ATI MATERNAL NEWBORN PRACTICE
EXAM 2026 PRACTICE QUESTIONS AND
ANSWERS DETAILED REVIEW
⫸ A nurse is using Neagel's rule to determine the estimated date of birth
(EDB) for a client who first day of her last menstrual period was
February 2, 2018. The nurse should identify which of the following as
the client's EDB?
November 16, 2018
October 19, 2018
October 26, 2018
November 9, 2018. Answer: November 9, 2018
Rationale: This would be the correct EDB because Naegle's rule
involves counting backward 3 calendar months from the first day of the
client's last menstrual period and then adding 7 days.
⫸ A nurse is providing postpartum discharge teaching for a client who is
breastfeeding. The client states, "I've heard that I can't use any birth
control until I stop breastfeeding." Which of the following responses
should the nurse make?
,"You will not get pregnant while you are breastfeeding, so you will not
need any birth control."
"A birth control pull that contains only estrogen is available for use
while you are breastfeeding."
"Condoms are the only method of contraception that is appropriate while
you are breastfeeding."
"A progestin-only or injection is available for use while you are
breastfeeding.". Answer: "A progestin-only or injection is available for
use while you are breastfeeding."
Rationale: Pregestin-only injections, implants, and birth control pills are
acceptable options for clients who are breastfeeding, although some
experts recommend waiting until 6 weeks postpartum to initiate the
medication.
⫸ A nurse is assisting with the care of a client who is 2 hours
postpartum and is exhibiting signs of hypovolemic shock. Which of the
following actions should the nurse take?
Saline lock the IV catheter
,Provide oxygen via nasal cannula
Elevate the client's legs to a 30° angle.
Place the client in a semi-Fowler's position. Answer: Elevate the client's
legs to a 30° angle.
Rationale: The nurse should position the client on her side with her right
hip evaluated by a pillow or in a supine position with her legs elevation
to at least a 30° angle. This improves blood flow and reduces
manifestations of hypotension.
⫸ A nurse is contributing to the plan of care for a newborn who has
hyperbilirubinemia and a prescription for phototherapy. Which of the
following interventions should the nurse recommend?
Discontinue therapy if a fine rash appears.
Place moisturizing lotion on the newborn's skin
Supplement feedings with 1 oz of glucose water every 4 hours.
Change the newborn's position every 3 to 3 hours. Answer: Change the
newborn's position every 3 to 3 hours
, Rationale: Change the newborn's position every 3 to 3 hours
⫸ A nurse is caring for a client who recently gave birth and plans to
breastfeed. Which of the following actions should the nurse take?
Place the unwrapped newborn on the mother's bare chest
Feed the infant 5 to 15 mg of 5% glucose water to assess the
suck/swallow reflex
Bathe the newborn under running warm water before feeding
Administer vitamin K and eye prophylaxis prior to feeding. Answer:
Place the unwrapped newborn on the mother's bare chest
Rationale: Skin-to-skin contact will maintain the newborn's temperature
and elicit instinctive newborn feeding behaviors.
⫸ A nurse is assisting with the care of a newborn who has a positive
Ortolani sign. Which of the following manifestations should the nurse
expect?
Decreased tongue mobility
EXAM 2026 PRACTICE QUESTIONS AND
ANSWERS DETAILED REVIEW
⫸ A nurse is using Neagel's rule to determine the estimated date of birth
(EDB) for a client who first day of her last menstrual period was
February 2, 2018. The nurse should identify which of the following as
the client's EDB?
November 16, 2018
October 19, 2018
October 26, 2018
November 9, 2018. Answer: November 9, 2018
Rationale: This would be the correct EDB because Naegle's rule
involves counting backward 3 calendar months from the first day of the
client's last menstrual period and then adding 7 days.
⫸ A nurse is providing postpartum discharge teaching for a client who is
breastfeeding. The client states, "I've heard that I can't use any birth
control until I stop breastfeeding." Which of the following responses
should the nurse make?
,"You will not get pregnant while you are breastfeeding, so you will not
need any birth control."
"A birth control pull that contains only estrogen is available for use
while you are breastfeeding."
"Condoms are the only method of contraception that is appropriate while
you are breastfeeding."
"A progestin-only or injection is available for use while you are
breastfeeding.". Answer: "A progestin-only or injection is available for
use while you are breastfeeding."
Rationale: Pregestin-only injections, implants, and birth control pills are
acceptable options for clients who are breastfeeding, although some
experts recommend waiting until 6 weeks postpartum to initiate the
medication.
⫸ A nurse is assisting with the care of a client who is 2 hours
postpartum and is exhibiting signs of hypovolemic shock. Which of the
following actions should the nurse take?
Saline lock the IV catheter
,Provide oxygen via nasal cannula
Elevate the client's legs to a 30° angle.
Place the client in a semi-Fowler's position. Answer: Elevate the client's
legs to a 30° angle.
Rationale: The nurse should position the client on her side with her right
hip evaluated by a pillow or in a supine position with her legs elevation
to at least a 30° angle. This improves blood flow and reduces
manifestations of hypotension.
⫸ A nurse is contributing to the plan of care for a newborn who has
hyperbilirubinemia and a prescription for phototherapy. Which of the
following interventions should the nurse recommend?
Discontinue therapy if a fine rash appears.
Place moisturizing lotion on the newborn's skin
Supplement feedings with 1 oz of glucose water every 4 hours.
Change the newborn's position every 3 to 3 hours. Answer: Change the
newborn's position every 3 to 3 hours
, Rationale: Change the newborn's position every 3 to 3 hours
⫸ A nurse is caring for a client who recently gave birth and plans to
breastfeed. Which of the following actions should the nurse take?
Place the unwrapped newborn on the mother's bare chest
Feed the infant 5 to 15 mg of 5% glucose water to assess the
suck/swallow reflex
Bathe the newborn under running warm water before feeding
Administer vitamin K and eye prophylaxis prior to feeding. Answer:
Place the unwrapped newborn on the mother's bare chest
Rationale: Skin-to-skin contact will maintain the newborn's temperature
and elicit instinctive newborn feeding behaviors.
⫸ A nurse is assisting with the care of a newborn who has a positive
Ortolani sign. Which of the following manifestations should the nurse
expect?
Decreased tongue mobility
