ATI RN Maternal Newborn Practice A Exam | Comprehensive
Study Guide with Complete Actual Exam Questions, Verified
Correct Answers and Detailed Rationales (100% Correct Answers)
| Latest Updated Edition 2026/2027 - Already Graded A+
Question 1
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago.
Which of the following instructions should the nurse include?
A. "You can resume sexual activity in 1 week."
B. "You won't need to do Kegel exercises since you had a cesarean."
C. "You can still become pregnant if you are breastfeeding."
D. "You are safe to start adding sit-ups to your exercise routine in 2 weeks."
Answer: C
Rationale: Breastfeeding is not a reliable form of contraception. Ovulation can occur
before the first menstrual period, so the client can still become pregnant while breastfeeding.
Question 2
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription
for IV magnesium sulfate. Which of the following medications should the nurse anticipate
administering if the client develops magnesium toxicity?
A. Calcium gluconate
B. Hydralazine
C. Medroxyprogesterone acetate
D. Methylergonovine
Answer: A
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity. It reverses the
effects of magnesium, including respiratory depression and cardiac arrest.
Question 3
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following findings
should the nurse report to the provider?
A. Blood pressure 130/78 mm Hg
B. Hemoglobin 12 g/dL
C. 1-hour glucose tolerance test 120 mg/dL
D. Fundal height 30 cm
Answer: D
Rationale: Fundal height should be measured in centimeters and is the same as the number
of gestational weeks plus or minus 2 cm from 18 to 32 weeks. At 26 weeks, the expected
1
,range is 24 to 28 cm. A measurement of 30 cm is above the expected range and should be
reported.
Question 4
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm
labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The
nurse should set the IV infusion pump to administer how many mL/hr? (Round to the
nearest whole number.)
A. 25 mL/hr
B. 50 mL/hr
C. 75 mL/hr
D. 100 mL/hr
Answer: B
Rationale: Desired dose = 2 g/hr. Available concentration = 20 g/500 mL = 0.04 g/mL.
mL/hr = 2 g ÷ 0.04 g/mL = 50 mL/hr.
Question 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. Which of the following statements by the client indicates an understanding of
the teaching?
A. "I should increase my protein intake to 60 grams each day."
B. "I should take 600 mcg of folic acid each day."
C. "I should avoid eating fish during my pregnancy."
D. "I should limit my calcium intake to 500 mg daily."
Answer: B
Rationale: The recommended daily allowance of folic acid during pregnancy is 600 mcg.
Folic acid helps prevent neural tube defects.
Question 6
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of
the following techniques should the nurse use to help minimize the pain of the procedure
for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the puncture
B. Request a prescription for IM analgesic
C. Use a manual lance blade to pierce the skin
D. Place the newborn skin-to-skin on the mother's chest
Answer: D
Rationale: Skin-to-skin contact with the mother provides comfort and nonpharmacological
pain management for the newborn during painful procedures.
2
, Question 7
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min
Answer: D
Rationale: The expected FHR range is 110 to 160/min, with an average of approximately
160/min at 20 weeks. FHR 152/min is within the expected range.
Question 8
A nurse is caring for a newborn who is 24 hours old. Which of the following findings
should the nurse report to the provider?
A. Jaundice
B. Acrocyanosis
C. Positive Babinski reflex
D. Erythema toxicum
Answer: A
Rationale: Jaundice within the first 24 hours is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization and should be reported immediately.
Question 9
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional
Hispanic cultural beliefs. Which of the following cultural practices should the nurse include
in the plan of care?
A. Protect the client's head and feet from cold air
B. Bathe the client within 12 hr following birth
C. Ambulate the client within 24 hr following birth
D. Offer the client a glass of cold milk with her first meal
Answer: A
Rationale: In traditional Hispanic culture, protecting the head and feet from cold air is a
common postpartum practice to prevent illness.
Question 10
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following
actions should the nurse take prior to applying an external transducer for fetal monitoring?
A. Determine progression of dilatation and effacement
B. Perform Leopold maneuvers
C. Complete a sterile speculum exam
D. Assess for vaginal bleeding
3
Study Guide with Complete Actual Exam Questions, Verified
Correct Answers and Detailed Rationales (100% Correct Answers)
| Latest Updated Edition 2026/2027 - Already Graded A+
Question 1
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago.
Which of the following instructions should the nurse include?
A. "You can resume sexual activity in 1 week."
B. "You won't need to do Kegel exercises since you had a cesarean."
C. "You can still become pregnant if you are breastfeeding."
D. "You are safe to start adding sit-ups to your exercise routine in 2 weeks."
Answer: C
Rationale: Breastfeeding is not a reliable form of contraception. Ovulation can occur
before the first menstrual period, so the client can still become pregnant while breastfeeding.
Question 2
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription
for IV magnesium sulfate. Which of the following medications should the nurse anticipate
administering if the client develops magnesium toxicity?
A. Calcium gluconate
B. Hydralazine
C. Medroxyprogesterone acetate
D. Methylergonovine
Answer: A
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity. It reverses the
effects of magnesium, including respiratory depression and cardiac arrest.
Question 3
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following findings
should the nurse report to the provider?
A. Blood pressure 130/78 mm Hg
B. Hemoglobin 12 g/dL
C. 1-hour glucose tolerance test 120 mg/dL
D. Fundal height 30 cm
Answer: D
Rationale: Fundal height should be measured in centimeters and is the same as the number
of gestational weeks plus or minus 2 cm from 18 to 32 weeks. At 26 weeks, the expected
1
,range is 24 to 28 cm. A measurement of 30 cm is above the expected range and should be
reported.
Question 4
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm
labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The
nurse should set the IV infusion pump to administer how many mL/hr? (Round to the
nearest whole number.)
A. 25 mL/hr
B. 50 mL/hr
C. 75 mL/hr
D. 100 mL/hr
Answer: B
Rationale: Desired dose = 2 g/hr. Available concentration = 20 g/500 mL = 0.04 g/mL.
mL/hr = 2 g ÷ 0.04 g/mL = 50 mL/hr.
Question 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during
pregnancy. Which of the following statements by the client indicates an understanding of
the teaching?
A. "I should increase my protein intake to 60 grams each day."
B. "I should take 600 mcg of folic acid each day."
C. "I should avoid eating fish during my pregnancy."
D. "I should limit my calcium intake to 500 mg daily."
Answer: B
Rationale: The recommended daily allowance of folic acid during pregnancy is 600 mcg.
Folic acid helps prevent neural tube defects.
Question 6
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of
the following techniques should the nurse use to help minimize the pain of the procedure
for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the puncture
B. Request a prescription for IM analgesic
C. Use a manual lance blade to pierce the skin
D. Place the newborn skin-to-skin on the mother's chest
Answer: D
Rationale: Skin-to-skin contact with the mother provides comfort and nonpharmacological
pain management for the newborn during painful procedures.
2
, Question 7
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min
Answer: D
Rationale: The expected FHR range is 110 to 160/min, with an average of approximately
160/min at 20 weeks. FHR 152/min is within the expected range.
Question 8
A nurse is caring for a newborn who is 24 hours old. Which of the following findings
should the nurse report to the provider?
A. Jaundice
B. Acrocyanosis
C. Positive Babinski reflex
D. Erythema toxicum
Answer: A
Rationale: Jaundice within the first 24 hours is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization and should be reported immediately.
Question 9
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional
Hispanic cultural beliefs. Which of the following cultural practices should the nurse include
in the plan of care?
A. Protect the client's head and feet from cold air
B. Bathe the client within 12 hr following birth
C. Ambulate the client within 24 hr following birth
D. Offer the client a glass of cold milk with her first meal
Answer: A
Rationale: In traditional Hispanic culture, protecting the head and feet from cold air is a
common postpartum practice to prevent illness.
Question 10
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following
actions should the nurse take prior to applying an external transducer for fetal monitoring?
A. Determine progression of dilatation and effacement
B. Perform Leopold maneuvers
C. Complete a sterile speculum exam
D. Assess for vaginal bleeding
3
