ATI PN Maternal Newborn Final Exam
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
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1. A nurse is caring for a client who is 28 weeks gestation and reports sudden leakage of
clear fluid from the vagina. Which action should the nurse take first?
A. Assess fetal heart rate
B. Obtain a sterile speculum for a vaginal exam
C. Encourage the client to empty her bladder
D. Check maternal vital signs
A. Assess fetal heart rate
Rationale: The priority is to assess fetal well-being when there is a sudden loss of fluid, as
this could indicate premature rupture of membranes and possible fetal compromise.
2. A nurse is teaching a client at 36 weeks gestation about signs of preterm labor. Which
should the nurse include?
A. Increased urinary frequency
B. Regular uterine contractions
C. Dark brown vaginal discharge
D. Shortness of breath
B. Regular uterine contractions
Rationale: Regular contractions, especially before 37 weeks, are a primary sign of preterm
labor.
3. A client is 12 hours postpartum and reports a sudden gush of blood when standing.
The nurse notes the fundus is firm. What is the most likely cause?
A. Uterine atony
B. Vaginal laceration
, C. Retained placental fragments
D. Coagulopathy
B. Vaginal laceration
Rationale: A firm fundus indicates the uterus is contracting appropriately. Vaginal
lacerations are a common cause of postpartum hemorrhage in this scenario.
4. Which newborn reflex should disappear by 6 months of age?
A. Moro reflex
B. Babinski reflex
C. Rooting reflex
D. Grasp reflex
C. Rooting reflex
Rationale: The rooting reflex helps the newborn locate the nipple for feeding and typically
disappears by 4–6 months of age.
5. A nurse is assessing a newborn’s vital signs. Which finding requires immediate
intervention?
A. Heart rate 140/min
B. Respiratory rate 60/min
C. Axillary temperature 36.2°C
D. Blood pressure 65/40 mmHg
C. Axillary temperature 36.2°C
Rationale: A temperature below 36.5°C indicates hypothermia, which can be dangerous
for a newborn.
6. A nurse is caring for a client receiving magnesium sulfate for preeclampsia. Which
assessment finding indicates magnesium toxicity?
A. Deep tendon reflexes 2+
B. Respiratory rate 8/min
C. Urine output 50 mL/hr
D. Blood pressure 140/90 mmHg
B. Respiratory rate 8/min
Rationale: Magnesium sulfate toxicity can depress the respiratory center; a respiratory
rate below 12/min is a critical finding.
7. A nurse is teaching a client about lochia. Which statement indicates understanding?
A. “Lochia rubra is bright red and lasts 1–2 days.”
B. “Lochia serosa occurs immediately after birth.”
C. “Lochia alba is bright red in color.”
D. “Lochia never changes color during the postpartum period.”
, A. “Lochia rubra is bright red and lasts 1–2 days.”
Rationale: Lochia rubra is the initial vaginal discharge, red due to blood, lasting 1–2 days.
8. A nurse is providing care to a client with a newborn diagnosed with jaundice. Which
intervention should the nurse include?
A. Administer iron supplements
B. Encourage frequent feedings
C. Restrict fluid intake
D. Avoid phototherapy
B. Encourage frequent feedings
Rationale: Frequent feedings help promote bilirubin excretion through stool, reducing
jaundice.
9. A nurse is teaching a postpartum client about breastfeeding. Which statement
indicates correct understanding?
A. “I should feed my baby every 4–6 hours during the first week.”
B. “I should feed my baby on demand, about 8–12 times per day.”
C. “I should alternate breasts once per day.”
D. “Formula supplementation is always necessary in the first week.”
B. “I should feed my baby on demand, about 8–12 times per day.”
Rationale: Newborns need frequent feedings to establish milk supply and ensure adequate
nutrition.
10. Which of the following is a priority assessment for a client receiving oxytocin for
labor induction?
A. Maternal temperature
B. Contraction pattern
C. Fetal weight
D. Maternal blood glucose
B. Contraction pattern
Rationale: Oxytocin stimulates uterine contractions, so monitoring the pattern is critical to
prevent hyperstimulation and fetal compromise.
11. A nurse is assessing a client who is 34 weeks gestation with preeclampsia. Which
laboratory result requires immediate action?
A. Hemoglobin 12 g/dL
B. Platelets 90,000/mm³
C. Serum sodium 138 mEq/L
D. Serum creatinine 0.8 mg/dL
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a client who is 28 weeks gestation and reports sudden leakage of
clear fluid from the vagina. Which action should the nurse take first?
A. Assess fetal heart rate
B. Obtain a sterile speculum for a vaginal exam
C. Encourage the client to empty her bladder
D. Check maternal vital signs
A. Assess fetal heart rate
Rationale: The priority is to assess fetal well-being when there is a sudden loss of fluid, as
this could indicate premature rupture of membranes and possible fetal compromise.
2. A nurse is teaching a client at 36 weeks gestation about signs of preterm labor. Which
should the nurse include?
A. Increased urinary frequency
B. Regular uterine contractions
C. Dark brown vaginal discharge
D. Shortness of breath
B. Regular uterine contractions
Rationale: Regular contractions, especially before 37 weeks, are a primary sign of preterm
labor.
3. A client is 12 hours postpartum and reports a sudden gush of blood when standing.
The nurse notes the fundus is firm. What is the most likely cause?
A. Uterine atony
B. Vaginal laceration
, C. Retained placental fragments
D. Coagulopathy
B. Vaginal laceration
Rationale: A firm fundus indicates the uterus is contracting appropriately. Vaginal
lacerations are a common cause of postpartum hemorrhage in this scenario.
4. Which newborn reflex should disappear by 6 months of age?
A. Moro reflex
B. Babinski reflex
C. Rooting reflex
D. Grasp reflex
C. Rooting reflex
Rationale: The rooting reflex helps the newborn locate the nipple for feeding and typically
disappears by 4–6 months of age.
5. A nurse is assessing a newborn’s vital signs. Which finding requires immediate
intervention?
A. Heart rate 140/min
B. Respiratory rate 60/min
C. Axillary temperature 36.2°C
D. Blood pressure 65/40 mmHg
C. Axillary temperature 36.2°C
Rationale: A temperature below 36.5°C indicates hypothermia, which can be dangerous
for a newborn.
6. A nurse is caring for a client receiving magnesium sulfate for preeclampsia. Which
assessment finding indicates magnesium toxicity?
A. Deep tendon reflexes 2+
B. Respiratory rate 8/min
C. Urine output 50 mL/hr
D. Blood pressure 140/90 mmHg
B. Respiratory rate 8/min
Rationale: Magnesium sulfate toxicity can depress the respiratory center; a respiratory
rate below 12/min is a critical finding.
7. A nurse is teaching a client about lochia. Which statement indicates understanding?
A. “Lochia rubra is bright red and lasts 1–2 days.”
B. “Lochia serosa occurs immediately after birth.”
C. “Lochia alba is bright red in color.”
D. “Lochia never changes color during the postpartum period.”
, A. “Lochia rubra is bright red and lasts 1–2 days.”
Rationale: Lochia rubra is the initial vaginal discharge, red due to blood, lasting 1–2 days.
8. A nurse is providing care to a client with a newborn diagnosed with jaundice. Which
intervention should the nurse include?
A. Administer iron supplements
B. Encourage frequent feedings
C. Restrict fluid intake
D. Avoid phototherapy
B. Encourage frequent feedings
Rationale: Frequent feedings help promote bilirubin excretion through stool, reducing
jaundice.
9. A nurse is teaching a postpartum client about breastfeeding. Which statement
indicates correct understanding?
A. “I should feed my baby every 4–6 hours during the first week.”
B. “I should feed my baby on demand, about 8–12 times per day.”
C. “I should alternate breasts once per day.”
D. “Formula supplementation is always necessary in the first week.”
B. “I should feed my baby on demand, about 8–12 times per day.”
Rationale: Newborns need frequent feedings to establish milk supply and ensure adequate
nutrition.
10. Which of the following is a priority assessment for a client receiving oxytocin for
labor induction?
A. Maternal temperature
B. Contraction pattern
C. Fetal weight
D. Maternal blood glucose
B. Contraction pattern
Rationale: Oxytocin stimulates uterine contractions, so monitoring the pattern is critical to
prevent hyperstimulation and fetal compromise.
11. A nurse is assessing a client who is 34 weeks gestation with preeclampsia. Which
laboratory result requires immediate action?
A. Hemoglobin 12 g/dL
B. Platelets 90,000/mm³
C. Serum sodium 138 mEq/L
D. Serum creatinine 0.8 mg/dL
