ATI Maternal + Newborn Practice
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a newborn 1 hour after birth. Which of the following findings requires
immediate intervention?
A. Respiratory rate of 62/min
B. Acrocyanosis of the hands and feet
✔✔C. Nasal flaring and intercostal retractions
D. Heart rate of 142/min
A nurse is caring for a client who is in active labor and reports feeling the urge to push. The
nurse finds the cervix is dilated to 8 cm. What should the nurse do next?
A. Encourage the client to start pushing
✔✔B. Instruct the client to pant with contractions
C. Apply fundal pressure to help progress labor
D. Request immediate epidural anesthesia
1
,A nurse is teaching a client about breastfeeding. Which statement by the client indicates an
understanding of the teaching?
A. “I will feed my baby every 5 to 6 hours.”
B. “I should avoid waking the baby for feedings.”
✔✔C. “I will feed my baby on demand, about 8 to 12 times a day.”
D. “I’ll switch breasts after 1 minute on each side.”
A postpartum client with a 3rd-degree perineal laceration asks about bowel movements. Which
response by the nurse is appropriate?
A. “You should avoid taking stool softeners.”
✔✔B. “Drink plenty of fluids and eat high-fiber foods.”
C. “You won’t be able to have a bowel movement for at least 1 week.”
D. “Use enemas daily until your first bowel movement.”
A nurse is assessing a newborn who is 12 hours old. Which of the following is an expected
finding?
2
,A. Axillary temperature of 36.0°C (96.8°F)
B. Blood glucose of 25 mg/dL
✔✔C. Positive Babinski reflex
D. Central cyanosis
A nurse is teaching a pregnant client about danger signs of pregnancy. Which statement indicates
a need for further teaching?
A. “I’ll call the clinic if I have a severe headache.”
✔✔B. “It’s normal to have blurred vision in the third trimester.”
C. “If I notice decreased fetal movement, I’ll notify my provider.”
D. “Persistent vomiting could be a sign of a problem.”
A nurse is caring for a client in the third trimester who reports dizziness when lying flat. What
should the nurse do?
A. Elevate the client’s feet
3
, ✔✔B. Reposition the client to the left side
C. Administer IV fluids
D. Instruct the client to take deep breaths
A client asks the nurse how she will know her newborn is getting enough breast milk. Which of
the following is the best response?
A. “Your baby should sleep through the night after feeding.”
B. “Your baby should have three wet diapers a day.”
✔✔C. “Your baby should have 6 to 8 wet diapers daily.”
D. “Your baby should cry after every feeding.”
A nurse is teaching a postpartum client about preventing mastitis. Which of the following
instructions should be included?
A. Limit breastfeeding to once every 6 hours
B. Only breastfeed from one side per feeding
C. Stop breastfeeding if nipples are sore
4
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is assessing a newborn 1 hour after birth. Which of the following findings requires
immediate intervention?
A. Respiratory rate of 62/min
B. Acrocyanosis of the hands and feet
✔✔C. Nasal flaring and intercostal retractions
D. Heart rate of 142/min
A nurse is caring for a client who is in active labor and reports feeling the urge to push. The
nurse finds the cervix is dilated to 8 cm. What should the nurse do next?
A. Encourage the client to start pushing
✔✔B. Instruct the client to pant with contractions
C. Apply fundal pressure to help progress labor
D. Request immediate epidural anesthesia
1
,A nurse is teaching a client about breastfeeding. Which statement by the client indicates an
understanding of the teaching?
A. “I will feed my baby every 5 to 6 hours.”
B. “I should avoid waking the baby for feedings.”
✔✔C. “I will feed my baby on demand, about 8 to 12 times a day.”
D. “I’ll switch breasts after 1 minute on each side.”
A postpartum client with a 3rd-degree perineal laceration asks about bowel movements. Which
response by the nurse is appropriate?
A. “You should avoid taking stool softeners.”
✔✔B. “Drink plenty of fluids and eat high-fiber foods.”
C. “You won’t be able to have a bowel movement for at least 1 week.”
D. “Use enemas daily until your first bowel movement.”
A nurse is assessing a newborn who is 12 hours old. Which of the following is an expected
finding?
2
,A. Axillary temperature of 36.0°C (96.8°F)
B. Blood glucose of 25 mg/dL
✔✔C. Positive Babinski reflex
D. Central cyanosis
A nurse is teaching a pregnant client about danger signs of pregnancy. Which statement indicates
a need for further teaching?
A. “I’ll call the clinic if I have a severe headache.”
✔✔B. “It’s normal to have blurred vision in the third trimester.”
C. “If I notice decreased fetal movement, I’ll notify my provider.”
D. “Persistent vomiting could be a sign of a problem.”
A nurse is caring for a client in the third trimester who reports dizziness when lying flat. What
should the nurse do?
A. Elevate the client’s feet
3
, ✔✔B. Reposition the client to the left side
C. Administer IV fluids
D. Instruct the client to take deep breaths
A client asks the nurse how she will know her newborn is getting enough breast milk. Which of
the following is the best response?
A. “Your baby should sleep through the night after feeding.”
B. “Your baby should have three wet diapers a day.”
✔✔C. “Your baby should have 6 to 8 wet diapers daily.”
D. “Your baby should cry after every feeding.”
A nurse is teaching a postpartum client about preventing mastitis. Which of the following
instructions should be included?
A. Limit breastfeeding to once every 6 hours
B. Only breastfeed from one side per feeding
C. Stop breastfeeding if nipples are sore
4
