Grade A+ Maternal Newborn ATI Practice Assessment B 2025
1. A nurse is collecting data from a 28 year old Frequent headaches with visual changes
client who is requesting a prescription for
an oral contraceptive. Which of the following Frequent headaches with visual changes
information in the clients history should the can indicate a cardiovascular condition,
nurse identify as a contraindication for the such as hypertension. A cardiovascular
use of oral contraceptives? disorder is a contraindication for oral con-
traceptive use because the combination
History of mononucleosis 1 year ago can increase the risks of cerebrovascu-
Frequent headaches with visual changes lar accident, myocardial infarction, and
Reports of occasional heartburn in the thromboembolism.
evening
Irregular menstrual cycles with dysmenor-
rhea
2. A nurse is reinforcing teaching with a client 1 cup cooked spinach
who is trying to become pregnant. Which of
the following foods should the nurse recom- Clients who are pregnant should consume
mend as the best source of folate? 400 mcg of folate per day. According to
evidence-based practice, 1 cup of cooked
1 cup cooked spinach spinach provides 230 mcg of folate and is
One medium apple the best of these nutritional sources for the
240 mL (8 oz) 2% milk nurse to recommend.
One large hard-boiled egg
3. A nurse is contributing to the plan of care GBS
for a newborn following a vaginal birth. Apgar score
Which of the following information should Type of birth
the nurse include when helping to develop
the newborns plan of care? Maternal GBS status is relevant informa-
tion from the prenatal record that the
Maternal group B streptococcus (GBS) sta- nurse should include in the newborn's
tus plan of care. If the mother is GBS positive
, Grade A+ Maternal Newborn ATI Practice Assessment B 2025
Apgar score and has not received antibiotic therapy,
Maternal urinary output the newborn is at risk for neonatal mor-
Type of birth bidity and mortality.
Maternal weight
The nurse or birth attendant documents
an Apgar score at 1 and 5 min following
birth to determine how the newborn has
adjusted to extrauterine life and whether
intervention is necessary.
The type of labor and birth is relevant in-
formation to include in the newborn's plan
of care for planning essential data collec-
tion and intervention
4. A nurse is reinforcing teaching about pre- You should empty your bladder before you
venting urinary tract infections with a client go to bed at night.
who is at 25 weeks of gestation. Which of
the following instructions should the nurse The nurse should instruct the client to uri-
include? nate and empty the bladder completely
before going to bed at night to prevent
"You should perform Kegel exercises four stasis of urine. A full bladder provides an
times per day." environment that fosters bacterial growth.
"You should empty your bladder before you
go to bed at night."
"You should wipe from back to front after
urinating."
"You should wear underwear made from ny-
lon."
5. A nurse is reinforcing teaching about You should ensure that crib slats are no
home safety precautions with a group of more than 2.25 inches apart
guardians. Which of the following instruc-
, Grade A+ Maternal Newborn ATI Practice Assessment B 2025
tions should the nurse include? The nurse should reinforce that crib slats
should be no more than 5.71 cm (2.25
"You should be able to place three fingers in) apart to prevent entrapment, which can
between the mattress and the sides of the lead to extremity fractures and suttocation.
crib."
"You should ensure that crib slats are no
more than 2.25 inches apart."
"You should attach a pacifier to your baby's
clothing."
"You should set your water heater at 130
degrees Fahrenheit."
6. A nurse on a postpartum unit is contributing Use a firm mattress in the newborn's crib.
to the discharge teaching plan for a client.
Which of the following instructions should The client should use a firm mattress in
the nurse suggest for the plan? the newborn's crib to decrease the risk of
sudden infant death syndrome.
Apply powder to the newborn's skin after
baths.
Use a firm mattress in the newborn's crib.
Cover the newborn with a crib comforter.
Place the newborn on their stomach to
sleep.
7. A nurse is assisting with the care of a client Green fluid from the vagina
who is in the active phase of the first stage of
labor. Which of the following findings should Green fluid from the vagina indicates that
the nurse report to the charge nurse? the fetus has passed a meconium stool.
This places the fetus at risk for developing
FHR 155/min meconium aspiration syndrome.
Uterine contractions 70 seconds in duration
Green fluid from the vagina
Early decelerations
1. A nurse is collecting data from a 28 year old Frequent headaches with visual changes
client who is requesting a prescription for
an oral contraceptive. Which of the following Frequent headaches with visual changes
information in the clients history should the can indicate a cardiovascular condition,
nurse identify as a contraindication for the such as hypertension. A cardiovascular
use of oral contraceptives? disorder is a contraindication for oral con-
traceptive use because the combination
History of mononucleosis 1 year ago can increase the risks of cerebrovascu-
Frequent headaches with visual changes lar accident, myocardial infarction, and
Reports of occasional heartburn in the thromboembolism.
evening
Irregular menstrual cycles with dysmenor-
rhea
2. A nurse is reinforcing teaching with a client 1 cup cooked spinach
who is trying to become pregnant. Which of
the following foods should the nurse recom- Clients who are pregnant should consume
mend as the best source of folate? 400 mcg of folate per day. According to
evidence-based practice, 1 cup of cooked
1 cup cooked spinach spinach provides 230 mcg of folate and is
One medium apple the best of these nutritional sources for the
240 mL (8 oz) 2% milk nurse to recommend.
One large hard-boiled egg
3. A nurse is contributing to the plan of care GBS
for a newborn following a vaginal birth. Apgar score
Which of the following information should Type of birth
the nurse include when helping to develop
the newborns plan of care? Maternal GBS status is relevant informa-
tion from the prenatal record that the
Maternal group B streptococcus (GBS) sta- nurse should include in the newborn's
tus plan of care. If the mother is GBS positive
, Grade A+ Maternal Newborn ATI Practice Assessment B 2025
Apgar score and has not received antibiotic therapy,
Maternal urinary output the newborn is at risk for neonatal mor-
Type of birth bidity and mortality.
Maternal weight
The nurse or birth attendant documents
an Apgar score at 1 and 5 min following
birth to determine how the newborn has
adjusted to extrauterine life and whether
intervention is necessary.
The type of labor and birth is relevant in-
formation to include in the newborn's plan
of care for planning essential data collec-
tion and intervention
4. A nurse is reinforcing teaching about pre- You should empty your bladder before you
venting urinary tract infections with a client go to bed at night.
who is at 25 weeks of gestation. Which of
the following instructions should the nurse The nurse should instruct the client to uri-
include? nate and empty the bladder completely
before going to bed at night to prevent
"You should perform Kegel exercises four stasis of urine. A full bladder provides an
times per day." environment that fosters bacterial growth.
"You should empty your bladder before you
go to bed at night."
"You should wipe from back to front after
urinating."
"You should wear underwear made from ny-
lon."
5. A nurse is reinforcing teaching about You should ensure that crib slats are no
home safety precautions with a group of more than 2.25 inches apart
guardians. Which of the following instruc-
, Grade A+ Maternal Newborn ATI Practice Assessment B 2025
tions should the nurse include? The nurse should reinforce that crib slats
should be no more than 5.71 cm (2.25
"You should be able to place three fingers in) apart to prevent entrapment, which can
between the mattress and the sides of the lead to extremity fractures and suttocation.
crib."
"You should ensure that crib slats are no
more than 2.25 inches apart."
"You should attach a pacifier to your baby's
clothing."
"You should set your water heater at 130
degrees Fahrenheit."
6. A nurse on a postpartum unit is contributing Use a firm mattress in the newborn's crib.
to the discharge teaching plan for a client.
Which of the following instructions should The client should use a firm mattress in
the nurse suggest for the plan? the newborn's crib to decrease the risk of
sudden infant death syndrome.
Apply powder to the newborn's skin after
baths.
Use a firm mattress in the newborn's crib.
Cover the newborn with a crib comforter.
Place the newborn on their stomach to
sleep.
7. A nurse is assisting with the care of a client Green fluid from the vagina
who is in the active phase of the first stage of
labor. Which of the following findings should Green fluid from the vagina indicates that
the nurse report to the charge nurse? the fetus has passed a meconium stool.
This places the fetus at risk for developing
FHR 155/min meconium aspiration syndrome.
Uterine contractions 70 seconds in duration
Green fluid from the vagina
Early decelerations
