at the bedside.
B. Encourage the woman to bear down.
pg. 4
ATI RN MATERNAL NEWBORN FINAL EXAM ACTUAL
EXAM 2026/2027 | ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+
1. The perinatal nurse is assessing a woman at 36 weeks' gestation. Her
fundal height measurement was last recorded at 34 cm. The patient's
abdomen appears to be widest from side to side. The nurse suspects
the possibility of which type of fetal presentation?
A. Breech
B. Cephalic
C. Face
D. Shoulder ......ANSWER......ANS: D
The fetal presentation may be cephalic, breech, or shoulder. The part of
the fetal body first felt by the examining finger during a vaginal
examination is the "presenting part." The shoulder presentation is a
transverse lie. This presentation is rare and occurs in less than 1% of
births. When a transverse lie is present, the maternal abdomen appears
large from side to side rather than up and down. The fetal head is
palpated on one maternal side and the breech is palpated on the other
side. Additionally, the woman may demonstrate a lower-than-expected
fundal height measurement for gestational age.
2. The perinatal nurse assessing a laboring woman's contraction
intensity by internal monitoring would expect, during the transition
phase, a reading in which of the following ranges?
pg. 1
,2|Page
A. 10 to 12 mm Hg
B. 20 to 40 mm Hg
C. 50 to 70 mm Hg
D. 70 to 90 mm Hg ......ANSWER......ANS: D
One method to measure the intensity of uterine contractions is with the
use of an internal monitor. If the amniotic membranes have ruptured,
an internal pressure catheter is inserted through the cervix and into the
uterus to measure the internal pressure generated during the
contraction. Normally, the resting pressure in the uterus (between
contractions) is 10 to 12 mm Hg. During the acme, contraction intensity
ranges from 25 to 40 mm Hg during early labor, 50 to 70 mm Hg during
active labor, 70 to 90 mm Hg during the transition phase, and 70 to 100
mm Hg during maternal pushing in the second stage
3. The perinatal nurse knows that when the fetal head is fully extended
and the occiput is near the spine, the delivery team should prepare for
the presenting fetal part to be which of the following?
A. Brow
B. Chin
C. Face
D. Sacrum ......ANSWER......ANS: C
In the face presentation, the fetal head is fully extended and the occiput
is near the fetal spine. The submentobregmatic diameter presents to
the maternal pelvis; the face is the presenting part
pg. 2
,3|Page
4. The perinatal nurse describes different breech positions to the
student nurse. The fetal position with extended legs toward the fetal
shoulders is best described as which of the following?
A. Complete breech
B. Footling breech
C. Frank breech
D. Incomplete breech ......ANSWER......ANS: C
There are three types of breech presentations: frank, complete, and
footling. The frank breech is the most common of all breech
presentations. In this position, the fetal legs are completely extended
up toward the fetal shoulders. The hips are flexed, the knees are
extended, and the fetal buttocks present first in the maternal pelvis.
The complete, or full, breech position is the same as the frank breech
position, except the knees are flexed and the legs crossed, with the fetal
buttocks presenting first. In the footling breech position, one or both of
the fetal leg(s) are extended, with one foot ("single footling") or both
feet ("double footling") presenting first into the maternal pelvis.
5. The perinatal nurse is describing the process of fetal engagement to a
group of first-time parents in a prenatal class. The nurse explains that in
primigravidas, the usual time for engagement to occur is which of the
following?
A. 2 weeks before the due date
B. 4 weeks before the due date
C. 6 weeks before the due date
D. During labor ......ANSWER......ANS: A
pg. 3
, 4|Page
Engagement is said to have occurred when the widest diameter of the
fetal presenting part has passed through the pelvic inlet. In
primigravidas, engagement usually occurs approximately 2 weeks
before the due date. In multiparas, engagement may occur many weeks
before the onset of labor, or it may take place during labor.
6. A nurse is measuring the frequency of a laboring woman's
contractions. How does the nurse accomplish this correctly?
A. Counts the number of contractions measured at the same intensity in
1 full minute
B. Feels the fundus during the acme of the contraction and notes the
fundal firmness
C. Measures the beginning of one contraction to the beginning of the
next contraction
D. Measures the time from the beginning of one contraction to the end
of the same contraction ......ANSWER......ANS: C
The frequency of contractions is measured from the beginning of one
contraction to the beginning of the next contraction, not by counting
contractions in 1 minute. Feeling the firmness of the fundus during
contractions measures intensity. Measuring the time from the start of
one contraction to the end of the same contraction measures duration.
7. A patient's cervix is 8 cm dilated and she is 100% effaced. What
action by the nurse is most important at this time?
A. Allow the support person to be at the bedside.
B. Encourage the woman to bear down.
pg. 4
