Maternity ATI Review Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client in active labor. The fetal heart rate shows late decelerations. What
should the nurse do first?
✔✔Reposition the client to her left side and administer oxygen.
A postpartum client complains of increased lochia with a foul odor. What is the nurse’s priority
action?
✔✔Notify the provider; this may indicate endometritis.
A client at 36 weeks' gestation reports sudden gush of fluid from the vagina. What is the nurse’s
first action?
✔✔Assess the fetal heart rate.
A nurse is providing teaching about signs of true labor. What should be included?
✔✔Contractions become regular, stronger, and increase with walking.
1
,A nurse is assessing a newborn who is 12 hours old. What finding requires immediate
intervention?
✔✔Nasal flaring and grunting.
A nurse is caring for a client with preeclampsia. What is a priority nursing assessment?
✔✔Check for clonus and monitor deep tendon reflexes.
A nurse is teaching a pregnant client about iron supplementation. What instruction should be
included?
✔✔Take with vitamin C to enhance absorption.
A client in the third trimester reports painless vaginal bleeding. What is the priority nursing
action?
✔✔Assess for placenta previa and avoid vaginal exams.
A nurse is caring for a client in labor who is receiving oxytocin. What finding requires immediate
action?
✔✔Contractions occurring every 90 seconds with minimal rest between.
2
,A nurse is caring for a postpartum client with a boggy uterus. What should the nurse do first?
✔✔Massage the fundus firmly until it becomes firm.
A client at 10 weeks’ gestation is experiencing nausea and vomiting. What advice should the
nurse give?
✔✔Eat small, frequent meals throughout the day.
A nurse is teaching a client about breastfeeding. What is an early sign of effective feeding?
✔✔Audible swallowing and rhythmic sucking.
A nurse is assessing a client with hyperemesis gravidarum. What lab value is most concerning?
✔✔Positive ketones in urine.
A nurse is preparing to administer Rho(D) immune globulin. What is the correct time to give it?
✔✔At 28 weeks and within 72 hours after birth if the baby is Rh-positive.
A nurse is caring for a client receiving magnesium sulfate for preeclampsia. What is a sign of
toxicity?
3
, ✔✔Absent deep tendon reflexes.
A nurse is teaching a client about postpartum depression. What symptom is a red flag?
✔✔Persistent feelings of hopelessness or thoughts of harming self or baby.
A nurse is monitoring a client in the first stage of labor. What is the most appropriate pain
management for early labor?
✔✔Relaxation techniques and breathing exercises.
A client at 32 weeks gestation has mild vaginal bleeding after intercourse. What should the nurse
advise?
✔✔Avoid further intercourse and notify the provider.
A newborn has a positive Ortolani test. What does this indicate?
✔✔Possible hip dysplasia.
A client asks when fetal movements should be felt. What is the correct response?
✔✔Between 16 and 20 weeks of gestation.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is caring for a client in active labor. The fetal heart rate shows late decelerations. What
should the nurse do first?
✔✔Reposition the client to her left side and administer oxygen.
A postpartum client complains of increased lochia with a foul odor. What is the nurse’s priority
action?
✔✔Notify the provider; this may indicate endometritis.
A client at 36 weeks' gestation reports sudden gush of fluid from the vagina. What is the nurse’s
first action?
✔✔Assess the fetal heart rate.
A nurse is providing teaching about signs of true labor. What should be included?
✔✔Contractions become regular, stronger, and increase with walking.
1
,A nurse is assessing a newborn who is 12 hours old. What finding requires immediate
intervention?
✔✔Nasal flaring and grunting.
A nurse is caring for a client with preeclampsia. What is a priority nursing assessment?
✔✔Check for clonus and monitor deep tendon reflexes.
A nurse is teaching a pregnant client about iron supplementation. What instruction should be
included?
✔✔Take with vitamin C to enhance absorption.
A client in the third trimester reports painless vaginal bleeding. What is the priority nursing
action?
✔✔Assess for placenta previa and avoid vaginal exams.
A nurse is caring for a client in labor who is receiving oxytocin. What finding requires immediate
action?
✔✔Contractions occurring every 90 seconds with minimal rest between.
2
,A nurse is caring for a postpartum client with a boggy uterus. What should the nurse do first?
✔✔Massage the fundus firmly until it becomes firm.
A client at 10 weeks’ gestation is experiencing nausea and vomiting. What advice should the
nurse give?
✔✔Eat small, frequent meals throughout the day.
A nurse is teaching a client about breastfeeding. What is an early sign of effective feeding?
✔✔Audible swallowing and rhythmic sucking.
A nurse is assessing a client with hyperemesis gravidarum. What lab value is most concerning?
✔✔Positive ketones in urine.
A nurse is preparing to administer Rho(D) immune globulin. What is the correct time to give it?
✔✔At 28 weeks and within 72 hours after birth if the baby is Rh-positive.
A nurse is caring for a client receiving magnesium sulfate for preeclampsia. What is a sign of
toxicity?
3
, ✔✔Absent deep tendon reflexes.
A nurse is teaching a client about postpartum depression. What symptom is a red flag?
✔✔Persistent feelings of hopelessness or thoughts of harming self or baby.
A nurse is monitoring a client in the first stage of labor. What is the most appropriate pain
management for early labor?
✔✔Relaxation techniques and breathing exercises.
A client at 32 weeks gestation has mild vaginal bleeding after intercourse. What should the nurse
advise?
✔✔Avoid further intercourse and notify the provider.
A newborn has a positive Ortolani test. What does this indicate?
✔✔Possible hip dysplasia.
A client asks when fetal movements should be felt. What is the correct response?
✔✔Between 16 and 20 weeks of gestation.
4
