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ATI Maternal Newborn Predictor 2025 – Nursing
Study Guide, Real Practice Questions, and
Proctored Exam Review for NCLEX Success
Prepare for the ATI Maternal Newborn Predictor 2025 with this complete nursing study guide. Includes
real ATI-style predictor questions, maternity and newborn care review, postpartum and labor practice
tests, and expert tips to help you pass your ATI exam and improve NCLEX readiness.
• ATI Maternal Newborn Predictor 2025
• ATI Maternal Newborn predictor exam questions
• ATI Maternal Newborn practice test with answers
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER-A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the 90th
percentile. One of the most common etiologies of LGA newborns is a mother who is diabetic. LGA
newborns, especially those born to mothers who have diabetes, are at increased risk for
hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age (SGA) newborns
(those below the 10th percentile), premature newborns, and newborns who have perinatal hypoxia.
,2|Page
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal pad has a
large amount of lochia rubra with several clots. Which of the following actions should the nurse take
first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
Administer carboprost IM. - ANSWER-Massage the fundus
The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed, boggy
uterus. Thus, the greatest risk for the client is hemorrhage. The nurse should massage the client's
fundus first.
A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal monitor
tracing reveals late decelerations. Which of the following actions should the nurse take first?
Turn the client onto her left side.
Palpate the client's uterus.
Administer oxygen to the client.
Increase the client's IV fluids. - ANSWER-Turn the client onto her left side
Late decelerations indicate that the client is experiencing uteroplacental insufficiency. The client might
be experiencing pressure on the inferior vena cava, which decreases the oxygen to the placenta and
thus to the fetus. Turning the client onto her left side will relieve the pressure and facilitate better
blood flow to the placenta, thereby increasing the fetal oxygen supply.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the
following findings is a contraindication for the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - ANSWER-Menorrhagia
,3|Page
An IUD is a small plastic or copper device placed inside the uterus that changes the uterine environment
to prevent pregnancy. An IUD is contraindicated for women who have menorrhagia, severe
dysmenorrhea, or history of ectopic pregnancy.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following
actions should the nurse include in the plan of care?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - ANSWER-Check the cervix prior to analgesic
administration
Prior to administering an analgesic during active labor, the nurse must know how many centimeters the
cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory
depression in the newborn.
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the
following instructions should the nurse provide to the client about the treatment plan?
"Your partner needs to be cultured and be treated with metronidazole only if his cultures are positive."
"You and your partner need to take the medication and use a condom during intercourse until cultures
are negative."
"If both you and your partner are treated simultaneously, you may continue to engage in sexual
intercourse."
"Only you will need to take the metronidazole, but you should not have intercourse until your culture is
negative." - ANSWER-You and your partner need to take the medication and use a condom during
intercourse until cultures are negative
Trichomonas vaginalis is the organism that causes the sexually transmitted infection trichomoniasis. Both
men and women can be infected with trichomoniasis. Clinical findings include yellowish to greenish,
frothy, mucopurulent, copious discharge with an unpleasant odor, as well as itching, burning, or redness
of the vulva and vagina. Trichomoniasis can be treated easily with metronidazole. However, for the
treatment to work, it is important to make sure both sexual partners receive treatment to prevent
reinfection. Instruct the client to use condoms during sexual intercourse while being treated.
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a
contraindication for the use of this medication?
, 4|Page
Prolonged rupture of membranes at 38 weeks of gestation
Intrauterine growth restriction
Postterm pregnancy
Active genital herpes - ANSWER-Active genital herpes
The use of oxytocin is contraindicated for clients who have an active genital herpes infection. The
newborn can acquire the infection as they pass through the birth canal. Therefore, a cesarean birth is
recommended for clients who have an active genital herpes infection.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical
findings should the nurse expect?
Extended periods of sleep
Poor muscle tone
Respiratory rate 50/min
Exaggerated reflexes - ANSWER-Exaggerated reflexes
A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity
within the central nervous system (CNS). Exaggerated reflexes are indicative of CNS irritability.
A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes apart.
Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 4-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 4 min followed by a period of relaxation
Contractions that last 45 seconds each with a 3-min rest between contractions - ANSWER-Contractions
that last for 60 seconds each with a 3-minute rest between contractions
A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval from
the beginning of one contraction to the beginning of the next contraction. A contraction lasting 60
seconds with a relaxation period of 3 min is equivalent to contractions every 4 min.
ATI Maternal Newborn Predictor 2025 – Nursing
Study Guide, Real Practice Questions, and
Proctored Exam Review for NCLEX Success
Prepare for the ATI Maternal Newborn Predictor 2025 with this complete nursing study guide. Includes
real ATI-style predictor questions, maternity and newborn care review, postpartum and labor practice
tests, and expert tips to help you pass your ATI exam and improve NCLEX readiness.
• ATI Maternal Newborn Predictor 2025
• ATI Maternal Newborn predictor exam questions
• ATI Maternal Newborn practice test with answers
A nurse is caring for four newborns. Which of the following newborns is at greatest risk for
hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER-A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the 90th
percentile. One of the most common etiologies of LGA newborns is a mother who is diabetic. LGA
newborns, especially those born to mothers who have diabetes, are at increased risk for
hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age (SGA) newborns
(those below the 10th percentile), premature newborns, and newborns who have perinatal hypoxia.
,2|Page
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal pad has a
large amount of lochia rubra with several clots. Which of the following actions should the nurse take
first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
Administer carboprost IM. - ANSWER-Massage the fundus
The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed, boggy
uterus. Thus, the greatest risk for the client is hemorrhage. The nurse should massage the client's
fundus first.
A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal monitor
tracing reveals late decelerations. Which of the following actions should the nurse take first?
Turn the client onto her left side.
Palpate the client's uterus.
Administer oxygen to the client.
Increase the client's IV fluids. - ANSWER-Turn the client onto her left side
Late decelerations indicate that the client is experiencing uteroplacental insufficiency. The client might
be experiencing pressure on the inferior vena cava, which decreases the oxygen to the placenta and
thus to the fetus. Turning the client onto her left side will relieve the pressure and facilitate better
blood flow to the placenta, thereby increasing the fetal oxygen supply.
A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the
following findings is a contraindication for the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - ANSWER-Menorrhagia
,3|Page
An IUD is a small plastic or copper device placed inside the uterus that changes the uterine environment
to prevent pregnancy. An IUD is contraindicated for women who have menorrhagia, severe
dysmenorrhea, or history of ectopic pregnancy.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following
actions should the nurse include in the plan of care?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - ANSWER-Check the cervix prior to analgesic
administration
Prior to administering an analgesic during active labor, the nurse must know how many centimeters the
cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory
depression in the newborn.
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the
following instructions should the nurse provide to the client about the treatment plan?
"Your partner needs to be cultured and be treated with metronidazole only if his cultures are positive."
"You and your partner need to take the medication and use a condom during intercourse until cultures
are negative."
"If both you and your partner are treated simultaneously, you may continue to engage in sexual
intercourse."
"Only you will need to take the metronidazole, but you should not have intercourse until your culture is
negative." - ANSWER-You and your partner need to take the medication and use a condom during
intercourse until cultures are negative
Trichomonas vaginalis is the organism that causes the sexually transmitted infection trichomoniasis. Both
men and women can be infected with trichomoniasis. Clinical findings include yellowish to greenish,
frothy, mucopurulent, copious discharge with an unpleasant odor, as well as itching, burning, or redness
of the vulva and vagina. Trichomoniasis can be treated easily with metronidazole. However, for the
treatment to work, it is important to make sure both sexual partners receive treatment to prevent
reinfection. Instruct the client to use condoms during sexual intercourse while being treated.
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a
contraindication for the use of this medication?
, 4|Page
Prolonged rupture of membranes at 38 weeks of gestation
Intrauterine growth restriction
Postterm pregnancy
Active genital herpes - ANSWER-Active genital herpes
The use of oxytocin is contraindicated for clients who have an active genital herpes infection. The
newborn can acquire the infection as they pass through the birth canal. Therefore, a cesarean birth is
recommended for clients who have an active genital herpes infection.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical
findings should the nurse expect?
Extended periods of sleep
Poor muscle tone
Respiratory rate 50/min
Exaggerated reflexes - ANSWER-Exaggerated reflexes
A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity
within the central nervous system (CNS). Exaggerated reflexes are indicative of CNS irritability.
A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes apart.
Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 4-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 4 min followed by a period of relaxation
Contractions that last 45 seconds each with a 3-min rest between contractions - ANSWER-Contractions
that last for 60 seconds each with a 3-minute rest between contractions
A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval from
the beginning of one contraction to the beginning of the next contraction. A contraction lasting 60
seconds with a relaxation period of 3 min is equivalent to contractions every 4 min.
