ATI CO NTENT M A S TER Y S ER IES · EX A M INATIO N
P R EPA R ATIO N
MATERNAL
NEWBORN
NURSING
A complete Edition 13.0 test bank aligned with the 2026 ATI
curriculum standards and the NCLEX test plan — featuring
verified answers, detailed ATI-specific rationales, and full
clinical judgment support across every maternal-newborn
core domain.
300 Exam-Style Questions · Chapters 1–37
Verified Answers & Detailed Rationales
All Core Domains Covered · A+ Graded
R N M AT E R N A L N E W B O R N N U R S I N G · E D I T I O N 1 3 . 0 2026
,ATI RN MATERNAL NEWBORN NURSING EDITION 13.0 - CONTENT MASTERY SERIES TEST BANK
ATI RN MATERNAL NEWBORN NURSING
EDITION 13.0 COMPLETE TEST BANK - CHAPTERS 1-37
300 Exam-Style Questions with Verified Answers and Detailed Rationales | All Core Domains Covered | A+ Graded |
Aligned with the 2026 ATI Curriculum Standards and NCLEX Test Plan | ATI Content Mastery Series Examination
Preparation
Section Chapters Questions Core Domains Covered
Health statistics, family-centered care, cultural care,
Section 1
1-45 ethics and law, community-based care, reproductive
Foundations of Maternal-Newborn Chapters 1-6
(45) anatomy, menstrual cycle, conception, fetal
Nursing and Reproductive Health
development, genetics and teratogens
Prenatal visits, physiological adaptations, Leopold
maneuvers and fundal height, danger signs, nutrition
Section 2 and lifestyle, diagnostic testing, gestational diabetes,
Chapters 46-95
Antepartum Nursing Care and preeclampsia and HELLP, hyperemesis, Rh
7-13 (50)
Complications incompatibility, ectopic pregnancy, miscarriage,
placenta previa and abruption, preterm labor, PROM,
multiple gestation
Stages and phases of labor, fetal monitoring
interpretation, Category I-III strips, amniotomy,
Section 3
Chapters 96-150 induction and augmentation, operative delivery,
Intrapartum Nursing Care and
14-19 (55) cesarean birth, pain management, shoulder dystocia,
Complications
prolapsed cord, uterine rupture, amniotic fluid
embolism, medication calculations
Uterine involution and lochia, perineal and cesarean
Section 4 care, breast care, postpartum hemorrhage and
Chapters 151-200
Postpartum Nursing Care and uterotonics, endometritis, thrombophlebitis,
20-25 (50)
Complications attachment and bonding, postpartum mood disorders,
lactation and feeding, discharge teaching
APGAR scoring, physical and gestational age
assessment, newborn reflexes, thermoregulation, RDS,
Section 5 Chapters 201-255 TTN and meconium aspiration, jaundice and
Newborn Nursing Care and Complications 26-32 (55) phototherapy, hypoglycemia, sepsis, congenital
anomalies, newborn nutrition, medications and
procedures, prematurity, NAS, and birth injuries
Contraception and family planning, infertility and
ART, menstrual disorders and menopause, STIs, breast
Section 6 Chapters
256-300 and gynecologic disorders, perinatal loss and grief,
Women's Health, Perinatal Loss, and 33-37 + All
(45) medication safety, cultural and family considerations,
Comprehensive Integration Chapters
community care, legal and ethical integration,
prioritization and delegation
Cognitive level distribution: 25% recall, 55% application, 20% analysis. Question style: 80% scenario-based, 20% direct
recall and medication calculation. Each question includes the correct answer marked [CORRECT] with a comprehensive
ATI-specific rationale.
1
,ATI RN MATERNAL NEWBORN NURSING EDITION 13.0 - CONTENT MASTERY SERIES TEST BANK
Section 1 - Foundations of Maternal-Newborn Nursing and Reproductive
Health
Chapters 1-6 | Questions 1-45 | 45 Questions
Q1: A nurse is reviewing maternal-newborn health statistics for a community health presentation. Which statement
should the nurse include regarding infant mortality in the United States?
A. Infant mortality in the United States is the lowest of all industrialized nations.
B. Congenital anomalies are a leading cause of infant death in the United States. [CORRECT]
C. Low birth weight increases an infant's chance of survival during the first year.
D. Infant mortality rates are unrelated to maternal health status before pregnancy.
Correct Answer: B
Rationale: Congenital anomalies, followed by disorders related to short gestation and low birth weight, are leading
causes of infant death in the United States, so this is the accurate statement for the presentation. Option B is incorrect
because the U.S. infant mortality rate remains higher than that of many other industrialized nations. Option C
reverses the evidence: low birth weight is a major risk factor for infant death, not a survival advantage. Option D is
wrong because maternal preconception health, chronic disease, and prenatal care access strongly influence infant
outcomes, which is why preconception counseling is an ATI testing priority. ATI strategy: when a question asks for
statistics, choose the option that reflects known population-level risk factors rather than absolutes.
Q2: A nurse is caring for a newborn who weighed 2,050 g at birth. The nurse should recognize that this infant is
classified as which of the following?
A. Very low birth weight
B. Extremely low birth weight
C. Low birth weight [CORRECT]
D. Normal birth weight for gestational age
Correct Answer: C
Rationale: Low birth weight is defined as a birth weight of less than 2,500 g (2,500 g and below), and this newborn
at 2,050 g meets that criterion. Very low birth weight is below 1,500 g and extremely low birth weight is below 1,000
g, so options B and C understate the classification. Option D is incorrect because 2,050 g is clearly outside the normal
range of 2,500 to 4,000 g regardless of gestational age assessment. ATI testing strategy: memorize the three weight
cut points (2,500 g, 1,500 g, 1,000 g) because classification questions are frequent recall items that distinguish low
from very low birth weight.
Q3: A nurse is developing the plan of care for a laboring client and her support person. Which nursing action best
reflects the principles of family-centered maternity care?
A. Requiring the support person to leave the room for all sterile procedures
B. Restricting visiting to the immediate postpartum period only
C. Providing all teaching to the client only when the support person is absent
D. Inviting the support person to remain at the bedside during labor and birth [CORRECT]
Correct Answer: D
Rationale: Family-centered maternity care recognizes the family as the constant in the client's life, promotes
collaboration, and treats the childbearing family as a single unit of care; keeping the support person at the bedside
exemplifies this model. Option B isolates the family unnecessarily because most facilities encourage support person
presence during procedures whenever safety permits. Option C contradicts the philosophy of flexible,
family-inclusive visitation and rooming-in. Option D withholds education from family members who will reinforce
care at home, violating the shared decision-making and empowerment goals of family-centered care. ATI strategy:
choose the option that maximizes family participation and control rather than institutional convenience.
2
, ATI RN MATERNAL NEWBORN NURSING EDITION 13.0 - CONTENT MASTERY SERIES TEST BANK
Q4: A postpartum client tells the nurse, 'My 4-year-old daughter is jealous and acting like a baby again when she
visits the new baby.' Which response should the nurse make?
A. 'This is a normal response to a new sibling; let's talk about ways to help her adjust.' [CORRECT]
B. 'You should firmly discourage the baby-like behavior before it becomes a habit.'
C. 'She is too young to understand the new baby, so visits should stop for now.'
D. 'Jealousy means she is not attaching well and needs a behavioral evaluation.'
Correct Answer: A
Rationale: Sibling rivalry and regression (acting like a baby) are expected, developmentally normal responses in a
preschooler after a new birth, and the nurse should normalize the finding while partnering with the parent on
adjustment strategies such as one-on-one time and involving the child in baby care. Option B uses punishment and
discouragement, which intensifies jealousy and guilt. Option C is excessive because supervised, positive sibling
contact promotes bonding and adjustment. Option D pathologizes a normal developmental behavior and is inaccurate;
regression is not a failure of attachment. ATI strategy: when a client describes a behavior within expected norms,
validate it as normal and offer constructive guidance rather than restrictive or punitive actions.
Q5: A nurse is caring for a client who speaks a language different from the nurse's. The client's teenage son is
offering to translate the discharge instructions. Which action should the nurse take?
A. Allow the son to translate since he is fluent and present at the bedside.
B. Request a professional medical interpreter to translate the discharge instructions. [CORRECT]
C. Provide written English instructions and tell the son to read them aloud.
D. Delay all discharge teaching until a family member who is a health care worker arrives.
Correct Answer: B
Rationale: Federal standards and ATI guidelines require using a qualified, professional medical interpreter for
clients with limited English proficiency, which ensures accurate, unbiased translation of medical terminology and
protects client confidentiality. Option B is incorrect because family members, especially children, may filter, omit, or
misunderstand health information and this compromises privacy. Option C assumes English literacy and offers no
verification of comprehension. Option D is unnecessary delay; professional interpreters are available by phone or
video within minutes. ATI strategy: whenever 'family offers to interpret' appears, the correct answer is always the
certified interpreter, with teaching-verification techniques such as teach-back afterward.
Q6: A nurse is caring for a postpartum client of Chinese heritage who requests hot water and warm blankets and
refuses cold beverages after birth. Which action should the nurse take?
A. Explain that cold beverages are required to promote uterine contraction.
B. Remind the client that hospital policy offers only standard diet choices.
C. Accommodate the requests as they align with the client's cultural beliefs about postpartum recovery.
[CORRECT]
D. Ask the provider to prescribe antiemetics to manage the client's beliefs.
Correct Answer: C
Rationale: Many Chinese cultural traditions classify the postpartum period as a 'cold' state that must be balanced
with 'hot' or warm foods, fluids, and environmental warmth; supporting these practices demonstrates cultural
competence and causes no physiologic harm. Option B is factually wrong because cold beverages have no effect on
uterine involution or contraction. Option C places policy above culturally responsive, patient-centered care, which
ATI defines as a failure of cultural humility. Option D is absurd and pathologizes a normal cultural practice. ATI
strategy: when a cultural practice is harmless, the correct action is to accommodate it; only intervene when a practice
directly threatens safety (for example, applying herbs to the cord stump or refusing all medical care).
3
P R EPA R ATIO N
MATERNAL
NEWBORN
NURSING
A complete Edition 13.0 test bank aligned with the 2026 ATI
curriculum standards and the NCLEX test plan — featuring
verified answers, detailed ATI-specific rationales, and full
clinical judgment support across every maternal-newborn
core domain.
300 Exam-Style Questions · Chapters 1–37
Verified Answers & Detailed Rationales
All Core Domains Covered · A+ Graded
R N M AT E R N A L N E W B O R N N U R S I N G · E D I T I O N 1 3 . 0 2026
,ATI RN MATERNAL NEWBORN NURSING EDITION 13.0 - CONTENT MASTERY SERIES TEST BANK
ATI RN MATERNAL NEWBORN NURSING
EDITION 13.0 COMPLETE TEST BANK - CHAPTERS 1-37
300 Exam-Style Questions with Verified Answers and Detailed Rationales | All Core Domains Covered | A+ Graded |
Aligned with the 2026 ATI Curriculum Standards and NCLEX Test Plan | ATI Content Mastery Series Examination
Preparation
Section Chapters Questions Core Domains Covered
Health statistics, family-centered care, cultural care,
Section 1
1-45 ethics and law, community-based care, reproductive
Foundations of Maternal-Newborn Chapters 1-6
(45) anatomy, menstrual cycle, conception, fetal
Nursing and Reproductive Health
development, genetics and teratogens
Prenatal visits, physiological adaptations, Leopold
maneuvers and fundal height, danger signs, nutrition
Section 2 and lifestyle, diagnostic testing, gestational diabetes,
Chapters 46-95
Antepartum Nursing Care and preeclampsia and HELLP, hyperemesis, Rh
7-13 (50)
Complications incompatibility, ectopic pregnancy, miscarriage,
placenta previa and abruption, preterm labor, PROM,
multiple gestation
Stages and phases of labor, fetal monitoring
interpretation, Category I-III strips, amniotomy,
Section 3
Chapters 96-150 induction and augmentation, operative delivery,
Intrapartum Nursing Care and
14-19 (55) cesarean birth, pain management, shoulder dystocia,
Complications
prolapsed cord, uterine rupture, amniotic fluid
embolism, medication calculations
Uterine involution and lochia, perineal and cesarean
Section 4 care, breast care, postpartum hemorrhage and
Chapters 151-200
Postpartum Nursing Care and uterotonics, endometritis, thrombophlebitis,
20-25 (50)
Complications attachment and bonding, postpartum mood disorders,
lactation and feeding, discharge teaching
APGAR scoring, physical and gestational age
assessment, newborn reflexes, thermoregulation, RDS,
Section 5 Chapters 201-255 TTN and meconium aspiration, jaundice and
Newborn Nursing Care and Complications 26-32 (55) phototherapy, hypoglycemia, sepsis, congenital
anomalies, newborn nutrition, medications and
procedures, prematurity, NAS, and birth injuries
Contraception and family planning, infertility and
ART, menstrual disorders and menopause, STIs, breast
Section 6 Chapters
256-300 and gynecologic disorders, perinatal loss and grief,
Women's Health, Perinatal Loss, and 33-37 + All
(45) medication safety, cultural and family considerations,
Comprehensive Integration Chapters
community care, legal and ethical integration,
prioritization and delegation
Cognitive level distribution: 25% recall, 55% application, 20% analysis. Question style: 80% scenario-based, 20% direct
recall and medication calculation. Each question includes the correct answer marked [CORRECT] with a comprehensive
ATI-specific rationale.
1
,ATI RN MATERNAL NEWBORN NURSING EDITION 13.0 - CONTENT MASTERY SERIES TEST BANK
Section 1 - Foundations of Maternal-Newborn Nursing and Reproductive
Health
Chapters 1-6 | Questions 1-45 | 45 Questions
Q1: A nurse is reviewing maternal-newborn health statistics for a community health presentation. Which statement
should the nurse include regarding infant mortality in the United States?
A. Infant mortality in the United States is the lowest of all industrialized nations.
B. Congenital anomalies are a leading cause of infant death in the United States. [CORRECT]
C. Low birth weight increases an infant's chance of survival during the first year.
D. Infant mortality rates are unrelated to maternal health status before pregnancy.
Correct Answer: B
Rationale: Congenital anomalies, followed by disorders related to short gestation and low birth weight, are leading
causes of infant death in the United States, so this is the accurate statement for the presentation. Option B is incorrect
because the U.S. infant mortality rate remains higher than that of many other industrialized nations. Option C
reverses the evidence: low birth weight is a major risk factor for infant death, not a survival advantage. Option D is
wrong because maternal preconception health, chronic disease, and prenatal care access strongly influence infant
outcomes, which is why preconception counseling is an ATI testing priority. ATI strategy: when a question asks for
statistics, choose the option that reflects known population-level risk factors rather than absolutes.
Q2: A nurse is caring for a newborn who weighed 2,050 g at birth. The nurse should recognize that this infant is
classified as which of the following?
A. Very low birth weight
B. Extremely low birth weight
C. Low birth weight [CORRECT]
D. Normal birth weight for gestational age
Correct Answer: C
Rationale: Low birth weight is defined as a birth weight of less than 2,500 g (2,500 g and below), and this newborn
at 2,050 g meets that criterion. Very low birth weight is below 1,500 g and extremely low birth weight is below 1,000
g, so options B and C understate the classification. Option D is incorrect because 2,050 g is clearly outside the normal
range of 2,500 to 4,000 g regardless of gestational age assessment. ATI testing strategy: memorize the three weight
cut points (2,500 g, 1,500 g, 1,000 g) because classification questions are frequent recall items that distinguish low
from very low birth weight.
Q3: A nurse is developing the plan of care for a laboring client and her support person. Which nursing action best
reflects the principles of family-centered maternity care?
A. Requiring the support person to leave the room for all sterile procedures
B. Restricting visiting to the immediate postpartum period only
C. Providing all teaching to the client only when the support person is absent
D. Inviting the support person to remain at the bedside during labor and birth [CORRECT]
Correct Answer: D
Rationale: Family-centered maternity care recognizes the family as the constant in the client's life, promotes
collaboration, and treats the childbearing family as a single unit of care; keeping the support person at the bedside
exemplifies this model. Option B isolates the family unnecessarily because most facilities encourage support person
presence during procedures whenever safety permits. Option C contradicts the philosophy of flexible,
family-inclusive visitation and rooming-in. Option D withholds education from family members who will reinforce
care at home, violating the shared decision-making and empowerment goals of family-centered care. ATI strategy:
choose the option that maximizes family participation and control rather than institutional convenience.
2
, ATI RN MATERNAL NEWBORN NURSING EDITION 13.0 - CONTENT MASTERY SERIES TEST BANK
Q4: A postpartum client tells the nurse, 'My 4-year-old daughter is jealous and acting like a baby again when she
visits the new baby.' Which response should the nurse make?
A. 'This is a normal response to a new sibling; let's talk about ways to help her adjust.' [CORRECT]
B. 'You should firmly discourage the baby-like behavior before it becomes a habit.'
C. 'She is too young to understand the new baby, so visits should stop for now.'
D. 'Jealousy means she is not attaching well and needs a behavioral evaluation.'
Correct Answer: A
Rationale: Sibling rivalry and regression (acting like a baby) are expected, developmentally normal responses in a
preschooler after a new birth, and the nurse should normalize the finding while partnering with the parent on
adjustment strategies such as one-on-one time and involving the child in baby care. Option B uses punishment and
discouragement, which intensifies jealousy and guilt. Option C is excessive because supervised, positive sibling
contact promotes bonding and adjustment. Option D pathologizes a normal developmental behavior and is inaccurate;
regression is not a failure of attachment. ATI strategy: when a client describes a behavior within expected norms,
validate it as normal and offer constructive guidance rather than restrictive or punitive actions.
Q5: A nurse is caring for a client who speaks a language different from the nurse's. The client's teenage son is
offering to translate the discharge instructions. Which action should the nurse take?
A. Allow the son to translate since he is fluent and present at the bedside.
B. Request a professional medical interpreter to translate the discharge instructions. [CORRECT]
C. Provide written English instructions and tell the son to read them aloud.
D. Delay all discharge teaching until a family member who is a health care worker arrives.
Correct Answer: B
Rationale: Federal standards and ATI guidelines require using a qualified, professional medical interpreter for
clients with limited English proficiency, which ensures accurate, unbiased translation of medical terminology and
protects client confidentiality. Option B is incorrect because family members, especially children, may filter, omit, or
misunderstand health information and this compromises privacy. Option C assumes English literacy and offers no
verification of comprehension. Option D is unnecessary delay; professional interpreters are available by phone or
video within minutes. ATI strategy: whenever 'family offers to interpret' appears, the correct answer is always the
certified interpreter, with teaching-verification techniques such as teach-back afterward.
Q6: A nurse is caring for a postpartum client of Chinese heritage who requests hot water and warm blankets and
refuses cold beverages after birth. Which action should the nurse take?
A. Explain that cold beverages are required to promote uterine contraction.
B. Remind the client that hospital policy offers only standard diet choices.
C. Accommodate the requests as they align with the client's cultural beliefs about postpartum recovery.
[CORRECT]
D. Ask the provider to prescribe antiemetics to manage the client's beliefs.
Correct Answer: C
Rationale: Many Chinese cultural traditions classify the postpartum period as a 'cold' state that must be balanced
with 'hot' or warm foods, fluids, and environmental warmth; supporting these practices demonstrates cultural
competence and causes no physiologic harm. Option B is factually wrong because cold beverages have no effect on
uterine involution or contraction. Option C places policy above culturally responsive, patient-centered care, which
ATI defines as a failure of cultural humility. Option D is absurd and pathologizes a normal cultural practice. ATI
strategy: when a cultural practice is harmless, the correct action is to accommodate it; only intervene when a practice
directly threatens safety (for example, applying herbs to the cord stump or refusing all medical care).
3
