ATI Maternal Newborn Nursing Exam
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
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1. A nurse is caring for a client who is at 10 weeks gestation. The client reports urinary
frequency. Which of the following is an appropriate nursing intervention?
a. Restrict fluid intake before bedtime
b. Limit fluid intake during the day
c. Encourage the client to use a bedpan at night
d. Teach the client Kegel exercises
Answer: d. Teach the client Kegel exercises
Rationale: Urinary frequency is common in early pregnancy due to pressure on the
bladder. Kegel exercises strengthen pelvic floor muscles and help control bladder
function. Restricting fluids is not recommended.
2. A nurse is teaching a client about iron supplementation during pregnancy. Which of
the following should the nurse include?
a. Take iron with milk for better absorption
b. Take iron with vitamin C to enhance absorption
c. Take iron on an empty stomach only
d. Take iron at bedtime to reduce side effects
Answer: b. Take iron with vitamin C to enhance absorption
Rationale: Vitamin C increases iron absorption. Milk and calcium inhibit absorption,
and taking on an empty stomach may cause GI upset.
3. A nurse is caring for a client in active labor who has late decelerations on the fetal
heart rate monitor. What is the priority action?
a. Administer oxygen via face mask
b. Reposition the client to her side
c. Increase IV fluids
, d. Notify the provider
Answer: b. Reposition the client to her side
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority is to
improve uterine blood flow by repositioning. Oxygen and fluids may follow, but
position change is first.
4. A nurse is assessing a newborn 1 hour after birth. Which finding requires immediate
intervention?
a. Respiratory rate of 56/min
b. Heart rate of 130/min
c. Nasal flaring with retractions
d. Acrocyanosis of the hands and feet
Answer: c. Nasal flaring with retractions
Rationale: Signs of respiratory distress (nasal flaring, retractions, grunting) require
immediate intervention. Acrocyanosis is normal.
5. A nurse is providing discharge teaching to a client with mastitis. Which statement
indicates understanding?
a. “I will stop breastfeeding until the infection clears.”
b. “I should apply warm compresses to the affected breast.”
c. “I should wear a tight bra to decrease milk supply.”
d. “I will avoid pumping to prevent further irritation.”
Answer: b. “I should apply warm compresses to the affected breast.”
Rationale: Warm compresses and continued breastfeeding/pumping help resolve
mastitis. Stopping breastfeeding can worsen engorgement.
6. A nurse is caring for a client at 32 weeks gestation with a diagnosis of placenta
previa. Which of the following is contraindicated?
a. Bed rest with bathroom privileges
b. Monitoring fetal heart tones
c. Vaginal examination
d. Ultrasound evaluation
Answer: c. Vaginal examination
Rationale: Vaginal exams are contraindicated in placenta previa due to risk of
hemorrhage. Ultrasound and fetal monitoring are safe.
7. A nurse is reviewing lab values for a client at 36 weeks gestation. Which finding
should the nurse report to the provider?
a. Hematocrit 34%
b. Hemoglobin 11 g/dL
c. Platelets 90,000/mm³
d. WBC 12,000/mm³
Answer: c. Platelets 90,000/mm³
, Rationale: Platelet count less than 100,000 increases risk of bleeding. Mild anemia
and leukocytosis are expected in pregnancy.
8. A nurse is assessing a client 12 hours postpartum. Which finding should the nurse
report?
a. Fundus at the level of the umbilicus, firm
b. Moderate lochia rubra with small clots
c. Saturating a perineal pad in 15 minutes
d. Temperature 37.8°C (100°F)
Answer: c. Saturating a perineal pad in 15 minutes
Rationale: Heavy bleeding (soaking pad in <1 hr) indicates postpartum hemorrhage
and requires immediate intervention.
9. A nurse is teaching a client about postpartum blues. Which statement indicates
understanding?
a. “These feelings should go away in about 1 to 2 weeks.”
b. “I will need medication to treat this condition.”
c. “This means I will develop postpartum depression.”
d. “This occurs because I don’t want to bond with my baby.”
Answer: a. “These feelings should go away in about 1 to 2 weeks.”
Rationale: Postpartum blues are self-limiting, peaking around day 5 and resolving
within 10–14 days. They do not always progress to depression.
10. A nurse is assessing a newborn for hypoglycemia. Which finding is consistent?
a. Tremors
b. Strong cry
c. Pink mucous membranes
d. Regular respirations
Answer: a. Tremors
Rationale: Hypoglycemia in newborns may present with tremors, jitteriness, poor
feeding, apnea, and cyanosis.
11. A nurse is preparing to administer Rho(D) immune globulin to a postpartum client.
Which of the following findings indicates the need for this medication?
a. Newborn is Rh-positive
b. Mother is Rh-positive
c. Newborn is Rh-negative
d. Mother has a positive Coombs test
Answer: a. Newborn is Rh-positive
Rationale: Rh-negative mothers with Rh-positive infants should receive RhoGAM
within 72 hrs postpartum to prevent isoimmunization.
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is caring for a client who is at 10 weeks gestation. The client reports urinary
frequency. Which of the following is an appropriate nursing intervention?
a. Restrict fluid intake before bedtime
b. Limit fluid intake during the day
c. Encourage the client to use a bedpan at night
d. Teach the client Kegel exercises
Answer: d. Teach the client Kegel exercises
Rationale: Urinary frequency is common in early pregnancy due to pressure on the
bladder. Kegel exercises strengthen pelvic floor muscles and help control bladder
function. Restricting fluids is not recommended.
2. A nurse is teaching a client about iron supplementation during pregnancy. Which of
the following should the nurse include?
a. Take iron with milk for better absorption
b. Take iron with vitamin C to enhance absorption
c. Take iron on an empty stomach only
d. Take iron at bedtime to reduce side effects
Answer: b. Take iron with vitamin C to enhance absorption
Rationale: Vitamin C increases iron absorption. Milk and calcium inhibit absorption,
and taking on an empty stomach may cause GI upset.
3. A nurse is caring for a client in active labor who has late decelerations on the fetal
heart rate monitor. What is the priority action?
a. Administer oxygen via face mask
b. Reposition the client to her side
c. Increase IV fluids
, d. Notify the provider
Answer: b. Reposition the client to her side
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority is to
improve uterine blood flow by repositioning. Oxygen and fluids may follow, but
position change is first.
4. A nurse is assessing a newborn 1 hour after birth. Which finding requires immediate
intervention?
a. Respiratory rate of 56/min
b. Heart rate of 130/min
c. Nasal flaring with retractions
d. Acrocyanosis of the hands and feet
Answer: c. Nasal flaring with retractions
Rationale: Signs of respiratory distress (nasal flaring, retractions, grunting) require
immediate intervention. Acrocyanosis is normal.
5. A nurse is providing discharge teaching to a client with mastitis. Which statement
indicates understanding?
a. “I will stop breastfeeding until the infection clears.”
b. “I should apply warm compresses to the affected breast.”
c. “I should wear a tight bra to decrease milk supply.”
d. “I will avoid pumping to prevent further irritation.”
Answer: b. “I should apply warm compresses to the affected breast.”
Rationale: Warm compresses and continued breastfeeding/pumping help resolve
mastitis. Stopping breastfeeding can worsen engorgement.
6. A nurse is caring for a client at 32 weeks gestation with a diagnosis of placenta
previa. Which of the following is contraindicated?
a. Bed rest with bathroom privileges
b. Monitoring fetal heart tones
c. Vaginal examination
d. Ultrasound evaluation
Answer: c. Vaginal examination
Rationale: Vaginal exams are contraindicated in placenta previa due to risk of
hemorrhage. Ultrasound and fetal monitoring are safe.
7. A nurse is reviewing lab values for a client at 36 weeks gestation. Which finding
should the nurse report to the provider?
a. Hematocrit 34%
b. Hemoglobin 11 g/dL
c. Platelets 90,000/mm³
d. WBC 12,000/mm³
Answer: c. Platelets 90,000/mm³
, Rationale: Platelet count less than 100,000 increases risk of bleeding. Mild anemia
and leukocytosis are expected in pregnancy.
8. A nurse is assessing a client 12 hours postpartum. Which finding should the nurse
report?
a. Fundus at the level of the umbilicus, firm
b. Moderate lochia rubra with small clots
c. Saturating a perineal pad in 15 minutes
d. Temperature 37.8°C (100°F)
Answer: c. Saturating a perineal pad in 15 minutes
Rationale: Heavy bleeding (soaking pad in <1 hr) indicates postpartum hemorrhage
and requires immediate intervention.
9. A nurse is teaching a client about postpartum blues. Which statement indicates
understanding?
a. “These feelings should go away in about 1 to 2 weeks.”
b. “I will need medication to treat this condition.”
c. “This means I will develop postpartum depression.”
d. “This occurs because I don’t want to bond with my baby.”
Answer: a. “These feelings should go away in about 1 to 2 weeks.”
Rationale: Postpartum blues are self-limiting, peaking around day 5 and resolving
within 10–14 days. They do not always progress to depression.
10. A nurse is assessing a newborn for hypoglycemia. Which finding is consistent?
a. Tremors
b. Strong cry
c. Pink mucous membranes
d. Regular respirations
Answer: a. Tremors
Rationale: Hypoglycemia in newborns may present with tremors, jitteriness, poor
feeding, apnea, and cyanosis.
11. A nurse is preparing to administer Rho(D) immune globulin to a postpartum client.
Which of the following findings indicates the need for this medication?
a. Newborn is Rh-positive
b. Mother is Rh-positive
c. Newborn is Rh-negative
d. Mother has a positive Coombs test
Answer: a. Newborn is Rh-positive
Rationale: Rh-negative mothers with Rh-positive infants should receive RhoGAM
within 72 hrs postpartum to prevent isoimmunization.
