ATI RN Integrated Nursing Exam
2026/2027 Maternal Child Nursing
Questions and Correct Answers
ATI RN Integrated Maternal-Child Nursing
PRACTICE QUESTIONS (ATI-Style)
1. A client at 34 weeks’ gestation reports severe headache and visual
disturbances. Which condition does the nurse suspect first?
A. Gestational diabetes
B. Hyperemesis gravidarum
C. Preeclampsia
D. Placenta previa
✅ Correct Answer: C
Rationale: Severe headache and visual changes are classic signs of worsening preeclampsia.
2. Which finding indicates effective uterine involution on postpartum day
1?
A. Fundus at the umbilicus
B. Fundus above the umbilicus
C. Boggy fundus
D. Deviated fundus
,✅ Correct Answer: A
Rationale: On postpartum day 1, the fundus should be firm and at the level of the umbilicus.
3. A fetal heart rate of 170/min indicates:
A. Normal finding
B. Fetal bradycardia
C. Fetal tachycardia
D. Early decelerations
✅ Correct Answer: C
Rationale: Normal FHR is 110–160/min. Above 160 is tachycardia.
4. Which intervention is priority when late decelerations occur?
A. Discontinue oxytocin
B. Place client supine
C. Encourage pushing
D. Reduce IV fluids
✅ Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency; stopping oxytocin reduces
uterine stress.
5. A newborn born at 38 weeks weighing 2,300 g is classified as:
A. Preterm
B. Appropriate for gestational age
C. Small for gestational age
D. Large for gestational age
✅ Correct Answer: C
Rationale: Weight below the 10th percentile = SGA.
6. Which lab value is most concerning in a pregnant client?
A. Hemoglobin 12 g/dL
B. Platelets 95,000/mm³
, C. WBC 11,000/mm³
D. Glucose 95 mg/dL
✅ Correct Answer: B
Rationale: Low platelets may indicate HELLP syndrome.
7. The nurse assesses a boggy uterus. What is the first action?
A. Notify the provider
B. Massage the fundus
C. Administer oxytocin
D. Insert urinary catheter
✅ Correct Answer: B
Rationale: Fundal massage is the immediate first intervention.
8. Which sign indicates respiratory distress in a newborn?
A. Acrocyanosis
B. Periodic breathing
C. Nasal flaring
D. Heart rate 140/min
✅ Correct Answer: C
Rationale: Nasal flaring signals increased work of breathing.
9. A client with placenta previa should be taught to:
A. Perform vaginal self-exams
B. Avoid sexual intercourse
C. Increase physical activity
D. Expect vaginal exams
✅ Correct Answer: B
Rationale: Nothing should be inserted into the vagina due to bleeding risk.
10. Which vaccine is contraindicated during pregnancy?
2026/2027 Maternal Child Nursing
Questions and Correct Answers
ATI RN Integrated Maternal-Child Nursing
PRACTICE QUESTIONS (ATI-Style)
1. A client at 34 weeks’ gestation reports severe headache and visual
disturbances. Which condition does the nurse suspect first?
A. Gestational diabetes
B. Hyperemesis gravidarum
C. Preeclampsia
D. Placenta previa
✅ Correct Answer: C
Rationale: Severe headache and visual changes are classic signs of worsening preeclampsia.
2. Which finding indicates effective uterine involution on postpartum day
1?
A. Fundus at the umbilicus
B. Fundus above the umbilicus
C. Boggy fundus
D. Deviated fundus
,✅ Correct Answer: A
Rationale: On postpartum day 1, the fundus should be firm and at the level of the umbilicus.
3. A fetal heart rate of 170/min indicates:
A. Normal finding
B. Fetal bradycardia
C. Fetal tachycardia
D. Early decelerations
✅ Correct Answer: C
Rationale: Normal FHR is 110–160/min. Above 160 is tachycardia.
4. Which intervention is priority when late decelerations occur?
A. Discontinue oxytocin
B. Place client supine
C. Encourage pushing
D. Reduce IV fluids
✅ Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency; stopping oxytocin reduces
uterine stress.
5. A newborn born at 38 weeks weighing 2,300 g is classified as:
A. Preterm
B. Appropriate for gestational age
C. Small for gestational age
D. Large for gestational age
✅ Correct Answer: C
Rationale: Weight below the 10th percentile = SGA.
6. Which lab value is most concerning in a pregnant client?
A. Hemoglobin 12 g/dL
B. Platelets 95,000/mm³
, C. WBC 11,000/mm³
D. Glucose 95 mg/dL
✅ Correct Answer: B
Rationale: Low platelets may indicate HELLP syndrome.
7. The nurse assesses a boggy uterus. What is the first action?
A. Notify the provider
B. Massage the fundus
C. Administer oxytocin
D. Insert urinary catheter
✅ Correct Answer: B
Rationale: Fundal massage is the immediate first intervention.
8. Which sign indicates respiratory distress in a newborn?
A. Acrocyanosis
B. Periodic breathing
C. Nasal flaring
D. Heart rate 140/min
✅ Correct Answer: C
Rationale: Nasal flaring signals increased work of breathing.
9. A client with placenta previa should be taught to:
A. Perform vaginal self-exams
B. Avoid sexual intercourse
C. Increase physical activity
D. Expect vaginal exams
✅ Correct Answer: B
Rationale: Nothing should be inserted into the vagina due to bleeding risk.
10. Which vaccine is contraindicated during pregnancy?
