ATI MATERNAL NEWBORN B, OB
MIDTERM & OBGYN FINAL REVIEW
TEST BANK QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF.
Core Domains
1. Antepartum Care and Fetal Assessment
2. Intrapartum Care and Labor Support
3. Postpartum Care and Complications
4. Newborn Care and Neonatal Assessment
5. High-Risk Pregnancy and Obstetric Emergencies
6. Reproductive Health and Family Planning
7. Pharmacologic and Intravenous Therapy
8. Legal, Ethical, and Professional Standards
9. Patient Safety and Quality Improvement
10. Interprofessional Collaboration and Patient Education
,Introduction
The ATI Maternal Newborn B, OB Midterm, and OBGYN Final
Review examination assesses the knowledge, clinical judgment,
and technical skills required for safe, effective nursing care of
childbearing families and women across the lifespan. It evaluates
foundational theory, applied professional knowledge, regulatory
and legal compliance, ethics, and real-world decision-making. The
exam uses multiple-choice and scenario-based questions that
emphasize prioritization, fetal monitoring, medication safety,
obstetric emergencies, newborn stabilization, and gynecologic
disorders. Candidates must demonstrate the ability to recognize
changes in maternal and fetal status, initiate appropriate nursing
actions, and collaborate within interprofessional teams. This
assessment reflects the complexity of contemporary maternal-
newborn and women's health nursing and the expectation that
registered nurses consistently deliver high-quality, family-
centered care.
SECTION ONE: QUESTIONS 1–500
Question 1
A nurse is caring for a client at 12 weeks of gestation who reports
nausea and vomiting. Which intervention should the nurse
recommend?
A. Eat small, frequent meals throughout the day.
B. Increase intake of spicy foods.
C. Consume large meals at bedtime.
D. Avoid all fluids until symptoms subside.
Correct answer: A. Eat small, frequent meals throughout the
day.
RATIONALE: Nausea and vomiting in early pregnancy is best
managed by eating small, frequent meals to prevent the stomach
,from becoming empty, which exacerbates symptoms. Spicy foods
may worsen nausea, large bedtime meals increase discomfort due
to slowed digestion, and fluid avoidance risks dehydration.
Question 2
A client in active labor is dilated to 7 cm. The fetal heart rate
shows late decelerations. What is the priority nursing action?
A. Reposition the client to the left side.
B. Administer oxygen via face mask.
C. Prepare for immediate delivery.
D. Increase IV fluid rate.
Correct answer: B. Administer oxygen via face mask.
RATIONALE: Late decelerations indicate uteroplacental
insufficiency compromising fetal oxygenation. The priority is
maximizing oxygen delivery to the fetus by administering 100%
oxygen via non-rebreather mask at 8–10 L/min. Repositioning is
supportive but not the immediate priority.
Question 3
A postpartum client reports heavy vaginal bleeding and a foul
odor. What should the nurse suspect?
A. Endometritis.
B. Lochia rubra.
C. Retained placenta.
D. Urinary tract infection.
Correct answer: A. Endometritis.
RATIONALE: Heavy bleeding with foul odor suggests
endometritis, a uterine infection requiring antibiotics. Lochia
rubra is normal bright red lochia without odor. Retained placenta
, causes bleeding but not typically foul odor. UTI involves urinary
symptoms, not vaginal odor.
Question 4
A newborn's Apgar score is 7 at 1 minute. Which finding
contributes to this score?
A. Heart rate of 120 bpm.
B. Weak cry and grimace.
C. Blue extremities.
D. Flexed posture.
Correct answer: A. Heart rate of 120 bpm.
RATIONALE: Apgar scoring assesses heart rate (2 points for
>100 bpm), respiration, muscle tone, reflex irritability, and color.
A heart rate of 120 bpm scores 2 points. Weak cry scores 1 for
respiration, blue extremities scores 1 for color, and flexed posture
scores 2 for tone.
Question 5
A client at 38 weeks gestation has a positive urine protein
dipstick. What is the nurse's next action?
A. Notify the provider immediately.
B. Encourage bed rest.
C. Collect a 24-hour urine sample.
D. Administer antihypertensive medication.
Correct answer: A. Notify the provider immediately.
RATIONALE: Proteinuria in late pregnancy may indicate
preeclampsia, which requires immediate provider notification for
further evaluation and management. Bed rest may be
recommended, but the provider must be notified first. A 24-hour
MIDTERM & OBGYN FINAL REVIEW
TEST BANK QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF.
Core Domains
1. Antepartum Care and Fetal Assessment
2. Intrapartum Care and Labor Support
3. Postpartum Care and Complications
4. Newborn Care and Neonatal Assessment
5. High-Risk Pregnancy and Obstetric Emergencies
6. Reproductive Health and Family Planning
7. Pharmacologic and Intravenous Therapy
8. Legal, Ethical, and Professional Standards
9. Patient Safety and Quality Improvement
10. Interprofessional Collaboration and Patient Education
,Introduction
The ATI Maternal Newborn B, OB Midterm, and OBGYN Final
Review examination assesses the knowledge, clinical judgment,
and technical skills required for safe, effective nursing care of
childbearing families and women across the lifespan. It evaluates
foundational theory, applied professional knowledge, regulatory
and legal compliance, ethics, and real-world decision-making. The
exam uses multiple-choice and scenario-based questions that
emphasize prioritization, fetal monitoring, medication safety,
obstetric emergencies, newborn stabilization, and gynecologic
disorders. Candidates must demonstrate the ability to recognize
changes in maternal and fetal status, initiate appropriate nursing
actions, and collaborate within interprofessional teams. This
assessment reflects the complexity of contemporary maternal-
newborn and women's health nursing and the expectation that
registered nurses consistently deliver high-quality, family-
centered care.
SECTION ONE: QUESTIONS 1–500
Question 1
A nurse is caring for a client at 12 weeks of gestation who reports
nausea and vomiting. Which intervention should the nurse
recommend?
A. Eat small, frequent meals throughout the day.
B. Increase intake of spicy foods.
C. Consume large meals at bedtime.
D. Avoid all fluids until symptoms subside.
Correct answer: A. Eat small, frequent meals throughout the
day.
RATIONALE: Nausea and vomiting in early pregnancy is best
managed by eating small, frequent meals to prevent the stomach
,from becoming empty, which exacerbates symptoms. Spicy foods
may worsen nausea, large bedtime meals increase discomfort due
to slowed digestion, and fluid avoidance risks dehydration.
Question 2
A client in active labor is dilated to 7 cm. The fetal heart rate
shows late decelerations. What is the priority nursing action?
A. Reposition the client to the left side.
B. Administer oxygen via face mask.
C. Prepare for immediate delivery.
D. Increase IV fluid rate.
Correct answer: B. Administer oxygen via face mask.
RATIONALE: Late decelerations indicate uteroplacental
insufficiency compromising fetal oxygenation. The priority is
maximizing oxygen delivery to the fetus by administering 100%
oxygen via non-rebreather mask at 8–10 L/min. Repositioning is
supportive but not the immediate priority.
Question 3
A postpartum client reports heavy vaginal bleeding and a foul
odor. What should the nurse suspect?
A. Endometritis.
B. Lochia rubra.
C. Retained placenta.
D. Urinary tract infection.
Correct answer: A. Endometritis.
RATIONALE: Heavy bleeding with foul odor suggests
endometritis, a uterine infection requiring antibiotics. Lochia
rubra is normal bright red lochia without odor. Retained placenta
, causes bleeding but not typically foul odor. UTI involves urinary
symptoms, not vaginal odor.
Question 4
A newborn's Apgar score is 7 at 1 minute. Which finding
contributes to this score?
A. Heart rate of 120 bpm.
B. Weak cry and grimace.
C. Blue extremities.
D. Flexed posture.
Correct answer: A. Heart rate of 120 bpm.
RATIONALE: Apgar scoring assesses heart rate (2 points for
>100 bpm), respiration, muscle tone, reflex irritability, and color.
A heart rate of 120 bpm scores 2 points. Weak cry scores 1 for
respiration, blue extremities scores 1 for color, and flexed posture
scores 2 for tone.
Question 5
A client at 38 weeks gestation has a positive urine protein
dipstick. What is the nurse's next action?
A. Notify the provider immediately.
B. Encourage bed rest.
C. Collect a 24-hour urine sample.
D. Administer antihypertensive medication.
Correct answer: A. Notify the provider immediately.
RATIONALE: Proteinuria in late pregnancy may indicate
preeclampsia, which requires immediate provider notification for
further evaluation and management. Bed rest may be
recommended, but the provider must be notified first. A 24-hour
