ATI RN MATERNAL NEWBORN EXAM
2024-2025 LATEST VERSION
QUESTIONS AND CORRECT
ANSWERS
Antepartum Care
Question 1: A nurse is caring for a client who reports abrupt, sharp, right-sided lower
quadrant abdominal pain and bright red vaginal bleeding. The client states she missed
one menstrual cycle and cannot be pregnant because she has an intrauterine device.
The nurse should suspect which of the following?
A) Missed abortion
B) Ectopic pregnancy
C) Severe preeclampsia
D) Hydatidiform mole
Rationale: Ectopic pregnancy presents with unilateral lower abdominal pain, vaginal
bleeding, and a missed menstrual period. An IUD does not completely eliminate the risk
of pregnancy .
Question 2: A nurse is teaching a client at 6 weeks of gestation about common
discomforts of pregnancy. Which findings should the nurse include? (Select all that
apply)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis
, D) Dysuria
E) Epigastric pain
Rationale: Breast tenderness, urinary frequency, and epistaxis (nosebleeds) are common
discomforts of early pregnancy. Dysuria and epigastric pain are not normal findings and
require evaluation .
Question 3: A nurse is teaching a client who is pregnant about measures to relieve
backache during pregnancy. Which measures should the nurse include? (Select all that
apply)
A) Avoid lifting
B) Perform Kegel exercises twice a day
C) Perform the pelvic rock exercises every day
D) Use proper body mechanics
E) Avoid constrictive clothing
Rationale: Pelvic rock exercises and proper body mechanics help relieve and prevent
backache during pregnancy .
Question 4: A nurse is reviewing a new prescription for an iron supplement with a client
who is at 8 weeks of gestation and has iron deficiency anemia. Which beverage should
the nurse instruct the client to take the iron supplement with?
A) Ice water
B) Low-fat or whole milk
C) Tea or coffee
D) Orange juice
Rationale: Vitamin C (found in orange juice) enhances iron absorption. Milk, tea, and
coffee inhibit iron absorption .
, Question 5: A nurse in a prenatal clinic is caring for a client who is pregnant and
experiencing episodes of maternal hypotension. The client asks the nurse what causes
these episodes. Which response should the nurse make?
A) "This is due to an increase in blood volume."
B) "This is due to pressure from the uterus on the diaphragm."
C) "This is due to the weight of the uterus on the vena cava."
D) "This is due to increased cardiac output."
Rationale: Supine hypotension occurs when the weight of the uterus compresses the
vena cava, reducing venous return and cardiac output .
Question 6: A nurse is reviewing the health record of a client who is pregnant. The
provider indicated the client exhibits probable signs of pregnancy. Which findings
should the nurse expect? (Select all that apply)
A) Montgomery glands
B) Goodell's sign
C) Ballottement
D) Chadwick's sign
E) Quickening
Rationale: Goodell's sign, ballottement, and Chadwick's sign are probable signs of
pregnancy. Montgomery glands and quickening are presumptive signs .
Question 7: A nurse is teaching a client who is at 8 weeks of gestation and does not like
milk. Which food should the nurse recommend as a good source of calcium?
A) Dark green leafy vegetables
B) Deep red or orange vegetables
C) White breads and rice
D) Meat, poultry, and fish
Rationale: Dark green leafy vegetables (such as kale and broccoli) are good non-dairy
sources of calcium .
, Question 8: A nurse is caring for a client who has gonorrhea. Which medication should
the nurse anticipate the provider will prescribe?
A) Ceftriaxone
B) Fluconazole
C) Metronidazole
D) Zidovudine
Rationale: Ceftriaxone is the recommended treatment for gonorrhea. Fluconazole treats
candidiasis, metronidazole treats trichomoniasis, and zidovudine treats HIV .
Intrapartum Care
Question 9: A nurse is caring for a client who is in labor and observes late decelerations
on the electronic fetal monitor. Which action should the nurse take first?
A) Assist the client into left-lateral position
B) Apply a fetal scalp electrode
C) Insert an IV catheter
D) Perform a vaginal exam
Rationale: Repositioning the client to the left-lateral position is the first intervention for
late decelerations to improve placental perfusion and fetal oxygenation .
Question 10: A nurse is caring for a client who is using patterned breathing during
labor. The client reports numbness and tingling of the fingers. Which action should the
nurse take?
A) Administer O2 via nasal cannula at 2 L/min
B) Apply a warm blanket
C) Assist the client to a side-lying position
D) Place an O2 mask over the client's nose and mouth
2024-2025 LATEST VERSION
QUESTIONS AND CORRECT
ANSWERS
Antepartum Care
Question 1: A nurse is caring for a client who reports abrupt, sharp, right-sided lower
quadrant abdominal pain and bright red vaginal bleeding. The client states she missed
one menstrual cycle and cannot be pregnant because she has an intrauterine device.
The nurse should suspect which of the following?
A) Missed abortion
B) Ectopic pregnancy
C) Severe preeclampsia
D) Hydatidiform mole
Rationale: Ectopic pregnancy presents with unilateral lower abdominal pain, vaginal
bleeding, and a missed menstrual period. An IUD does not completely eliminate the risk
of pregnancy .
Question 2: A nurse is teaching a client at 6 weeks of gestation about common
discomforts of pregnancy. Which findings should the nurse include? (Select all that
apply)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis
, D) Dysuria
E) Epigastric pain
Rationale: Breast tenderness, urinary frequency, and epistaxis (nosebleeds) are common
discomforts of early pregnancy. Dysuria and epigastric pain are not normal findings and
require evaluation .
Question 3: A nurse is teaching a client who is pregnant about measures to relieve
backache during pregnancy. Which measures should the nurse include? (Select all that
apply)
A) Avoid lifting
B) Perform Kegel exercises twice a day
C) Perform the pelvic rock exercises every day
D) Use proper body mechanics
E) Avoid constrictive clothing
Rationale: Pelvic rock exercises and proper body mechanics help relieve and prevent
backache during pregnancy .
Question 4: A nurse is reviewing a new prescription for an iron supplement with a client
who is at 8 weeks of gestation and has iron deficiency anemia. Which beverage should
the nurse instruct the client to take the iron supplement with?
A) Ice water
B) Low-fat or whole milk
C) Tea or coffee
D) Orange juice
Rationale: Vitamin C (found in orange juice) enhances iron absorption. Milk, tea, and
coffee inhibit iron absorption .
, Question 5: A nurse in a prenatal clinic is caring for a client who is pregnant and
experiencing episodes of maternal hypotension. The client asks the nurse what causes
these episodes. Which response should the nurse make?
A) "This is due to an increase in blood volume."
B) "This is due to pressure from the uterus on the diaphragm."
C) "This is due to the weight of the uterus on the vena cava."
D) "This is due to increased cardiac output."
Rationale: Supine hypotension occurs when the weight of the uterus compresses the
vena cava, reducing venous return and cardiac output .
Question 6: A nurse is reviewing the health record of a client who is pregnant. The
provider indicated the client exhibits probable signs of pregnancy. Which findings
should the nurse expect? (Select all that apply)
A) Montgomery glands
B) Goodell's sign
C) Ballottement
D) Chadwick's sign
E) Quickening
Rationale: Goodell's sign, ballottement, and Chadwick's sign are probable signs of
pregnancy. Montgomery glands and quickening are presumptive signs .
Question 7: A nurse is teaching a client who is at 8 weeks of gestation and does not like
milk. Which food should the nurse recommend as a good source of calcium?
A) Dark green leafy vegetables
B) Deep red or orange vegetables
C) White breads and rice
D) Meat, poultry, and fish
Rationale: Dark green leafy vegetables (such as kale and broccoli) are good non-dairy
sources of calcium .
, Question 8: A nurse is caring for a client who has gonorrhea. Which medication should
the nurse anticipate the provider will prescribe?
A) Ceftriaxone
B) Fluconazole
C) Metronidazole
D) Zidovudine
Rationale: Ceftriaxone is the recommended treatment for gonorrhea. Fluconazole treats
candidiasis, metronidazole treats trichomoniasis, and zidovudine treats HIV .
Intrapartum Care
Question 9: A nurse is caring for a client who is in labor and observes late decelerations
on the electronic fetal monitor. Which action should the nurse take first?
A) Assist the client into left-lateral position
B) Apply a fetal scalp electrode
C) Insert an IV catheter
D) Perform a vaginal exam
Rationale: Repositioning the client to the left-lateral position is the first intervention for
late decelerations to improve placental perfusion and fetal oxygenation .
Question 10: A nurse is caring for a client who is using patterned breathing during
labor. The client reports numbness and tingling of the fingers. Which action should the
nurse take?
A) Administer O2 via nasal cannula at 2 L/min
B) Apply a warm blanket
C) Assist the client to a side-lying position
D) Place an O2 mask over the client's nose and mouth