ATI PN Maternal Newborn
Final Exam 2026/2027 |
Practice Questions, Answers &
Detailed Rationales Guaranteed
Pass (GRADED A+)
Question 1
A nurse is assessing a client who is 32 weeks pregnant. Which finding
should the nurse recognize as requiring further evaluation?
A. Urinary frequency
B. Mild ankle edema at the end of the day
C. Blood pressure of 150/96 mm Hg
D. Increased vaginal discharge without odor
Answer: _C. Blood pressure of 150/96 mm Hg_
Rationale: A blood pressure of 150/96 mm Hg during pregnancy is
elevated and can indicate a hypertensive disorder of pregnancy. The
finding requires additional assessment, including evaluation for
preeclampsia.
Question 2
A postpartum client has a boggy uterus and heavy vaginal bleeding.
Which action should the nurse take first?
A. Notify the provider
B. Administer an analgesic
,C. Massage the uterine fundus
D. Prepare the client for surgery
Answer: _C. Massage the uterine fundus_
Rationale: A boggy uterus commonly indicates uterine atony, a major
cause of postpartum hemorrhage. Fundal massage promotes uterine
contraction and should be performed promptly.
Question 3
A nurse is caring for a newborn immediately after birth. Which
intervention is the priority?
A. Obtain the newborn's weight
B. Apply identification bands
C. Dry the newborn and maintain warmth
D. Administer vitamin K
Answer: _C. Dry the newborn and maintain warmth_
Rationale: Newborns are highly susceptible to heat loss. Drying the
newborn and providing warmth are immediate priorities after birth
while the newborn's respiratory status is assessed.
Question 4
A client at 36 weeks of gestation reports a sudden gush of clear fluid
from the vagina. Which action should the nurse take first?
A. Perform a vaginal examination
B. Assess the fetal heart rate
C. Encourage the client to ambulate
D. Administer oxytocin
Answer: _B. Assess the fetal heart rate_
,Rationale: Rupture of the membranes can be associated with umbilical
cord prolapse or fetal compromise. Fetal heart rate assessment is a
priority before other interventions.
Question 5
A nurse is teaching a pregnant client about manifestations of
preeclampsia. Which finding should the nurse include?
A. Increased appetite
B. Persistent headache
C. Increased fetal movement
D. Mild urinary frequency
Answer: _B. Persistent headache_
Rationale: A persistent or severe headache can indicate worsening
preeclampsia and possible neurologic involvement. Other concerning
findings include visual disturbances, epigastric pain, hypertension, and
hyperreflexia.
Question 6
A nurse is caring for a client receiving magnesium sulfate for severe
preeclampsia. Which finding requires immediate intervention?
A. Respiratory rate of 10/min
B. Urine output of 45 mL/hr
C. Blood pressure of 140/88 mm Hg
D. Deep tendon reflexes of 2+
Answer: _A. Respiratory rate of 10/min**_
Rationale: Respiratory depression can indicate magnesium toxicity. The
nurse should stop the infusion as appropriate according to protocol and
prepare to administer calcium gluconate as the antidote.
, Question 7
A nurse is assessing a newborn 2 hr after birth. Which finding should the
nurse report?
A. Acrocyanosis
B. Respiratory rate of 44/min
C. Heart rate of 140/min
D. Central cyanosis
Answer: _D. Central cyanosis_
Rationale: Acrocyanosis can occur normally during the early newborn
period, but central cyanosis is abnormal and can indicate inadequate
oxygenation or cardiopulmonary compromise.
Question 8
A postpartum client asks why the nurse is assessing the location of the
uterine fundus. Which explanation is appropriate?
A. "It helps determine whether your bladder is functioning normally."
B. "It helps evaluate whether your uterus is involuting appropriately."
C. "It determines whether your milk supply is adequate."
D. "It identifies whether you are developing an infection."
Answer: _B. It helps evaluate whether your uterus is involuting
appropriately._
Rationale: Fundal assessment helps the nurse evaluate uterine
contraction and involution after birth. A firm, progressively descending
fundus is expected during the postpartum period.
Question 9
A nurse is teaching a breastfeeding client about feeding frequency
during the first few days after birth. Which instruction is appropriate?
Final Exam 2026/2027 |
Practice Questions, Answers &
Detailed Rationales Guaranteed
Pass (GRADED A+)
Question 1
A nurse is assessing a client who is 32 weeks pregnant. Which finding
should the nurse recognize as requiring further evaluation?
A. Urinary frequency
B. Mild ankle edema at the end of the day
C. Blood pressure of 150/96 mm Hg
D. Increased vaginal discharge without odor
Answer: _C. Blood pressure of 150/96 mm Hg_
Rationale: A blood pressure of 150/96 mm Hg during pregnancy is
elevated and can indicate a hypertensive disorder of pregnancy. The
finding requires additional assessment, including evaluation for
preeclampsia.
Question 2
A postpartum client has a boggy uterus and heavy vaginal bleeding.
Which action should the nurse take first?
A. Notify the provider
B. Administer an analgesic
,C. Massage the uterine fundus
D. Prepare the client for surgery
Answer: _C. Massage the uterine fundus_
Rationale: A boggy uterus commonly indicates uterine atony, a major
cause of postpartum hemorrhage. Fundal massage promotes uterine
contraction and should be performed promptly.
Question 3
A nurse is caring for a newborn immediately after birth. Which
intervention is the priority?
A. Obtain the newborn's weight
B. Apply identification bands
C. Dry the newborn and maintain warmth
D. Administer vitamin K
Answer: _C. Dry the newborn and maintain warmth_
Rationale: Newborns are highly susceptible to heat loss. Drying the
newborn and providing warmth are immediate priorities after birth
while the newborn's respiratory status is assessed.
Question 4
A client at 36 weeks of gestation reports a sudden gush of clear fluid
from the vagina. Which action should the nurse take first?
A. Perform a vaginal examination
B. Assess the fetal heart rate
C. Encourage the client to ambulate
D. Administer oxytocin
Answer: _B. Assess the fetal heart rate_
,Rationale: Rupture of the membranes can be associated with umbilical
cord prolapse or fetal compromise. Fetal heart rate assessment is a
priority before other interventions.
Question 5
A nurse is teaching a pregnant client about manifestations of
preeclampsia. Which finding should the nurse include?
A. Increased appetite
B. Persistent headache
C. Increased fetal movement
D. Mild urinary frequency
Answer: _B. Persistent headache_
Rationale: A persistent or severe headache can indicate worsening
preeclampsia and possible neurologic involvement. Other concerning
findings include visual disturbances, epigastric pain, hypertension, and
hyperreflexia.
Question 6
A nurse is caring for a client receiving magnesium sulfate for severe
preeclampsia. Which finding requires immediate intervention?
A. Respiratory rate of 10/min
B. Urine output of 45 mL/hr
C. Blood pressure of 140/88 mm Hg
D. Deep tendon reflexes of 2+
Answer: _A. Respiratory rate of 10/min**_
Rationale: Respiratory depression can indicate magnesium toxicity. The
nurse should stop the infusion as appropriate according to protocol and
prepare to administer calcium gluconate as the antidote.
, Question 7
A nurse is assessing a newborn 2 hr after birth. Which finding should the
nurse report?
A. Acrocyanosis
B. Respiratory rate of 44/min
C. Heart rate of 140/min
D. Central cyanosis
Answer: _D. Central cyanosis_
Rationale: Acrocyanosis can occur normally during the early newborn
period, but central cyanosis is abnormal and can indicate inadequate
oxygenation or cardiopulmonary compromise.
Question 8
A postpartum client asks why the nurse is assessing the location of the
uterine fundus. Which explanation is appropriate?
A. "It helps determine whether your bladder is functioning normally."
B. "It helps evaluate whether your uterus is involuting appropriately."
C. "It determines whether your milk supply is adequate."
D. "It identifies whether you are developing an infection."
Answer: _B. It helps evaluate whether your uterus is involuting
appropriately._
Rationale: Fundal assessment helps the nurse evaluate uterine
contraction and involution after birth. A firm, progressively descending
fundus is expected during the postpartum period.
Question 9
A nurse is teaching a breastfeeding client about feeding frequency
during the first few days after birth. Which instruction is appropriate?
