ATI MATERNAL NEWBORN EXAM 2026 QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS

ATI MATERNAL NEWBORN EXAM 2026 QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS 1. A nurse is reviewing the medical record of a client who is at 33 weeks of gestation and has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider? A. Insert a large-bore IV catheter B. Perform a vaginal examination C. Obtain a blood sample for laboratory testing D. Perform continuous external fetal monitoring CORRECT ANSWER: B Rationale: In placenta previa, the placenta implants over the cervical os. Vaginal examination can disrupt the placenta, cause severe hemorrhage, and precipitate emergency delivery. The nurse should clarify this prescription. ________________________________________ 2. A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? A. At the level of the umbilicus B. In the left upper quadrant C. Just above the symphysis pubis D. In the right lower quadrant CORRECT ANSWER: C Rationale: At the end of the first trimester, the uterus is still low in the pelvis. The Doppler should be placed just above the symphysis pubis to auscultate fetal heart tones. ________________________________________ 3. A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should the nurse include in the teaching? A. "You will need to remain NPO for 8 hours before the test." B. "You will be offered orange juice to drink during the test." C. "You will need to lie flat on your back for the entire test." D. "The test will take approximately 5 minutes to complete." CORRECT ANSWER: B Rationale: Orange juice or other glucose-containing fluids are offered during a non-stress test to stimulate fetal movement, which typically causes accelerations in the fetal heart rate—the desired response. ________________________________________ 4. A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring? A. Urinary tract infection B. Anemia C. Oligohydramnios D. Gestational diabetes CORRECT ANSWER: C Rationale: Oligohydramnios (decreased amniotic fluid) can indicate placental insufficiency or fetal compromise, making continuous electronic fetal monitoring essential to assess fetal well-being. ________________________________________ 5. A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? A. Discontinue therapy if the newborn develops a rash B. Apply lotion to the newborn's skin to prevent dryness C. Cover the newborn's eyes while under the phototherapy light D. Position the newborn in a prone position CORRECT ANSWER: C Rationale: The newborn's eyes must be covered with protective shields during phototherapy to prevent retinal damage from the intense light. ________________________________________ 6. A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take? A. Have calcium gluconate readily available B. Place the client in a supine position C. Decrease the client's fluid intake D. Administer potassium chloride IV CORRECT ANSWER: A Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity. It must be readily available at the bedside to reverse respiratory depression and cardiac arrest if toxicity occurs. ________________________________________ 7. A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include? A. Place padding behind the newborn's head for support B. Place the retainer clip at the level of the newborn's armpits C. Position the car seat in the front seat facing forward D. Secure the harness straps loosely for comfort CORRECT ANSWER: B Rationale: The retainer clip should be positioned at the level of the newborn's armpits to keep the harness straps securely over the shoulders and prevent injury in a crash. ________________________________________ 8. A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? A. Take the medication within 72 hours following unprotected sexual intercourse B. Take the medication with a full meal to reduce nausea C. Use a backup contraceptive method for 7 days after taking the medication D. The medication is effective for up to 5 days after intercourse CORRECT ANSWER: A Rationale: Levonorgestrel is an emergency contraceptive that should be taken within 72 hours (3 days) of unprotected intercourse to be most effective. ________________________________________ 9. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? A. Administer oxygen via nasal cannula B. Massage the client's fundus C. Elevate the client's legs D. Increase the IV fluid rate CORRECT ANSWER: B Rationale: The most common cause of hypovolemic shock in the postpartum period is hemorrhage due to uterine atony. Massaging the fundus helps contract the uterus and decrease bleeding, which is the priority intervention after notifying the provider. ________________________________________ 10. A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?