ATI Maternal Newborn Nursing
Practice Exam | 100 Most Tested
Questions Collection & Verified
Detailed Answers | Tutor Verified
Success Exam) Graded A+
1. A nurse is teaching a client who is in the first trimester of
pregnancy. Which nutrient is most important to prevent neural
tube defects?
A. Calcium
B. Vitamin C
C. Folic acid
D. Vitamin D
Rationale: Folic acid significantly reduces the risk of neural tube
defects and should be taken before conception and during early
pregnancy.
2. A client at 30 weeks' gestation reports regular uterine
contractions. Which medication should the nurse anticipate
administering to enhance fetal lung maturity?
A. Magnesium sulfate
B. Terbutaline
C. Oxytocin
D. Betamethasone
Rationale: Betamethasone accelerates fetal lung maturity and
reduces neonatal respiratory distress syndrome in preterm birth.
,3. Which finding is a presumptive sign of pregnancy?
A. Positive fetal heart tones
B. Ultrasound visualization of fetus
C. Amenorrhea
D. Fetal movement palpated by examiner
Rationale: Amenorrhea is a presumptive sign because it is subjective
and not diagnostic.
4. During labor, which fetal heart rate finding requires immediate
intervention?
A. Baseline 140 bpm
B. Moderate variability
C. Accelerations present
D. Late decelerations
Rationale: Late decelerations indicate uteroplacental insufficiency
and require prompt intervention.
5. Which laboratory value should the nurse report immediately for
a pregnant client?
A. Hemoglobin 11 g/dL
B. WBC 12,000/mm³
C. Platelets 220,000/mm³
D. Proteinuria with BP 168/110 mm Hg
Rationale: Severe hypertension with proteinuria suggests severe
preeclampsia requiring urgent treatment.
,6. A client receiving magnesium sulfate becomes lethargic with
absent deep tendon reflexes. Which medication should the nurse
prepare?
A. Vitamin K
B. Oxytocin
C. Terbutaline
D. Calcium gluconate
Rationale: Calcium gluconate is the antidote for magnesium sulfate
toxicity.
7. Which maternal position improves uteroplacental perfusion?
A. Supine
B. Prone
C. Left lateral
D. High Fowler's
Rationale: Left lateral positioning relieves pressure on the vena cava
and improves placental circulation.
8. Which hormone maintains pregnancy during the first trimester?
A. Estrogen
B. Oxytocin
C. Relaxin
D. Progesterone
Rationale: Progesterone maintains the uterine lining and suppresses
uterine contractions.
9. Which assessment finding indicates placental separation after
delivery?
, A. Uterus softens
B. Lengthening of the umbilical cord
C. Maternal hypotension
D. Fetal bradycardia
Rationale: Cord lengthening is a classic sign of placental separation.
10. A client at 32 weeks has painless bright red vaginal bleeding.
Which condition does the nurse suspect?
A. Abruptio placentae
B. Uterine rupture
C. Cervical insufficiency
D. Placenta previa
Rationale: Placenta previa typically presents with painless bright red
bleeding.
11. Which finding is expected during the second trimester?
A. Colostrum absent
B. Quickening
C. Fundus below symphysis pubis
D. Cervix dilates
Rationale: Quickening (first fetal movement felt by the mother)
commonly occurs during the second trimester.
12. Which intervention is priority during shoulder dystocia?
A. Fundal pressure
B. McRoberts maneuver
C. Trendelenburg position
D. Vaginal examination
Practice Exam | 100 Most Tested
Questions Collection & Verified
Detailed Answers | Tutor Verified
Success Exam) Graded A+
1. A nurse is teaching a client who is in the first trimester of
pregnancy. Which nutrient is most important to prevent neural
tube defects?
A. Calcium
B. Vitamin C
C. Folic acid
D. Vitamin D
Rationale: Folic acid significantly reduces the risk of neural tube
defects and should be taken before conception and during early
pregnancy.
2. A client at 30 weeks' gestation reports regular uterine
contractions. Which medication should the nurse anticipate
administering to enhance fetal lung maturity?
A. Magnesium sulfate
B. Terbutaline
C. Oxytocin
D. Betamethasone
Rationale: Betamethasone accelerates fetal lung maturity and
reduces neonatal respiratory distress syndrome in preterm birth.
,3. Which finding is a presumptive sign of pregnancy?
A. Positive fetal heart tones
B. Ultrasound visualization of fetus
C. Amenorrhea
D. Fetal movement palpated by examiner
Rationale: Amenorrhea is a presumptive sign because it is subjective
and not diagnostic.
4. During labor, which fetal heart rate finding requires immediate
intervention?
A. Baseline 140 bpm
B. Moderate variability
C. Accelerations present
D. Late decelerations
Rationale: Late decelerations indicate uteroplacental insufficiency
and require prompt intervention.
5. Which laboratory value should the nurse report immediately for
a pregnant client?
A. Hemoglobin 11 g/dL
B. WBC 12,000/mm³
C. Platelets 220,000/mm³
D. Proteinuria with BP 168/110 mm Hg
Rationale: Severe hypertension with proteinuria suggests severe
preeclampsia requiring urgent treatment.
,6. A client receiving magnesium sulfate becomes lethargic with
absent deep tendon reflexes. Which medication should the nurse
prepare?
A. Vitamin K
B. Oxytocin
C. Terbutaline
D. Calcium gluconate
Rationale: Calcium gluconate is the antidote for magnesium sulfate
toxicity.
7. Which maternal position improves uteroplacental perfusion?
A. Supine
B. Prone
C. Left lateral
D. High Fowler's
Rationale: Left lateral positioning relieves pressure on the vena cava
and improves placental circulation.
8. Which hormone maintains pregnancy during the first trimester?
A. Estrogen
B. Oxytocin
C. Relaxin
D. Progesterone
Rationale: Progesterone maintains the uterine lining and suppresses
uterine contractions.
9. Which assessment finding indicates placental separation after
delivery?
, A. Uterus softens
B. Lengthening of the umbilical cord
C. Maternal hypotension
D. Fetal bradycardia
Rationale: Cord lengthening is a classic sign of placental separation.
10. A client at 32 weeks has painless bright red vaginal bleeding.
Which condition does the nurse suspect?
A. Abruptio placentae
B. Uterine rupture
C. Cervical insufficiency
D. Placenta previa
Rationale: Placenta previa typically presents with painless bright red
bleeding.
11. Which finding is expected during the second trimester?
A. Colostrum absent
B. Quickening
C. Fundus below symphysis pubis
D. Cervix dilates
Rationale: Quickening (first fetal movement felt by the mother)
commonly occurs during the second trimester.
12. Which intervention is priority during shoulder dystocia?
A. Fundal pressure
B. McRoberts maneuver
C. Trendelenburg position
D. Vaginal examination
