EXAM
2026 ATI RN Maternal Newborn Proctored Exam
1 | 300+ Questions | 100% Correct Answers &
Detailed Rationales (Pass Guaranteed A+
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A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective
in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
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EXAM
D.Manually express a small amount of milk before nursing. –
Correct Answer :C.Ensure that the baby is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning of the infant on the breast for
latching on. The baby's body is in alignment with the ears, shoulders, and hips in a straight line, with the nose,
cheeks, and chin touching the breast. Option A helps prevent chafing, and nonbinding support aids in prevention
of discomfort from the stretching of the Cooper ligament. Option B is important but is not necessary for all
women. Option D helps soften an engorged breast and encourages correct infant latching on but is not the best
answer.
A new mother asks the nurse, "How do I know that my daughter is getting enough breast milk?" Which
explanation is appropriate?
A."Weigh the baby daily, and if she is gaining weight, she is getting enough to eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she still seems hungry."
D."If you're concerned, you might consider bottle feeding so that you can monitor intake." –
Correct Answer :B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to ten times a day."
Rationale: The urine will be dilute (straw-colored) and frequent (>6 to 10 times/day), if the infant is adequately
hydrated. Although a weight gain of 30 g/day is indicative of adequate nutrition, most home scales do not
measure this accurately, and the suggestion will likely make the mother anxious. Option C causes nipple
confusion and diminishes the mother's milk production. Option D does not address the client's question.
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The client comes to the hospital assuming she is in labor. Which assessment findings by the nurse would indicate
that the client is in true labor? (Select all that apply.)
A.Pain in the lower back that radiates to abdomen
B.Contractions decreased in frequency with ambulation
C.Progressive cervical dilation and effacement
D.Discomfort localized in the abdomen
E.Regular and rhythmic painful contractions –
Correct Answer :A.Pain in the lower back that radiates to abdomen
C.Progressive cervical dilation and effacement
E.Regular and rhythmic painful contractions
Rationale: These are all signs of true labor. Options B and D are signs of false labor.
Which statement made by the client indicates that the mother understands the limitations of breastfeeding her
newborn?
A."Breastfeeding my infant consistently every 3 to 4 hours stops ovulation and my period."
B."Breastfeeding my baby immediately after drinking alcohol is safer than waiting for the alcohol to clear my
breast milk."
C."I can start smoking cigarettes while breastfeeding because it will not affect my breast milk."
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D."When I take a warm shower after I breastfeed, it relieves the pain from being engorged between
breastfeedings.
- Correct Answer :A."Breastfeeding my infant consistently every 3 to 4 hours stops ovulation and my period."
Rationale: Continuous breastfeeding on a 3- to 4-hour schedule during the day will cause a release of prolactin,
which will suppress ovulation and menses, but is not completely effective as a birth control method. Option B is
incorrect because alcohol can immediately enter the breast milk. Nicotine is transferred to the infant in breast
milk. Taking a warm shower will stimulate the production of milk, which will be more painful after breastfeedings.
A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure
has a funny-looking head." Which response by the nurse is best?
A."This is not an unusually shaped head, especially for a first baby."
B."It may look odd, but newborn babies are often born with heads like that."
C."That is normal. The head will return to a round shape within 7 to 10 days."
D."Your pelvis was too small, so the head had to adjust to the birth canal." - Correct Answer :C."That is normal.
The head will return to a round shape within 7 to 10 days."
Rationale: Option C reassures the mother that this is normal in the newborn and provides correct information
regarding the return to a normal shape. Although option A is correct, it implies that the client should not worry.
Any implied or spoken "don't worry" is usually the wrong answer. Option B is condescending and dismissing; the
mother is seeking reassurance and information. Option D is a negative statement and implies that molding is the
mother's fault.
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