Maternal/Newborn ATI Final Review
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority action if a postpartum client is experiencing heavy vaginal bleeding and a
boggy uterus?
✔✔ Massage the fundus firmly to stimulate uterine contraction.
What is the purpose of administering vitamin K to a newborn?
✔✔ To promote blood clotting by supporting liver synthesis of clotting factors.
What is a normal finding for lochia rubra on the first postpartum day?
✔✔ Dark red discharge with small clots and a fleshy odor.
What should the nurse do first if a newborn has a respiratory rate of 70 breaths per minute and
nasal flaring?
✔✔ Notify the provider for possible respiratory distress.
What intervention helps reduce nipple soreness in a breastfeeding mother?
1
,✔✔ Ensure proper latch during feedings.
How often should a newborn breastfeed during the first week of life?
✔✔ Every 2 to 3 hours, or 8 to 12 times in 24 hours.
What is the most reliable sign of true labor?
✔✔ Cervical dilation and effacement.
What finding indicates a need for Rh immune globulin (RhoGAM) postpartum?
✔✔ Mother is Rh-negative and newborn is Rh-positive.
What is the most appropriate pain relief method for a client in early labor who wants to avoid
medication?
✔✔ Breathing techniques and position changes.
What is the priority assessment after administering magnesium sulfate to a client with
preeclampsia?
✔✔ Monitor deep tendon reflexes and respiratory rate.
2
,What should a mother do if her newborn has a yellow tint to the skin at 2 days old?
✔✔ Report to the provider if jaundice extends to the abdomen or legs.
What is the priority nursing action after rupture of membranes in a laboring client?
✔✔ Check the fetal heart rate for signs of distress.
What should the nurse do if a postpartum client reports a severe headache and blurred vision?
✔✔ Report possible signs of postpartum preeclampsia.
What should be done if the umbilical cord is protruding from the vagina during labor?
✔✔ Elevate the presenting part and call for immediate help.
What is the recommended position for a pregnant client experiencing hypotension during a
nonstress test?
✔✔ Left lateral position to improve blood flow.
3
, What should the nurse encourage immediately after delivery to support newborn
thermoregulation?
✔✔ Skin-to-skin contact with the mother.
What is the expected newborn weight loss in the first few days of life?
✔✔ Up to 10% of birth weight is considered normal.
What is the first action after a newborn is born with meconium-stained amniotic fluid and is not
crying?
✔✔ Suction the mouth and nose to clear the airway.
What should the nurse assess first in a client with heavy lochia and a firm fundus?
✔✔ Check for vaginal or perineal lacerations.
What is the proper way to care for the umbilical cord stump at home?
✔✔ Keep the stump clean, dry, and exposed to air.
What is a normal finding in a newborn’s assessment during the first hour of life?
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the priority action if a postpartum client is experiencing heavy vaginal bleeding and a
boggy uterus?
✔✔ Massage the fundus firmly to stimulate uterine contraction.
What is the purpose of administering vitamin K to a newborn?
✔✔ To promote blood clotting by supporting liver synthesis of clotting factors.
What is a normal finding for lochia rubra on the first postpartum day?
✔✔ Dark red discharge with small clots and a fleshy odor.
What should the nurse do first if a newborn has a respiratory rate of 70 breaths per minute and
nasal flaring?
✔✔ Notify the provider for possible respiratory distress.
What intervention helps reduce nipple soreness in a breastfeeding mother?
1
,✔✔ Ensure proper latch during feedings.
How often should a newborn breastfeed during the first week of life?
✔✔ Every 2 to 3 hours, or 8 to 12 times in 24 hours.
What is the most reliable sign of true labor?
✔✔ Cervical dilation and effacement.
What finding indicates a need for Rh immune globulin (RhoGAM) postpartum?
✔✔ Mother is Rh-negative and newborn is Rh-positive.
What is the most appropriate pain relief method for a client in early labor who wants to avoid
medication?
✔✔ Breathing techniques and position changes.
What is the priority assessment after administering magnesium sulfate to a client with
preeclampsia?
✔✔ Monitor deep tendon reflexes and respiratory rate.
2
,What should a mother do if her newborn has a yellow tint to the skin at 2 days old?
✔✔ Report to the provider if jaundice extends to the abdomen or legs.
What is the priority nursing action after rupture of membranes in a laboring client?
✔✔ Check the fetal heart rate for signs of distress.
What should the nurse do if a postpartum client reports a severe headache and blurred vision?
✔✔ Report possible signs of postpartum preeclampsia.
What should be done if the umbilical cord is protruding from the vagina during labor?
✔✔ Elevate the presenting part and call for immediate help.
What is the recommended position for a pregnant client experiencing hypotension during a
nonstress test?
✔✔ Left lateral position to improve blood flow.
3
, What should the nurse encourage immediately after delivery to support newborn
thermoregulation?
✔✔ Skin-to-skin contact with the mother.
What is the expected newborn weight loss in the first few days of life?
✔✔ Up to 10% of birth weight is considered normal.
What is the first action after a newborn is born with meconium-stained amniotic fluid and is not
crying?
✔✔ Suction the mouth and nose to clear the airway.
What should the nurse assess first in a client with heavy lochia and a firm fundus?
✔✔ Check for vaginal or perineal lacerations.
What is the proper way to care for the umbilical cord stump at home?
✔✔ Keep the stump clean, dry, and exposed to air.
What is a normal finding in a newborn’s assessment during the first hour of life?
4
