Maternal Newborn ATI Practice A Exam 2025/2026 | 100% Verified Questions &
Answers
1. What medication should a nurse administer if a patient develops magnesium
toxicity due to IV magnesium sulfate?
Insulin
Calcium gluconate
Potassium chloride
Sodium bicarbonate
2. What is the normal fetal heart rate (FHR) range during pregnancy?
120-180 beats per minute
130-170 beats per minute
100-150 beats per minute
110-160 beats per minute
3. Why is massaging the fundus considered a priority action in the case of
uterine atony?
Massaging the fundus prepares the client for delivery.
Massaging the fundus helps stimulate uterine contraction to
control bleeding.
Massaging the fundus increases blood flow to the uterus.
Massaging the fundus reduces pain during labor.
4. When assessing a 3 hour old infant of a diabetic mother, the nurse needs to
be alert for which early signs of hypoglycemia?
, hypothermia and "jittery" extremities
respiratory distress and hyperthermia
hypotonia and a high-pitched cry
hyperthermia and lethargy
5. Which of the following may aid a family's 7 year old child in accepting a
newborn sibling?
Switch the sibling's room with the nursery
Allow the sibling to hold the newborn during a bath
Obtain a gift from the newborn to present to the sibling
Make sure the sibling kisses the newborn each night
6. What is the purpose of the Kleihauer-Betke test in the context of a
suspected placental abruption?
To measure maternal Alpha-fetoprotein levels.
To determine if fetal blood is in maternal circulation.
To assess maternal progesterone levels.
To evaluate the Lecithin/sphingomyelin ratio.
7. What complication is associated with cocaine use during pregnancy?
abruptio placenta
preterm labor
preeclampsia
gestational diabetes
,8. Prior to an amniocentesis, a fetal ultrasound is done in order to:
Evaluate fetal lung maturity
Locate the position of the placenta and fetus
Ensure that the fetus is mature enough to perform the amniocentesis
Evaluate the amount of amniotic fluid
9. A 3800 g infant was born vaginally at 39 weeks after a 30-minute second
stage. There was a nuchal cord. After birth, the infant had petechiae over
the face and upper back. Which information would be accurate to be given
to the infant's parents about petechiae?
They usually occur with forceps assisted birth.
They result from increased blood volume.
They should always be further investigated.
They are benign if they disappear within 48 hours of birth.
10. What is a common finding on a newborn who has experienced a tight
nuchal cord?
Petechiae over the head
Cyanosis of the extremities
Jaundice
Hypotonia
11. Why is monitoring the fetal heart rate (FHR) a critical intervention after an
amniocentesis in a Rh negative client?
It ensures the mother is comfortable after the procedure.
, It is a routine check unrelated to the procedure.
It helps to determine the need for further interventions.
Monitoring the FHR helps to assess the fetal well-being and
detect any distress following the procedure.
12. Why is it important for a pregnant client to take folic acid during the first
trimester?
Folic acid is used to increase maternal blood volume.
Folic acid is necessary for protein synthesis in the mother.
Folic acid aids in the digestion of food during pregnancy.
Folic acid helps prevent neural tube defects in the developing
fetus.
13. Describe the significance of monitoring respiratory rate in a patient
receiving magnesium sulfate for preterm labor.
A respiratory rate of 10/min is normal and does not require
intervention.
A respiratory rate of 10/min suggests the need for increased
magnesium sulfate dosage.
A respiratory rate of 10/min indicates potential magnesium
toxicity, which requires immediate intervention.
A respiratory rate of 10/min is a sign of effective labor management.
14. If a nurse observes a BUN level of 30 mg/dL in a pregnant client with
hyperemesis gravidarum, what should be the nurse's immediate action?
Increase the IV fluid rate without consulting the provider.
Notify the healthcare provider about the elevated BUN level.
Answers
1. What medication should a nurse administer if a patient develops magnesium
toxicity due to IV magnesium sulfate?
Insulin
Calcium gluconate
Potassium chloride
Sodium bicarbonate
2. What is the normal fetal heart rate (FHR) range during pregnancy?
120-180 beats per minute
130-170 beats per minute
100-150 beats per minute
110-160 beats per minute
3. Why is massaging the fundus considered a priority action in the case of
uterine atony?
Massaging the fundus prepares the client for delivery.
Massaging the fundus helps stimulate uterine contraction to
control bleeding.
Massaging the fundus increases blood flow to the uterus.
Massaging the fundus reduces pain during labor.
4. When assessing a 3 hour old infant of a diabetic mother, the nurse needs to
be alert for which early signs of hypoglycemia?
, hypothermia and "jittery" extremities
respiratory distress and hyperthermia
hypotonia and a high-pitched cry
hyperthermia and lethargy
5. Which of the following may aid a family's 7 year old child in accepting a
newborn sibling?
Switch the sibling's room with the nursery
Allow the sibling to hold the newborn during a bath
Obtain a gift from the newborn to present to the sibling
Make sure the sibling kisses the newborn each night
6. What is the purpose of the Kleihauer-Betke test in the context of a
suspected placental abruption?
To measure maternal Alpha-fetoprotein levels.
To determine if fetal blood is in maternal circulation.
To assess maternal progesterone levels.
To evaluate the Lecithin/sphingomyelin ratio.
7. What complication is associated with cocaine use during pregnancy?
abruptio placenta
preterm labor
preeclampsia
gestational diabetes
,8. Prior to an amniocentesis, a fetal ultrasound is done in order to:
Evaluate fetal lung maturity
Locate the position of the placenta and fetus
Ensure that the fetus is mature enough to perform the amniocentesis
Evaluate the amount of amniotic fluid
9. A 3800 g infant was born vaginally at 39 weeks after a 30-minute second
stage. There was a nuchal cord. After birth, the infant had petechiae over
the face and upper back. Which information would be accurate to be given
to the infant's parents about petechiae?
They usually occur with forceps assisted birth.
They result from increased blood volume.
They should always be further investigated.
They are benign if they disappear within 48 hours of birth.
10. What is a common finding on a newborn who has experienced a tight
nuchal cord?
Petechiae over the head
Cyanosis of the extremities
Jaundice
Hypotonia
11. Why is monitoring the fetal heart rate (FHR) a critical intervention after an
amniocentesis in a Rh negative client?
It ensures the mother is comfortable after the procedure.
, It is a routine check unrelated to the procedure.
It helps to determine the need for further interventions.
Monitoring the FHR helps to assess the fetal well-being and
detect any distress following the procedure.
12. Why is it important for a pregnant client to take folic acid during the first
trimester?
Folic acid is used to increase maternal blood volume.
Folic acid is necessary for protein synthesis in the mother.
Folic acid aids in the digestion of food during pregnancy.
Folic acid helps prevent neural tube defects in the developing
fetus.
13. Describe the significance of monitoring respiratory rate in a patient
receiving magnesium sulfate for preterm labor.
A respiratory rate of 10/min is normal and does not require
intervention.
A respiratory rate of 10/min suggests the need for increased
magnesium sulfate dosage.
A respiratory rate of 10/min indicates potential magnesium
toxicity, which requires immediate intervention.
A respiratory rate of 10/min is a sign of effective labor management.
14. If a nurse observes a BUN level of 30 mg/dL in a pregnant client with
hyperemesis gravidarum, what should be the nurse's immediate action?
Increase the IV fluid rate without consulting the provider.
Notify the healthcare provider about the elevated BUN level.
