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2026 ATI Maternal-Newborn Nursing Comprehensive Study Guide

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2026 ATI Maternal-Newborn Nursing Comprehensive Study Guide 200-Question and 100% Correct Answers Question 1: A nurse is providing discharge teaching to a new mother about breastfeeding. Which statement by the mother indicates a correct understanding of the process? A. “I should wait until my milk comes in before starting breastfeeding.” B. “I can breastfeed my baby as soon as possible after birth.” C. “Breastfeeding should only be done every four hours.” D. “I need to supplement with formula immediately.” Correct Answer: B Question 2: During a postpartum assessment, the nurse notes that the patient has a firm fundus located at the umbilicus. What is the most appropriate nursing action? A. Massage the fundus to stimulate contractions. B. Document the findings and continue monitoring. C. Notify the healthcare provider immediately. D. Encourage the patient to ambulate to stimulate uterine contractions. Correct Answer: B Question 3: A nurse is caring for a newborn who is being assessed for hypoglycemia. Which of the following findings would require further evaluation? A. Jitteriness B. Unresponsiveness C. Irritability D. Lethargy Correct Answer: B Question 4: What is the priority nursing intervention for a postpartum patient who begins to experience heavy vaginal bleeding and shows signs of shock? A. Administer IV fluids as prescribed. B. Assess the uterus for firmness. C. Notify the healthcare provider. D. Encourage the patient to take deep breaths. Correct Answer: A Question 5: A nurse is teaching a group of expectant parents about the importance of prenatal vitamins. Which statement made by a parent indicates the need for further education? A. “I understand that folate helps prevent neural tube defects.” B. “I can wait until the baby is born to start taking them.” C. “Iron in prenatal vitamins is important for my blood.” D. “I will take these daily throughout my pregnancy.” Correct Answer: B Question 6: A nurse is assessing a 2-day-old newborn’s bilirubin level. Which finding should the nurse prioritize? A. Jaundice starting on the face B. Jaundice appearing below the chest C. Jaundice that is present from the head to toe D. No jaundice noted Correct Answer: C Question 7: Which of the following interventions should the nurse implement first for a mother who is experiencing severe postpartum hemorrhage? A. Administer oxygen. B. Call for help. C. Fundal massage. D. Assess the vital signs. Correct Answer: C Question 8: A nurse is teaching about the signs of preterm labor. Which statement by the mother indicates understanding? A. “I will only see signs if I start bleeding.” B. “I should call my doctor if I experience regular contractions.” C. “Preterm labor usually stops with rest.” D. “I don’t need to worry unless my water breaks.” Correct Answer: B Question 9: A postpartum patient asks why she should not use tampons during the first six weeks after delivery. Which response is most appropriate? A. “Tampons are less comfortable than pads.” B. “You can use tampons after a few days.” C. “Tampons can absorb the lochia.” D. “Using tampons increases the risk of infections.” Correct Answer: D Question 10: A healthcare provider orders a Tdap vaccine for a postpartum patient. Why is this vaccine important? A. To prevent postpartum depression. B. To protect the newborn from pertussis. C. To improve lactation. D. To assist with pregnancy recovery. Correct Answer: B Question 11: The nurse is educating a pregnant woman about the importance of screening for Group B Streptococcus (GBS). What does the nurse explain is the goal of this screening? A. To ensure the fetus is developing normally. B. To prevent infection in the newborn during delivery. C. To reduce maternal invasive procedures. D. To monitor for diabetes mellitus. Correct Answer: B Question 12: During a prenatal assessment, the nurse observes that the fetal heart rate is 180 beats per minute. What should the nurse do next? A. Document the findings. B. Reassure the mother it is normal. C. Assess the mother for signs of distress. D. Notify the healthcare provider immediately. Correct Answer: D PART 2 — NEW QUESTIONS (Questions 13-200) Section A: Pregnancy & Prenatal Care (Questions 13-50) Question 13: A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client whose last menstrual period (LMP) was May 15, 2025. What is the EDD? A. February 8, 2026 B. February 22, 2026 C. March 8, 2026 D. March 22, 2026 Correct Answer: B Question 14: A client at 12 weeks gestation asks the nurse about the purpose of the first-trimester ultrasound. What is the most appropriate response? A. “It determines the baby’s gender.” B. “It confirms the due date and checks for multiple gestations.” C. “It evaluates lung maturity.” D. “It checks for gestational diabetes.” Correct Answer: B Question 15: A nurse is assessing a pregnant client at 28 weeks gestation. Which finding should the nurse report to the healthcare provider? A. Fundal height of 28 cm B. Blood pressure of 110/70 mmHg C. Weight gain of 0.5 kg per week D. Presence of pedal edema Correct Answer: D Question 16: A client at 32 weeks gestation reports frequent heartburn. Which recommendation should the nurse provide? A. Lie flat immediately after eating. B. Eat small, frequent meals throughout the day. C. Increase intake of spicy foods. D. Drink large amounts of fluids with meals. Correct Answer: B Question 17: A nurse is performing a physical assessment on a client at 16 weeks gestation. Which finding is considered a normal physiologic change of pregnancy? A. Decreased heart rate B. Increased respiratory rate C. Decreased blood volume D. Increased gastrointestinal motility Correct Answer: B Question 18: A pregnant client with Rh-negative blood type asks why she needs to receive RhoGAM. What is the nurse’s best response? A. “It prevents you from developing anemia during pregnancy.” B. “It prevents your immune system from attacking the baby’s red blood cells.” C. “It helps your baby develop a healthy immune system.” D. “It prevents gestational diabetes from developing.” Correct Answer: B Question 19: A nurse is providing education about nutrition during pregnancy. Which food should the nurse recommend as a good source of folic acid? A. Broccoli B. Lean beef C. Milk D. Bananas Correct Answer: A Question 20: A client at 36 weeks gestation asks about signs that labor is approaching. Which sign should the nurse include in the teaching? A. Increased fetal movement B. Weight gain of 2 kg per week C. Lightening (dropping of the baby) D. Decreased Braxton Hicks contractions Correct Answer: C

Content preview

2026 ATI Maternal-Newborn Nursing Comprehensive Study Guide



200-Question and 100% Correct Answers




Question 1:



A nurse is providing discharge teaching to a new mother about
breastfeeding. Which statement by the mother indicates a correct
understanding of the process?



A. “I should wait until my milk comes in before starting breastfeeding.”

B. “I can breastfeed my baby as soon as possible after birth.”

C. “Breastfeeding should only be done every four hours.”

D. “I need to supplement with formula immediately.”



Correct Answer: B




Question 2:



During a postpartum assessment, the nurse notes that the patient has a
firm fundus located at the umbilicus. What is the most appropriate nursing
action?



A. Massage the fundus to stimulate contractions.

B. Document the findings and continue monitoring.

C. Notify the healthcare provider immediately.

D. Encourage the patient to ambulate to stimulate uterine contractions.

,Correct Answer: B




Question 3:



A nurse is caring for a newborn who is being assessed for hypoglycemia.
Which of the following findings would require further evaluation?



A. Jitteriness

B. Unresponsiveness

C. Irritability

D. Lethargy



Correct Answer: B




Question 4:



What is the priority nursing intervention for a postpartum patient who
begins to experience heavy vaginal bleeding and shows signs of shock?



A. Administer IV fluids as prescribed.

B. Assess the uterus for firmness.

C. Notify the healthcare provider.

D. Encourage the patient to take deep breaths.



Correct Answer: A

,Question 5:



A nurse is teaching a group of expectant parents about the importance of
prenatal vitamins. Which statement made by a parent indicates the need
for further education?



A. “I understand that folate helps prevent neural tube defects.”

B. “I can wait until the baby is born to start taking them.”

C. “Iron in prenatal vitamins is important for my blood.”

D. “I will take these daily throughout my pregnancy.”



Correct Answer: B




Question 6:



A nurse is assessing a 2-day-old newborn’s bilirubin level. Which finding
should the nurse prioritize?



A. Jaundice starting on the face

B. Jaundice appearing below the chest

C. Jaundice that is present from the head to toe

D. No jaundice noted



Correct Answer: C




Question 7:

, Which of the following interventions should the nurse implement first for a
mother who is experiencing severe postpartum hemorrhage?



A. Administer oxygen.

B. Call for help.

C. Fundal massage.

D. Assess the vital signs.



Correct Answer: C




Question 8:



A nurse is teaching about the signs of preterm labor. Which statement by
the mother indicates understanding?



A. “I will only see signs if I start bleeding.”

B. “I should call my doctor if I experience regular contractions.”

C. “Preterm labor usually stops with rest.”

D. “I don’t need to worry unless my water breaks.”



Correct Answer: B




Question 9:



A postpartum patient asks why she should not use tampons during the
first six weeks after delivery. Which response is most appropriate?



A. “Tampons are less comfortable than pads.”

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