ATI Maternal Newborn Pre-
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Assessment Questions with Correct An ] ] ] ]
swers 2025-2026
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A ]nurse ]in ]a ]clinic ]is ]teaching ]the ]mother ]of ]a ]4-month-
old ]infant ]who ]has ]been ]breastfed. ]The ]mother ]plans ]to ]switch ]her ]infant ]to ]an ]iron-
fortified ]formula. ]Which ]of ]the ]following ]should ]be ]included ]in ]the ]teaching?
A. ]Iron ]facilitates ]development ]of ]vision ]in ]infants.
B. ]Iron ]facilitates ]growth ]of ]bones ]in ]infants.
C. ]Iron ]stores ]in ]infants ]begin ]to ]deplete.
D. ]Iron ]is ]poorly ]absorbed ]in ]infants. ]- ]correct ]answer: ]C. ]Iron ]stores ]in ]infants ]begin ]to ]deplete.
RATIONALE:
Iron ]stores ]in ]infants ]are ]adequate ]until ]about ]6 ]months ]of ]age. ]Infants ]who ]are ]weaned ]before ]
6 ]months ]of ]age ]should ]be ]given ]iron-
fortified ]formula ]until ]12 ]months ]of ]age. ]Iron ]stores ]will ]also ]be ]supplemented ]with ]the ]addition ]
of ]iron-fortified ]cereals ]and ]iron-rich ]foods ]to ]the ]infant's ]diet ]at ]6 ]months ]of ]age.
A. ]Vitamin ]A ]is ]important ]for ]development ]of ]vision.
B. ]Calcium ]facilitates ]bone ]mineralization ]and ]growth.
D. ]The ]whey ]proteins ]in ]human ]milk ]and ]infant ]formulas ]have ]iron-
binding ]capacities ]that ]allow ]for ]adequate ]absorption ]and ]storage ]of ]iron.
A ]nurse ]is ]caring ]for ]an ]adolescent ]client ]who ]is ]gravida ]1 ]and ]para ]0. ]The ]client ]was ]admitted ]to ]
the ]hospital ]at ]38 ]weeks ]of ]gestation ]with ]a ]diagnosis ]of ]preeclampsia. ]Which ]of ]the ]following ]fi
ndings ]should ]the ]nurse ]identify ]as ]inconsistent ]with ]preeclampsia?
A. ]1+ ]pitting ]sacral ]edema.
,B. ]3+ ]protein ]in ]the ]urine
C. ]Blood ]pressure ]148/98 ]mm ]Hg
D. ]Deep ]tendon ]reflexes ]of ]+1 ]- ]correct ]answer: ]D. ]Deep ]tendon ]reflexes ]of ]+1
RATIONALE:
Deep ]tendon ]reflexes ]of ]
+1 ]are ]decreased. ]In ]a ]client ]who ]has ]preeclampsia, ]the ]nurse ]should ]expect ]to ]find ]an ]increased
, ]rather ]than ]a ]decreased, ]deep ]tendon ]reflex.
A. ]& ]C. ]This ]finding ]is ]consistent ]with ]the ]diagnosis ]of ]preeclampsia.
B. ]This ]finding ]indicates ]proteinuria, ]a ]finding ]that ]is ]consistent ]with ]the ]diagnosis ]of ]preeclamps
ia.
A ]nurse ]is ]performing ]a ]physical ]examination ]of ]a ]client ]who ]is ]1 ]day ]postpartum. ]Which ]of ]the ]f
ollowing ]findings ]requires ]immediate ]intervention?
A. ]Decreased ]urge ]to ]void
B. ]Increased ]urine ]output
C. ]Displaced ]fundus ]from ]the ]midline
D. ]Fundal ]height ]below ]the ]umbilicus ]- ]correct ]answer: ]C. ]Displaced ]fundus ]from ]the ]midline
RATIONALE:
A ]distended ]bladder ]can ]cause ]uterine ]atony ]and ]lateral ]displacement ]of ]the ]fundus ]from ]the ]mi
dline ]of ]the ]lower ]abdomen, ]usually ]to ]the ]right.
This ]requires ]immediate ]intervention ]because ]the ]distended ]bladder ]pushes ]the ]uterus ]up ]and ]t
o ]the ]side, ]which ]prevents ]it ]from ]contracting
firmly. ]Uterine ]atony ]results ]from ]the ]inability ]of ]the ]uterine ]muscle ]to ]contract ]adequately ]after
]birth. ]This ]can ]lead ]to ]postpartum ]hemorrhage.
, A. ]This ]is ]an ]expected ]finding ]in ]the ]postpartum ]period ]and ]does ]not ]require ]immediate ]interve
ntion. ]Birth ]trauma, ]increased ]bladder ]capacity ]after ]childbirth, ]and ]anesthesia ]can ]cause ]a ]decr
eased ]urge ]to ]void. ]Pelvic ]soreness ]caused ]by ]the ]forces ]of ]labor, ]vaginal ]lacerations, ]or ]an ]episio
tomy ]reduces ]or ]alters ]the ]voiding ]reflex. ]The ]nurse ]should ]monitor ]the ]client's ]voiding ]pattern.
B. ]Within ]12 ]hr ]of ]birth, ]clients ]begin ]to ]lose ]the ]excess ]tissue ]fluid ]accumulated ]during ]pregnan
cy. ]Postpartum ]diuresis ]is ]caused ]by ]decreased ]estrogen ]levels. ]This ]is ]an ]expected ]finding ]and ]d
oes ]not ]require ]immediate ]intervention.
D. ]Involution ]is ]the ]return ]of ]the ]uterus ]to ]a ]nonpregnant ]state. ]At ]the ]end ]of ]the ]third ]stage ]of ]l
abor, ]the ]uterus ]is ]in ]the ]midline, ]approximately ]2 ]cm ]below ]the ]level ]of ]the ]umbilicus. ]Within ]1
2 ]hr, ]the ]fundus ]rises ]to ]approximately ]the ]level ]of ]the ]umbilicus. ]The ]fundus ]descends ]1 ]to ]2 ]cm
]every ]24 ]hr. ]Therefore, ]at ]1 ]day ]postpartum, ]the ]fundal ]height ]should ]be ]1 ]to ]2 ]cm ]
(fingerbreadths) ]below ]the ]umbilicus. ]This ]is ]an ]expected ]finding ]and
does ]not ]require ]immediate ]intervention.
A ]nurse ]is ]caring ]tor ]a ]client ]who ]is ]considering ]several ]methods ]of ]contraception. ]Which ]of ]the ]f
ollowing ]methods ]of ]contraception ]should ]the ]nurse ]identify ]as ]being ]most ]reliable?
A. ]A ]male ]condom
B. ]An ]intrauterine ]device ](IUD)
C. ]An ]oral ]contraceptive
D. ]A ]diaphragm ]with ]spermicide. ]- ]correct ]answer: ]B. ]An ]intrauterine ]device ](IUD)
RATIONALE: ]
An ]IUD ]is ]found ]to ]have ]a ]failure ]rate ]of ]less ]than ]1 ]in ]100 ]users, ]which ]makes ]it ]one ]of ]the ]most ]
reliable ]methods ]of ]contraception
A. ]This ]method ]of ]contraception ]has ]11 ]to ]16 ]failures ]for ]every ]100 ]users.
C. ]This ]method ]of ]contraception ]has ]about ]8 ]failures ]for ]every ]100 ]users, ]due ]to ]failure ]to ]take ]pi
ll ]consistently ]and ]decreased ]efficacy ]when ]taken
] ] ]
Assessment Questions with Correct An ] ] ] ]
swers 2025-2026
]
]
A ]nurse ]in ]a ]clinic ]is ]teaching ]the ]mother ]of ]a ]4-month-
old ]infant ]who ]has ]been ]breastfed. ]The ]mother ]plans ]to ]switch ]her ]infant ]to ]an ]iron-
fortified ]formula. ]Which ]of ]the ]following ]should ]be ]included ]in ]the ]teaching?
A. ]Iron ]facilitates ]development ]of ]vision ]in ]infants.
B. ]Iron ]facilitates ]growth ]of ]bones ]in ]infants.
C. ]Iron ]stores ]in ]infants ]begin ]to ]deplete.
D. ]Iron ]is ]poorly ]absorbed ]in ]infants. ]- ]correct ]answer: ]C. ]Iron ]stores ]in ]infants ]begin ]to ]deplete.
RATIONALE:
Iron ]stores ]in ]infants ]are ]adequate ]until ]about ]6 ]months ]of ]age. ]Infants ]who ]are ]weaned ]before ]
6 ]months ]of ]age ]should ]be ]given ]iron-
fortified ]formula ]until ]12 ]months ]of ]age. ]Iron ]stores ]will ]also ]be ]supplemented ]with ]the ]addition ]
of ]iron-fortified ]cereals ]and ]iron-rich ]foods ]to ]the ]infant's ]diet ]at ]6 ]months ]of ]age.
A. ]Vitamin ]A ]is ]important ]for ]development ]of ]vision.
B. ]Calcium ]facilitates ]bone ]mineralization ]and ]growth.
D. ]The ]whey ]proteins ]in ]human ]milk ]and ]infant ]formulas ]have ]iron-
binding ]capacities ]that ]allow ]for ]adequate ]absorption ]and ]storage ]of ]iron.
A ]nurse ]is ]caring ]for ]an ]adolescent ]client ]who ]is ]gravida ]1 ]and ]para ]0. ]The ]client ]was ]admitted ]to ]
the ]hospital ]at ]38 ]weeks ]of ]gestation ]with ]a ]diagnosis ]of ]preeclampsia. ]Which ]of ]the ]following ]fi
ndings ]should ]the ]nurse ]identify ]as ]inconsistent ]with ]preeclampsia?
A. ]1+ ]pitting ]sacral ]edema.
,B. ]3+ ]protein ]in ]the ]urine
C. ]Blood ]pressure ]148/98 ]mm ]Hg
D. ]Deep ]tendon ]reflexes ]of ]+1 ]- ]correct ]answer: ]D. ]Deep ]tendon ]reflexes ]of ]+1
RATIONALE:
Deep ]tendon ]reflexes ]of ]
+1 ]are ]decreased. ]In ]a ]client ]who ]has ]preeclampsia, ]the ]nurse ]should ]expect ]to ]find ]an ]increased
, ]rather ]than ]a ]decreased, ]deep ]tendon ]reflex.
A. ]& ]C. ]This ]finding ]is ]consistent ]with ]the ]diagnosis ]of ]preeclampsia.
B. ]This ]finding ]indicates ]proteinuria, ]a ]finding ]that ]is ]consistent ]with ]the ]diagnosis ]of ]preeclamps
ia.
A ]nurse ]is ]performing ]a ]physical ]examination ]of ]a ]client ]who ]is ]1 ]day ]postpartum. ]Which ]of ]the ]f
ollowing ]findings ]requires ]immediate ]intervention?
A. ]Decreased ]urge ]to ]void
B. ]Increased ]urine ]output
C. ]Displaced ]fundus ]from ]the ]midline
D. ]Fundal ]height ]below ]the ]umbilicus ]- ]correct ]answer: ]C. ]Displaced ]fundus ]from ]the ]midline
RATIONALE:
A ]distended ]bladder ]can ]cause ]uterine ]atony ]and ]lateral ]displacement ]of ]the ]fundus ]from ]the ]mi
dline ]of ]the ]lower ]abdomen, ]usually ]to ]the ]right.
This ]requires ]immediate ]intervention ]because ]the ]distended ]bladder ]pushes ]the ]uterus ]up ]and ]t
o ]the ]side, ]which ]prevents ]it ]from ]contracting
firmly. ]Uterine ]atony ]results ]from ]the ]inability ]of ]the ]uterine ]muscle ]to ]contract ]adequately ]after
]birth. ]This ]can ]lead ]to ]postpartum ]hemorrhage.
, A. ]This ]is ]an ]expected ]finding ]in ]the ]postpartum ]period ]and ]does ]not ]require ]immediate ]interve
ntion. ]Birth ]trauma, ]increased ]bladder ]capacity ]after ]childbirth, ]and ]anesthesia ]can ]cause ]a ]decr
eased ]urge ]to ]void. ]Pelvic ]soreness ]caused ]by ]the ]forces ]of ]labor, ]vaginal ]lacerations, ]or ]an ]episio
tomy ]reduces ]or ]alters ]the ]voiding ]reflex. ]The ]nurse ]should ]monitor ]the ]client's ]voiding ]pattern.
B. ]Within ]12 ]hr ]of ]birth, ]clients ]begin ]to ]lose ]the ]excess ]tissue ]fluid ]accumulated ]during ]pregnan
cy. ]Postpartum ]diuresis ]is ]caused ]by ]decreased ]estrogen ]levels. ]This ]is ]an ]expected ]finding ]and ]d
oes ]not ]require ]immediate ]intervention.
D. ]Involution ]is ]the ]return ]of ]the ]uterus ]to ]a ]nonpregnant ]state. ]At ]the ]end ]of ]the ]third ]stage ]of ]l
abor, ]the ]uterus ]is ]in ]the ]midline, ]approximately ]2 ]cm ]below ]the ]level ]of ]the ]umbilicus. ]Within ]1
2 ]hr, ]the ]fundus ]rises ]to ]approximately ]the ]level ]of ]the ]umbilicus. ]The ]fundus ]descends ]1 ]to ]2 ]cm
]every ]24 ]hr. ]Therefore, ]at ]1 ]day ]postpartum, ]the ]fundal ]height ]should ]be ]1 ]to ]2 ]cm ]
(fingerbreadths) ]below ]the ]umbilicus. ]This ]is ]an ]expected ]finding ]and
does ]not ]require ]immediate ]intervention.
A ]nurse ]is ]caring ]tor ]a ]client ]who ]is ]considering ]several ]methods ]of ]contraception. ]Which ]of ]the ]f
ollowing ]methods ]of ]contraception ]should ]the ]nurse ]identify ]as ]being ]most ]reliable?
A. ]A ]male ]condom
B. ]An ]intrauterine ]device ](IUD)
C. ]An ]oral ]contraceptive
D. ]A ]diaphragm ]with ]spermicide. ]- ]correct ]answer: ]B. ]An ]intrauterine ]device ](IUD)
RATIONALE: ]
An ]IUD ]is ]found ]to ]have ]a ]failure ]rate ]of ]less ]than ]1 ]in ]100 ]users, ]which ]makes ]it ]one ]of ]the ]most ]
reliable ]methods ]of ]contraception
A. ]This ]method ]of ]contraception ]has ]11 ]to ]16 ]failures ]for ]every ]100 ]users.
C. ]This ]method ]of ]contraception ]has ]about ]8 ]failures ]for ]every ]100 ]users, ]due ]to ]failure ]to ]take ]pi
ll ]consistently ]and ]decreased ]efficacy ]when ]taken
