1
ATI Maternal–Newborn NGN Practice — 150 Questions (Answers in bold,
brief rationales) Latest Updates With Correct Answers 100% With
Complete Solutions Pass Guaranteed-Graded A+
1. A postpartum client 1 hour after vaginal delivery has a firm fundus at the
umbilicus and moderate lochia rubra. The nurse should:
A. Massage the fundus until it softens
B. Document as within expected limits
C. Notify the provider for hemorrhage
D. Encourage ambulation now
Rationale: Firm fundus at the umbilicus with moderate rubra is normal
immediate postpartum finding.
2. A 32-week gestation client has BP 158/100 and 3+ proteinuria — the nurse
notes a severe headache. The priority is to:
A. Give acetaminophen and document
B. Report immediately to provider
C. Encourage rest and reassess in 1 hour
D. Increase PO fluids
Rationale: Persistent severe headache may indicate severe
preeclampsia with neurologic involvement — urgent reporting required.
3. Newborn with grunting and nasal flaring — first action:
A. Swaddle and observe
B. Assess respiratory effort and oxygenate as needed
C. Give oral glucose
D. Obtain head circumference
,2
Rationale: Signs of respiratory distress require immediate respiratory
assessment and support.
4. Parent asks purpose of newborn vitamin K injection — nurse replies:
A. Prevents infection
B. Helps with thermoregulation
C. Promotes clotting to prevent hemorrhage
D. Improves iron stores
Rationale: Newborns have low vitamin K-dependent clotting factors,
injection prevents hemorrhagic disease.
5. A postpartum client becoming dizzy when standing — nurse should:
A. Tell client to stand quickly next time
B. Assist to sit and check vitals for orthostatic changes
C. Reassure this is normal and ignore
D. Encourage caffeine intake
Rationale: Safety: support when dizzy and assess for orthostatic
hypotension or hypovolemia.
6. Newborn glucose 35 mg/dL — appropriate action:
A. Document as normal
B. Feed the newborn (breast or formula) immediately
C. Start phototherapy
D. Wait and reassess in 2 hours
Rationale: Hypoglycemia (<40 mg/dL) should be treated with feeding
to stabilize glucose.
7. Parent learning signs of neonatal infection — correct statement:
A. “Fever is always present.”
B. “Poor feeding or lethargy are signs to call provider.”
C. “Frequent sneezing equals infection.”
D. “A crying baby is infected.”
Rationale: Neonates often present with nonspecific signs like poor
feeding and lethargy.
8. Postpartum hemorrhage receiving oxytocin — priority nursing intervention:
A. Encourage oral fluids
B. Assess uterine tone and bleeding
C. Elevate feet only
D. Discontinue all IVs
Rationale: Oxytocin’s effect is judged by uterine contraction and
decreased bleeding; monitor these.
,3
9. Variable decelerations on fetal monitor — immediate nurse action:
A. Prepare for cesarean
B. Reposition mother to relieve cord compression
C. Increase oxytocin
D. Document and continue
Rationale: Variable decelerations often caused by cord compression;
repositioning can relieve it.
10.Postpartum mastitis — breastfeeding advice:
A. Stop breastfeeding until antibiotics done
B. Pump and discard milk
C. Continue breastfeeding to help drain the breast
D. Breastfeed only from unaffected side
Rationale: Continued breastfeeding prevents engorgement and aids
resolution while on therapy.
11.Client at 39 weeks with rupture of membranes and FHR 170 — best next
step:
A. Start oxytocin immediately
B. Assess for maternal fever and fetal tachycardia (possible infection)
C. Encourage ambulation
D. Administer tocolytics
Rationale: FHR tachycardia may indicate chorioamnionitis; assess and
treat infection promptly.
12.A patient with severe preeclampsia has epigastric pain — nurse should:
A. Give antacid and observe
B. Report immediately — possible hepatic involvement/HELLP
C. Encourage light activity
D. Offer ice pack to abdomen
Rationale: Epigastric pain can signal hepatic capsule distention or
HELLP syndrome; urgent evaluation needed.
13.Newborn with asymmetric chest movement and decreased breath sounds on
one side — priority:
A. Give oral antibiotics
B. Prepare for chest x-ray and respiratory support
C. Document and recheck in 4 hours
D. Encourage breastfeeding
Rationale: Asymmetric chest movement suggests pneumothorax or
atelectasis requiring imaging and possible intervention.
, 4
14.A woman in labor has late decelerations — immediate priority:
A. Increase oxytocin infusion
B. Discontinue oxytocin, reposition, give oxygen, notify provider
C. Apply internal monitors
D. Continue to monitor only
Rationale: Late decelerations indicate uteroplacental insufficiency; stop
stimulation and improve oxygenation.
15.A newborn with jaundice at 12 hours, bilirubin borderline — next action:
A. Start phototherapy immediately
B. Reassess bilirubin trend and promote frequent feedings
C. Do nothing
D. Exchange transfusion
Rationale: Early physiologic jaundice often managed with feeding and
monitoring unless elevated beyond treatment threshold.
16.A postpartum client’s lochia turns foul-smelling and heavy on day 5 —
nurse should:
A. Reassure normal process
B. Obtain vital signs and notify provider (possible endometritis)
C. Encourage ambulation only
D. Apply warm compresses
Rationale: Foul discharge and increased bleeding suggest infection;
assess and treat.
17.A 24-week preterm neonate shows apnea episodes — nurse’s first
intervention:
A. Start oral feeding
B. Stimulate and assess need for respiratory support
C. Swaddle tightly and leave
D. Administer iron
Rationale: Preterm apnea requires stimulation and possible CPAP or
methylxanthine therapy.
18.Client in active labor with previous classical cesarean — nurse should:
A. Encourage vaginal birth after cesarean (VBAC)
B. Notify provider; classical scar increases risk of uterine rupture
C. Ambulate frequently to speed labor
D. Apply oxytocin without consultation
Rationale: Classical uterine incision is contraindication to trial of labor;
notify provider.
ATI Maternal–Newborn NGN Practice — 150 Questions (Answers in bold,
brief rationales) Latest Updates With Correct Answers 100% With
Complete Solutions Pass Guaranteed-Graded A+
1. A postpartum client 1 hour after vaginal delivery has a firm fundus at the
umbilicus and moderate lochia rubra. The nurse should:
A. Massage the fundus until it softens
B. Document as within expected limits
C. Notify the provider for hemorrhage
D. Encourage ambulation now
Rationale: Firm fundus at the umbilicus with moderate rubra is normal
immediate postpartum finding.
2. A 32-week gestation client has BP 158/100 and 3+ proteinuria — the nurse
notes a severe headache. The priority is to:
A. Give acetaminophen and document
B. Report immediately to provider
C. Encourage rest and reassess in 1 hour
D. Increase PO fluids
Rationale: Persistent severe headache may indicate severe
preeclampsia with neurologic involvement — urgent reporting required.
3. Newborn with grunting and nasal flaring — first action:
A. Swaddle and observe
B. Assess respiratory effort and oxygenate as needed
C. Give oral glucose
D. Obtain head circumference
,2
Rationale: Signs of respiratory distress require immediate respiratory
assessment and support.
4. Parent asks purpose of newborn vitamin K injection — nurse replies:
A. Prevents infection
B. Helps with thermoregulation
C. Promotes clotting to prevent hemorrhage
D. Improves iron stores
Rationale: Newborns have low vitamin K-dependent clotting factors,
injection prevents hemorrhagic disease.
5. A postpartum client becoming dizzy when standing — nurse should:
A. Tell client to stand quickly next time
B. Assist to sit and check vitals for orthostatic changes
C. Reassure this is normal and ignore
D. Encourage caffeine intake
Rationale: Safety: support when dizzy and assess for orthostatic
hypotension or hypovolemia.
6. Newborn glucose 35 mg/dL — appropriate action:
A. Document as normal
B. Feed the newborn (breast or formula) immediately
C. Start phototherapy
D. Wait and reassess in 2 hours
Rationale: Hypoglycemia (<40 mg/dL) should be treated with feeding
to stabilize glucose.
7. Parent learning signs of neonatal infection — correct statement:
A. “Fever is always present.”
B. “Poor feeding or lethargy are signs to call provider.”
C. “Frequent sneezing equals infection.”
D. “A crying baby is infected.”
Rationale: Neonates often present with nonspecific signs like poor
feeding and lethargy.
8. Postpartum hemorrhage receiving oxytocin — priority nursing intervention:
A. Encourage oral fluids
B. Assess uterine tone and bleeding
C. Elevate feet only
D. Discontinue all IVs
Rationale: Oxytocin’s effect is judged by uterine contraction and
decreased bleeding; monitor these.
,3
9. Variable decelerations on fetal monitor — immediate nurse action:
A. Prepare for cesarean
B. Reposition mother to relieve cord compression
C. Increase oxytocin
D. Document and continue
Rationale: Variable decelerations often caused by cord compression;
repositioning can relieve it.
10.Postpartum mastitis — breastfeeding advice:
A. Stop breastfeeding until antibiotics done
B. Pump and discard milk
C. Continue breastfeeding to help drain the breast
D. Breastfeed only from unaffected side
Rationale: Continued breastfeeding prevents engorgement and aids
resolution while on therapy.
11.Client at 39 weeks with rupture of membranes and FHR 170 — best next
step:
A. Start oxytocin immediately
B. Assess for maternal fever and fetal tachycardia (possible infection)
C. Encourage ambulation
D. Administer tocolytics
Rationale: FHR tachycardia may indicate chorioamnionitis; assess and
treat infection promptly.
12.A patient with severe preeclampsia has epigastric pain — nurse should:
A. Give antacid and observe
B. Report immediately — possible hepatic involvement/HELLP
C. Encourage light activity
D. Offer ice pack to abdomen
Rationale: Epigastric pain can signal hepatic capsule distention or
HELLP syndrome; urgent evaluation needed.
13.Newborn with asymmetric chest movement and decreased breath sounds on
one side — priority:
A. Give oral antibiotics
B. Prepare for chest x-ray and respiratory support
C. Document and recheck in 4 hours
D. Encourage breastfeeding
Rationale: Asymmetric chest movement suggests pneumothorax or
atelectasis requiring imaging and possible intervention.
, 4
14.A woman in labor has late decelerations — immediate priority:
A. Increase oxytocin infusion
B. Discontinue oxytocin, reposition, give oxygen, notify provider
C. Apply internal monitors
D. Continue to monitor only
Rationale: Late decelerations indicate uteroplacental insufficiency; stop
stimulation and improve oxygenation.
15.A newborn with jaundice at 12 hours, bilirubin borderline — next action:
A. Start phototherapy immediately
B. Reassess bilirubin trend and promote frequent feedings
C. Do nothing
D. Exchange transfusion
Rationale: Early physiologic jaundice often managed with feeding and
monitoring unless elevated beyond treatment threshold.
16.A postpartum client’s lochia turns foul-smelling and heavy on day 5 —
nurse should:
A. Reassure normal process
B. Obtain vital signs and notify provider (possible endometritis)
C. Encourage ambulation only
D. Apply warm compresses
Rationale: Foul discharge and increased bleeding suggest infection;
assess and treat.
17.A 24-week preterm neonate shows apnea episodes — nurse’s first
intervention:
A. Start oral feeding
B. Stimulate and assess need for respiratory support
C. Swaddle tightly and leave
D. Administer iron
Rationale: Preterm apnea requires stimulation and possible CPAP or
methylxanthine therapy.
18.Client in active labor with previous classical cesarean — nurse should:
A. Encourage vaginal birth after cesarean (VBAC)
B. Notify provider; classical scar increases risk of uterine rupture
C. Ambulate frequently to speed labor
D. Apply oxytocin without consultation
Rationale: Classical uterine incision is contraindication to trial of labor;
notify provider.
