ATI RN Maternal Newborn 2023 Proctored Exam | Questions with Answers
& Rationales | Complete Nursing Success Guide
1. A pregnant client asks when quickening is usually felt. Which response by the
nurse is correct?
A. 8 weeks
B. 16–20 weeks
C. 28 weeks
D. 36 weeks
Answer: B
Rationale: Fetal movement is commonly first felt between 16 and 20 weeks of pregnancy.
2. A nurse is caring for a client with preeclampsia. Which finding requires
immediate action?
A. Mild ankle edema
B. Blood pressure of 170/110 mm Hg
C. Urinary frequency
D. Heartburn
Answer: B
Rationale: Severe hypertension increases the risk of seizure, stroke, and maternal
complications.
3. Which medication is routinely administered to a newborn to prevent hemorrhagic
disease?
A. Vitamin K
B. Insulin
C. Oxytocin
D. Magnesium sulfate
Answer: A
Rationale: Vitamin K helps prevent bleeding caused by low newborn clotting factors.
4. A postpartum client has heavy vaginal bleeding and a boggy uterus. What should
the nurse do first?
A. Massage the fundus
B. Provide oral fluids
, C. Place the client prone
D. Delay assessment
Answer: A
Rationale: A boggy uterus indicates uterine atony; fundal massage promotes uterine
contraction.
5. Which finding indicates effective breastfeeding?
A. Audible swallowing
B. Severe nipple pain
C. No urine output
D. Infant refusing all feeds
Answer: A
Rationale: Audible swallowing indicates effective milk transfer.
6. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
7. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
, 8. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
9. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
10. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
11. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
& Rationales | Complete Nursing Success Guide
1. A pregnant client asks when quickening is usually felt. Which response by the
nurse is correct?
A. 8 weeks
B. 16–20 weeks
C. 28 weeks
D. 36 weeks
Answer: B
Rationale: Fetal movement is commonly first felt between 16 and 20 weeks of pregnancy.
2. A nurse is caring for a client with preeclampsia. Which finding requires
immediate action?
A. Mild ankle edema
B. Blood pressure of 170/110 mm Hg
C. Urinary frequency
D. Heartburn
Answer: B
Rationale: Severe hypertension increases the risk of seizure, stroke, and maternal
complications.
3. Which medication is routinely administered to a newborn to prevent hemorrhagic
disease?
A. Vitamin K
B. Insulin
C. Oxytocin
D. Magnesium sulfate
Answer: A
Rationale: Vitamin K helps prevent bleeding caused by low newborn clotting factors.
4. A postpartum client has heavy vaginal bleeding and a boggy uterus. What should
the nurse do first?
A. Massage the fundus
B. Provide oral fluids
, C. Place the client prone
D. Delay assessment
Answer: A
Rationale: A boggy uterus indicates uterine atony; fundal massage promotes uterine
contraction.
5. Which finding indicates effective breastfeeding?
A. Audible swallowing
B. Severe nipple pain
C. No urine output
D. Infant refusing all feeds
Answer: A
Rationale: Audible swallowing indicates effective milk transfer.
6. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
7. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
, 8. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
9. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
10. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
A. Assess the client and provide appropriate nursing care
B. Ignore changes because they are expected
C. Delay all assessments
D. Provide unrelated interventions
Answer: A
Rationale: Ongoing assessment and timely nursing interventions promote maternal and
newborn safety.
11. A nurse is caring for a client during the maternal-newborn period. Which nursing
action is appropriate?
