ATI Maternal Newborn Exam Proctored
Study Guide & Practice Questions and
Correct Answers
Question 1
A nurse is providing teaching for a client who have birth 2 hr ago about the facility
policy for newborn safety. Which of the following client statements indicates an
understanding of the teaching?
Correct Answer
the person who comes to take my baby's pictures will be wearing a photo
identification badge
Page 1 of 253
,Question 2
A nurse is assessing the newborn of a client who took selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI?
Correct Answer
A. Large for gestational age
B. Hyperglycemia
C. Bradypnea
D. Vomiting
Answer: Vomiting
A. Large for gestational age
Low birth weight is an expected manifestation of fetal exposure to SSRIs.
B. Hyperglycemia
Hypoglycemia is an expected manifestation of fetal exposure to SSRIs.
C. Bradypnea
Tachypnea is an expected manifestation of fetal exposure to SSRIs.
D. Vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Answer: Vomiting
Page 2 of 253
,Question 3
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about
management during pregnancy. Which of the following statements by the client
indicates an understanding of the teaching?
Correct Answer
A. "I should have a goal of maintaining my fasting blood glucose between 100 and
120."
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250
or greater."
C. "I will continue taking my insulin if I experience nausea and vomiting."
D. "I will ensure that my bedtime snack is high in refined sugar."
Answer: "I will continue taking my insulin if I experience nausea and vomiting."
A. "I should have a goal of maintaining my fasting blood glucose between 100 and
120."
The nurse should teach the client to maintain her fasting blood glucose level
between 60 and 99 mg/dL.
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250
or greater."
The nurse should teach the client to avoid exercise during periods of hyperglycemia
and when positive urine ketones are present.
C. "I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the client to continue to take her insulin as prescribed
during illness to
Page 3 of 253
, Question 4
A nurse is caring for a client who becomes unresponsive upon delivery of the
placenta. Which of the following actions should the nurse take first?
Correct Answer
A. Determine respiratory function.
B. Increase the IV fluid rate.
C. Access emergency medications from cart.
D. Collect a maternal blood sample for coagulopathy studies.
Answer: Determine respiratory function.
A. Determine respiratory function.
The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to determine respiratory function and the need
for cardiopulmonary resuscitation.
B. Increase the IV fluid rate.
The nurse should increase the IV fluid rate to maintain circulation. However, this is
not the first action the nurse should take.
C. Access emergency medications from cart.
The nurse should access emergency medication to assist in resuscitative efforts.
However, this is not the first action the nurse should take.
D.Collect a maternal blood sample for coagulopathy studies.
The nurse should collect a maternal blood sample in preparation for a blood
transfusion. However, this is not the first action the nurse should tak
Question 5
A nurse is providing teaching about nonpharmological pain management to a client
who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items?
Correct Answer
Cold cabbage leaves
Page 4 of 253
Study Guide & Practice Questions and
Correct Answers
Question 1
A nurse is providing teaching for a client who have birth 2 hr ago about the facility
policy for newborn safety. Which of the following client statements indicates an
understanding of the teaching?
Correct Answer
the person who comes to take my baby's pictures will be wearing a photo
identification badge
Page 1 of 253
,Question 2
A nurse is assessing the newborn of a client who took selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI?
Correct Answer
A. Large for gestational age
B. Hyperglycemia
C. Bradypnea
D. Vomiting
Answer: Vomiting
A. Large for gestational age
Low birth weight is an expected manifestation of fetal exposure to SSRIs.
B. Hyperglycemia
Hypoglycemia is an expected manifestation of fetal exposure to SSRIs.
C. Bradypnea
Tachypnea is an expected manifestation of fetal exposure to SSRIs.
D. Vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Answer: Vomiting
Page 2 of 253
,Question 3
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about
management during pregnancy. Which of the following statements by the client
indicates an understanding of the teaching?
Correct Answer
A. "I should have a goal of maintaining my fasting blood glucose between 100 and
120."
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250
or greater."
C. "I will continue taking my insulin if I experience nausea and vomiting."
D. "I will ensure that my bedtime snack is high in refined sugar."
Answer: "I will continue taking my insulin if I experience nausea and vomiting."
A. "I should have a goal of maintaining my fasting blood glucose between 100 and
120."
The nurse should teach the client to maintain her fasting blood glucose level
between 60 and 99 mg/dL.
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250
or greater."
The nurse should teach the client to avoid exercise during periods of hyperglycemia
and when positive urine ketones are present.
C. "I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the client to continue to take her insulin as prescribed
during illness to
Page 3 of 253
, Question 4
A nurse is caring for a client who becomes unresponsive upon delivery of the
placenta. Which of the following actions should the nurse take first?
Correct Answer
A. Determine respiratory function.
B. Increase the IV fluid rate.
C. Access emergency medications from cart.
D. Collect a maternal blood sample for coagulopathy studies.
Answer: Determine respiratory function.
A. Determine respiratory function.
The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to determine respiratory function and the need
for cardiopulmonary resuscitation.
B. Increase the IV fluid rate.
The nurse should increase the IV fluid rate to maintain circulation. However, this is
not the first action the nurse should take.
C. Access emergency medications from cart.
The nurse should access emergency medication to assist in resuscitative efforts.
However, this is not the first action the nurse should take.
D.Collect a maternal blood sample for coagulopathy studies.
The nurse should collect a maternal blood sample in preparation for a blood
transfusion. However, this is not the first action the nurse should tak
Question 5
A nurse is providing teaching about nonpharmological pain management to a client
who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items?
Correct Answer
Cold cabbage leaves
Page 4 of 253
