ATI PN MATERNAL NEWBORN ALL-NEW COMBINED TEST BANK – COMPLETE 2025/2026 PRACTICAL
NURSING EXAM PREP WITH UPDATED PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client who is at 38 weeks of gestation and is experiencing moderate preterm labor.
Which of the following medications should the nurse anticipate administering to promote fetal lung
maturity?
A. Nifedipine
B. Betamethasone
C. Magnesium sulfate
D. Indomethacin
🟢 B. Betamethasone
🔴 RATIONALE: Betamethasone is a corticosteroid administered to accelerate fetal lung maturity by stimulating
surfactant production in the fetus when preterm birth is anticipated.
2. A nurse is assessing a newborn who is 24 hours old. Which of the following findings should the nurse
report to the provider?
A. Acrocyanosis
B. Jaundice of the face and chest
C. Caput succedaneum
D. Milia
🟢 B. Jaundice of the face and chest
,🔴 RATIONALE: Jaundice that appears within the first 24 hours of life is pathological and requires immediate
evaluation. Acrocyanosis, caput succedaneum, and milia are benign and expected findings in a newborn.
3. A nurse is providing education to a client at 12 weeks of gestation about nutritional needs during
pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A. "I need to increase my caloric intake by 600 calories per day."
B. "I should consume at least 1000 mg of calcium daily."
C. "I will avoid all fish to prevent mercury exposure."
D. "I need to increase my folic acid intake to 1000 mcg daily."
🟢 B. "I should consume at least 1000 mg of calcium daily."
🔴 RATIONALE: The recommended daily allowance of calcium during pregnancy is 1000 to 1300 mg. The caloric
increase is typically 300-350 additional calories/day in the second and third trimesters; folic acid is 600 mcg, and
fish low in mercury can be consumed.
4. A nurse is assessing a client who is in active labor. The client's cervix is dilated to 7 cm. The nurse notes
the FHR baseline is 140 bpm with variable decelerations. Which of the following actions should the nurse
take first?
A. Administer oxygen via non-rebreather mask.
B. Prepare the client for an emergency cesarean birth.
C. Change the client's position.
D. Increase the rate of the IV infusion.
🟢 C. Change the client's position.
🔴 RATIONALE: Variable decelerations are typically caused by cord compression. The priority nursing
intervention is to change the client's position to relieve pressure on the umbilical cord.
5. A nurse is caring for a postpartum client who is Rh-negative and has given birth to an Rh-positive
newborn. Which of the following medications should the nurse plan to administer to the client?
,A. Rhogam (Rho(D) immune globulin)
B. Methylergonovine
C. Oxytocin
D. Ferrous sulfate
🟢 A. Rhogam (Rho(D) immune globulin)
🔴 RATIONALE: Rhogam is administered to Rh-negative mothers who have given birth to an Rh-positive infant
to prevent maternal sensitization and hemolytic disease of the newborn in subsequent pregnancies.
6. A nurse is performing a newborn assessment and auscultates a systolic murmur. Which of the following
actions should the nurse take?
A. Document the finding as normal and continue monitoring.
B. Notify the provider immediately.
C. Assess for other signs of congenital heart disease.
D. Place the newborn in a warm environment.
🟢 C. Assess for other signs of congenital heart disease.
🔴 RATIONALE: While many murmurs in newborns are innocent, the nurse should assess for other indicators of
congenital heart disease (e.g., cyanosis, tachypnea, poor feeding) and document findings before notifying the
provider, but a complete assessment is the next step.
7. A client at 20 weeks of gestation reports experiencing heartburn. Which of the following instructions
should the nurse provide?
A. "Drink a large glass of water with each meal."
B. "Avoid lying down for 1 hour after eating."
C. "Eat three large meals daily."
D. "Take an antacid containing sodium bicarbonate."
🟢 B. "Avoid lying down for 1 hour after eating."
, 🔴 RATIONALE: Avoiding the supine position and remaining upright after meals decreases gastric reflux and
heartburn. Small, frequent meals are recommended.
8. A nurse is caring for a newborn immediately after birth. Which of the following is the priority action?
A. Administer vitamin K.
B. Dry the newborn and place skin-to-skin.
C. Administer the Hepatitis B vaccine.
D. Apply erythromycin ophthalmic ointment.
🟢 B. Dry the newborn and place skin-to-skin.
🔴 RATIONALE: The priority action in the immediate newborn period is to maintain thermoregulation and
establish parent-newborn bonding, which is achieved by drying and placing the baby skin-to-skin.
9. A nurse is caring for a client who is 2 hours postpartum and has a saturated perineal pad every 15 minutes.
Which of the following should be the nurse's priority action?
A. Document the findings.
B. Increase the IV infusion rate.
C. Assess the uterus for firmness and massage if needed.
D. Notify the provider.
🟢 C. Assess the uterus for firmness and massage if needed.
🔴 RATIONALE: This finding indicates postpartum hemorrhage, often caused by uterine atony. The priority is to
assess the fundus and initiate massage to promote uterine contraction.
10. A nurse is providing teaching to a client about non-stress testing (NST). Which of the following
statements by the client indicates a need for further teaching?
A. "This test measures my baby's heart rate in response to movement."
B. "The test is performed to ensure my baby is not in distress."
C. "I will need to have an IV placed for this test."
NURSING EXAM PREP WITH UPDATED PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client who is at 38 weeks of gestation and is experiencing moderate preterm labor.
Which of the following medications should the nurse anticipate administering to promote fetal lung
maturity?
A. Nifedipine
B. Betamethasone
C. Magnesium sulfate
D. Indomethacin
🟢 B. Betamethasone
🔴 RATIONALE: Betamethasone is a corticosteroid administered to accelerate fetal lung maturity by stimulating
surfactant production in the fetus when preterm birth is anticipated.
2. A nurse is assessing a newborn who is 24 hours old. Which of the following findings should the nurse
report to the provider?
A. Acrocyanosis
B. Jaundice of the face and chest
C. Caput succedaneum
D. Milia
🟢 B. Jaundice of the face and chest
,🔴 RATIONALE: Jaundice that appears within the first 24 hours of life is pathological and requires immediate
evaluation. Acrocyanosis, caput succedaneum, and milia are benign and expected findings in a newborn.
3. A nurse is providing education to a client at 12 weeks of gestation about nutritional needs during
pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A. "I need to increase my caloric intake by 600 calories per day."
B. "I should consume at least 1000 mg of calcium daily."
C. "I will avoid all fish to prevent mercury exposure."
D. "I need to increase my folic acid intake to 1000 mcg daily."
🟢 B. "I should consume at least 1000 mg of calcium daily."
🔴 RATIONALE: The recommended daily allowance of calcium during pregnancy is 1000 to 1300 mg. The caloric
increase is typically 300-350 additional calories/day in the second and third trimesters; folic acid is 600 mcg, and
fish low in mercury can be consumed.
4. A nurse is assessing a client who is in active labor. The client's cervix is dilated to 7 cm. The nurse notes
the FHR baseline is 140 bpm with variable decelerations. Which of the following actions should the nurse
take first?
A. Administer oxygen via non-rebreather mask.
B. Prepare the client for an emergency cesarean birth.
C. Change the client's position.
D. Increase the rate of the IV infusion.
🟢 C. Change the client's position.
🔴 RATIONALE: Variable decelerations are typically caused by cord compression. The priority nursing
intervention is to change the client's position to relieve pressure on the umbilical cord.
5. A nurse is caring for a postpartum client who is Rh-negative and has given birth to an Rh-positive
newborn. Which of the following medications should the nurse plan to administer to the client?
,A. Rhogam (Rho(D) immune globulin)
B. Methylergonovine
C. Oxytocin
D. Ferrous sulfate
🟢 A. Rhogam (Rho(D) immune globulin)
🔴 RATIONALE: Rhogam is administered to Rh-negative mothers who have given birth to an Rh-positive infant
to prevent maternal sensitization and hemolytic disease of the newborn in subsequent pregnancies.
6. A nurse is performing a newborn assessment and auscultates a systolic murmur. Which of the following
actions should the nurse take?
A. Document the finding as normal and continue monitoring.
B. Notify the provider immediately.
C. Assess for other signs of congenital heart disease.
D. Place the newborn in a warm environment.
🟢 C. Assess for other signs of congenital heart disease.
🔴 RATIONALE: While many murmurs in newborns are innocent, the nurse should assess for other indicators of
congenital heart disease (e.g., cyanosis, tachypnea, poor feeding) and document findings before notifying the
provider, but a complete assessment is the next step.
7. A client at 20 weeks of gestation reports experiencing heartburn. Which of the following instructions
should the nurse provide?
A. "Drink a large glass of water with each meal."
B. "Avoid lying down for 1 hour after eating."
C. "Eat three large meals daily."
D. "Take an antacid containing sodium bicarbonate."
🟢 B. "Avoid lying down for 1 hour after eating."
, 🔴 RATIONALE: Avoiding the supine position and remaining upright after meals decreases gastric reflux and
heartburn. Small, frequent meals are recommended.
8. A nurse is caring for a newborn immediately after birth. Which of the following is the priority action?
A. Administer vitamin K.
B. Dry the newborn and place skin-to-skin.
C. Administer the Hepatitis B vaccine.
D. Apply erythromycin ophthalmic ointment.
🟢 B. Dry the newborn and place skin-to-skin.
🔴 RATIONALE: The priority action in the immediate newborn period is to maintain thermoregulation and
establish parent-newborn bonding, which is achieved by drying and placing the baby skin-to-skin.
9. A nurse is caring for a client who is 2 hours postpartum and has a saturated perineal pad every 15 minutes.
Which of the following should be the nurse's priority action?
A. Document the findings.
B. Increase the IV infusion rate.
C. Assess the uterus for firmness and massage if needed.
D. Notify the provider.
🟢 C. Assess the uterus for firmness and massage if needed.
🔴 RATIONALE: This finding indicates postpartum hemorrhage, often caused by uterine atony. The priority is to
assess the fundus and initiate massage to promote uterine contraction.
10. A nurse is providing teaching to a client about non-stress testing (NST). Which of the following
statements by the client indicates a need for further teaching?
A. "This test measures my baby's heart rate in response to movement."
B. "The test is performed to ensure my baby is not in distress."
C. "I will need to have an IV placed for this test."
