ATI MATERNAL NEWBORN Exam LATEST
VERSION / QUESTIONS AND CORRECT
ANSWERS / A GRADE SCORE SOLUTION 2025.
1. A nurse is providing prenatal teaching to a client at 8 weeks’
gestation. Which of the following statements should the nurse include?
A. “You should increase your daily caloric intake by 500 calories.”
B. “You should avoid hot tubs and saunas.”
C. “You should limit your fluid intake to 1 liter per day.”
D. “You can continue smoking in moderation.”
Correct Answer: B
Rationale: Pregnant clients should avoid hot tubs and saunas due to the
risk of hyperthermia, which can cause neural tube defects.
A is incorrect because a 500-calorie increase is recommended during
lactation, not the first trimester.
C is incorrect; pregnant women need increased hydration.
D is incorrect because any amount of smoking can harm fetal
development.
,2. A nurse is caring for a client in labor who is experiencing late
decelerations. Which action should the nurse take first?
A. Administer oxygen by face mask
B. Reposition the client
C. Increase the IV fluid rate
D. Notify the provider
Correct Answer: B
Rationale: Repositioning (usually to the left lateral position) improves
uteroplacental perfusion. This is the first action. Other interventions can
follow based on response.
3. A nurse is assessing a newborn 1 hour after birth. Which of the
following findings requires immediate intervention?
A. Respiratory rate 64 breaths/min
B. Apical pulse 142/min
C. Nasal flaring
D. Acrocyanosis
Correct Answer: C
Rationale: Nasal flaring is a sign of respiratory distress and requires
immediate action.
Acrocyanosis is normal in the first 24–48 hours.
RR and HR are within normal newborn limits.
4. A client at 38 weeks’ gestation reports a sudden gush of fluid from the
vagina. What should the nurse do first?
A. Check for fetal movement
B. Perform a Nitrazine test
,C. Assess fetal heart rate
D. Ask about the color of the fluid
Correct Answer: C
Rationale: The priority is to assess the fetal heart rate for signs of
distress or cord prolapse after rupture of membranes.
5. A nurse is caring for a postpartum client with a boggy uterus and
excessive lochia. Which medication should the nurse anticipate
administering?
A. Oxytocin
B. Terbutaline
C. Magnesium sulfate
D. Misoprostol
Correct Answer: A
Rationale: Oxytocin promotes uterine contractions and is used to treat
postpartum hemorrhage.
Misoprostol is also used but oxytocin is usually first-line.
Terbutaline relaxes the uterus.
Magnesium sulfate is used for seizure prevention in preeclampsia.
6. A nurse is assessing a client with preeclampsia. Which finding is most
concerning?
A. 2+ proteinuria
B. Deep tendon reflexes 3+
C. Urine output 20 mL/hr
D. Blood pressure 148/92 mm Hg
Correct Answer: C
Rationale: Urine output <30 mL/hr indicates impaired renal perfusion, a
, critical complication of severe preeclampsia.
DTRs 3+ are increased but not as concerning.
7. A newborn has a positive Ortolani test. What does this finding
indicate?
A. Clubfoot
B. Hip dysplasia
C. Fractured clavicle
D. Spina bifida
Correct Answer: B
Rationale: A positive Ortolani or Barlow test indicates developmental
dysplasia of the hip. It requires further orthopedic evaluation.
8. A nurse is preparing to administer erythromycin ophthalmic ointment
to a newborn. What is the purpose of this medication?
A. To prevent thrush
B. To promote eye development
C. To prevent ophthalmia neonatorum
D. To treat neonatal jaundice
Correct Answer: C
Rationale: Erythromycin is administered within 1–2 hours of birth to
prevent gonorrheal or chlamydial eye infections.
9. A nurse is reviewing lab results of a newborn. Which finding should be
reported to the provider?
A. Hemoglobin 17 g/dL
B. Bilirubin 4.0 mg/dL at 36 hours
VERSION / QUESTIONS AND CORRECT
ANSWERS / A GRADE SCORE SOLUTION 2025.
1. A nurse is providing prenatal teaching to a client at 8 weeks’
gestation. Which of the following statements should the nurse include?
A. “You should increase your daily caloric intake by 500 calories.”
B. “You should avoid hot tubs and saunas.”
C. “You should limit your fluid intake to 1 liter per day.”
D. “You can continue smoking in moderation.”
Correct Answer: B
Rationale: Pregnant clients should avoid hot tubs and saunas due to the
risk of hyperthermia, which can cause neural tube defects.
A is incorrect because a 500-calorie increase is recommended during
lactation, not the first trimester.
C is incorrect; pregnant women need increased hydration.
D is incorrect because any amount of smoking can harm fetal
development.
,2. A nurse is caring for a client in labor who is experiencing late
decelerations. Which action should the nurse take first?
A. Administer oxygen by face mask
B. Reposition the client
C. Increase the IV fluid rate
D. Notify the provider
Correct Answer: B
Rationale: Repositioning (usually to the left lateral position) improves
uteroplacental perfusion. This is the first action. Other interventions can
follow based on response.
3. A nurse is assessing a newborn 1 hour after birth. Which of the
following findings requires immediate intervention?
A. Respiratory rate 64 breaths/min
B. Apical pulse 142/min
C. Nasal flaring
D. Acrocyanosis
Correct Answer: C
Rationale: Nasal flaring is a sign of respiratory distress and requires
immediate action.
Acrocyanosis is normal in the first 24–48 hours.
RR and HR are within normal newborn limits.
4. A client at 38 weeks’ gestation reports a sudden gush of fluid from the
vagina. What should the nurse do first?
A. Check for fetal movement
B. Perform a Nitrazine test
,C. Assess fetal heart rate
D. Ask about the color of the fluid
Correct Answer: C
Rationale: The priority is to assess the fetal heart rate for signs of
distress or cord prolapse after rupture of membranes.
5. A nurse is caring for a postpartum client with a boggy uterus and
excessive lochia. Which medication should the nurse anticipate
administering?
A. Oxytocin
B. Terbutaline
C. Magnesium sulfate
D. Misoprostol
Correct Answer: A
Rationale: Oxytocin promotes uterine contractions and is used to treat
postpartum hemorrhage.
Misoprostol is also used but oxytocin is usually first-line.
Terbutaline relaxes the uterus.
Magnesium sulfate is used for seizure prevention in preeclampsia.
6. A nurse is assessing a client with preeclampsia. Which finding is most
concerning?
A. 2+ proteinuria
B. Deep tendon reflexes 3+
C. Urine output 20 mL/hr
D. Blood pressure 148/92 mm Hg
Correct Answer: C
Rationale: Urine output <30 mL/hr indicates impaired renal perfusion, a
, critical complication of severe preeclampsia.
DTRs 3+ are increased but not as concerning.
7. A newborn has a positive Ortolani test. What does this finding
indicate?
A. Clubfoot
B. Hip dysplasia
C. Fractured clavicle
D. Spina bifida
Correct Answer: B
Rationale: A positive Ortolani or Barlow test indicates developmental
dysplasia of the hip. It requires further orthopedic evaluation.
8. A nurse is preparing to administer erythromycin ophthalmic ointment
to a newborn. What is the purpose of this medication?
A. To prevent thrush
B. To promote eye development
C. To prevent ophthalmia neonatorum
D. To treat neonatal jaundice
Correct Answer: C
Rationale: Erythromycin is administered within 1–2 hours of birth to
prevent gonorrheal or chlamydial eye infections.
9. A nurse is reviewing lab results of a newborn. Which finding should be
reported to the provider?
A. Hemoglobin 17 g/dL
B. Bilirubin 4.0 mg/dL at 36 hours
