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MATERNAL-NEWBORN ATI PRACTICE
QUESTIONS AND ANSWERS 2026
A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks
gestation following an initial prenatal visit. Which of the following laboratory
findings should the nurse report to the provider?
a. hemoglobin 10 g/dl
b. WBC count 10,000 mm3
c. platelets 250,000 mm3
d. fasting blood glucose 90 mg/dl - correct-answer - a. hemoglobin 10 g/dl
A hemoglobin of 10 is below the expected reference range of greater than 11 g/dl
for a client who is pregnant. The nurse should report this finding to the provider
to obtain a prescription for ferrous iron supplementation because of anemia
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A nurse is caring for a client who is at 30 weeks gestation and has a prescription
for magnesium sulfate IV to treat preterm labor. The nurse should notify the
provider of which of the following adverse effects?
a. client reports nausea
b. urinary output of 40 ml/hr
c. respiratory rate 10/min
d. client reports feeling flushed - correct-answer - c. respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure
that the antidote, calcium gluconate, is readily available.
A nurse is caring for a client who is anemic at 32 weeks gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
a. decreased uterine contractions
b. an increase in the client's hemoglobin levels
c. a reduction of respiratory distress in the newborn
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d. increased production of antibodies in the newborn - correct-answer - c. a
reduction in respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity
and prevent respiratory distress
First step in Leopold Maneuver - correct-answer - The nurse palpates the client's
abdomen to determine which fetal part is in the fundus. This step also identifies
the lie (transverse or longitudinal) and presentation (cephalic or breech) of the
fetus.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse
expect the provider to prescribe?
a. Kleihauer-Betke test
b. progesterone serum level
c. lecithin/sphingomyelin ratio
d. maternal alpha-fetoprotein - correct-answer - a. kleihauer-betke test
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The nurse should expect the provider to prescribe this test for a client who has
suspected placental abruption to determine if the fetal blood is in maternal
circulation. This test is useful to determine if Rho immune globulin therapy should
be administered to a client who is rh-negative
A nurse is teaching a client who is at 10 weeks 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 a day"
b. "I should drink 2 L of water a day"
c. "I should increase my overall daily caloric intake by 300 calories"
d. "I should take 600 micrograms of folic acid each day" - correct-answer - d. "I
should take 600 micrograms of folic acid each day"
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic
acid assists with preventing neural tube birth defects.
MATERNAL-NEWBORN ATI PRACTICE
QUESTIONS AND ANSWERS 2026
A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks
gestation following an initial prenatal visit. Which of the following laboratory
findings should the nurse report to the provider?
a. hemoglobin 10 g/dl
b. WBC count 10,000 mm3
c. platelets 250,000 mm3
d. fasting blood glucose 90 mg/dl - correct-answer - a. hemoglobin 10 g/dl
A hemoglobin of 10 is below the expected reference range of greater than 11 g/dl
for a client who is pregnant. The nurse should report this finding to the provider
to obtain a prescription for ferrous iron supplementation because of anemia
,2|Page
A nurse is caring for a client who is at 30 weeks gestation and has a prescription
for magnesium sulfate IV to treat preterm labor. The nurse should notify the
provider of which of the following adverse effects?
a. client reports nausea
b. urinary output of 40 ml/hr
c. respiratory rate 10/min
d. client reports feeling flushed - correct-answer - c. respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure
that the antidote, calcium gluconate, is readily available.
A nurse is caring for a client who is anemic at 32 weeks gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
a. decreased uterine contractions
b. an increase in the client's hemoglobin levels
c. a reduction of respiratory distress in the newborn
,3|Page
d. increased production of antibodies in the newborn - correct-answer - c. a
reduction in respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity
and prevent respiratory distress
First step in Leopold Maneuver - correct-answer - The nurse palpates the client's
abdomen to determine which fetal part is in the fundus. This step also identifies
the lie (transverse or longitudinal) and presentation (cephalic or breech) of the
fetus.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse
expect the provider to prescribe?
a. Kleihauer-Betke test
b. progesterone serum level
c. lecithin/sphingomyelin ratio
d. maternal alpha-fetoprotein - correct-answer - a. kleihauer-betke test
, 4|Page
The nurse should expect the provider to prescribe this test for a client who has
suspected placental abruption to determine if the fetal blood is in maternal
circulation. This test is useful to determine if Rho immune globulin therapy should
be administered to a client who is rh-negative
A nurse is teaching a client who is at 10 weeks 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 a day"
b. "I should drink 2 L of water a day"
c. "I should increase my overall daily caloric intake by 300 calories"
d. "I should take 600 micrograms of folic acid each day" - correct-answer - d. "I
should take 600 micrograms of folic acid each day"
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic
acid assists with preventing neural tube birth defects.
