ATI RN MATERNAL EXAM SCRIPT FINAL
PAPER 2026 SOLVED QUESTION SET
GRADED A+
◉A nurse is assessing a newborn 1 hr after birth. What assessment
findings should the nurse report to the provider?
a. acrocyanosis
b. jaundice of the sclera
c. resp rate 50
d. cbg 60. Answer: b. jaundice of the sclera
If the newborn has jaundice within the first 24 hr of life, this can
indicate a potential pathological process such as hemolytic disease.
Pathologic jaundice can result in high levels of bilirubin that can
cause damage to the neonatal brain.
◉A nurse is providing teaching to the parents of a newborn about
bottle feeding. What instructions should the nurse include?
a. discard unused refrigerated formula after 72 hrs
b. prop the bottle with a blanket for the last feeding of the day
,c. dilute ready-to-feed formula if the newborn is gaining wt too
quickly
d. boil water for powdered formula for 1-2 min. Answer: d. boil
water for powdered formula for 1-2 min
The parents should run tap water for 2 min and then boil it for 1 to 2
min before mixing it with the formula to decrease the risk of
contamination.
◉A nurse is caring for a client who is to receive a continuous IV
infusion of oxytocin following a vaginal birth. What assessment
findings should the nurse monitor to evaluate the effectiveness of
the med?
a. pulse rate
b. bp
c. fundal consistency
d. output. Answer: c. fundal consistency
Oxytocin is a smooth muscle relaxant that causes contraction of the
uterus. The nurse should palpate the uterine fundus to determine
consistency or tone to determine if the medication is effective.
◉A nurse is caring for a newborn who is premature in the neonatal
ICU. what action should the nurse take to promote development?
a. discourage the use of pacifiers
,b. position the naked newborn on the parents bare chest
c. provide frequent periods of visual and auditory stimulation
d. rapidly advance oral feedings. Answer: b. position the naked
newborn on the parents bare chest
◉A nurse is caring for a postpartum client 8hrs after delivery. What
factors place the client at risk for uterine atony? select all
a. oxytocin infusion
b. prolonged labor
c. mag sulfate infusion
d. small for gestational age newborn
e. distended bladder. Answer: b. prolonged labor
Prolonged labor can stretch out the musculature of the uterus and
cause fatigue, which prevents the uterus from contracting.
c. mag sulfate infusion
Magnesium sulfate is a smooth muscle relaxant and can prevent
adequate contraction of the uterus.
e. distended bladder
After birth, clients can experience a decreased urge to void due to
birth-induced trauma, increased bladder capacity, and anesthetics,
which can result in a distended bladder. The distended bladder
displaces the uterus and can prevent adequate contraction of the
uterus.
, ◉A nurse is assessing a newborn for congenital hip dysplasia. What
finding should the nurse expect?
a. temp of one leg differing from that of the other
b. symmetrical gluteal folds
c. limited abduction of one hip
d. legs that are shorter than the arms. Answer: c. limited abduction
of one hip
A newborn who has congenital hip dysplasia can have limited
abduction because the head of the femur might have slipped out of
the acetabulum.
asymmetrical gluteal folds
◉A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflexes is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
a. moro
b. babinski
c. rooting
d. tonic neck. Answer: d. tonic neck
To elicit the tonic neck reflex, the nurse should quickly and gently
turn the newborn's head to one side when he is sleeping or falling
PAPER 2026 SOLVED QUESTION SET
GRADED A+
◉A nurse is assessing a newborn 1 hr after birth. What assessment
findings should the nurse report to the provider?
a. acrocyanosis
b. jaundice of the sclera
c. resp rate 50
d. cbg 60. Answer: b. jaundice of the sclera
If the newborn has jaundice within the first 24 hr of life, this can
indicate a potential pathological process such as hemolytic disease.
Pathologic jaundice can result in high levels of bilirubin that can
cause damage to the neonatal brain.
◉A nurse is providing teaching to the parents of a newborn about
bottle feeding. What instructions should the nurse include?
a. discard unused refrigerated formula after 72 hrs
b. prop the bottle with a blanket for the last feeding of the day
,c. dilute ready-to-feed formula if the newborn is gaining wt too
quickly
d. boil water for powdered formula for 1-2 min. Answer: d. boil
water for powdered formula for 1-2 min
The parents should run tap water for 2 min and then boil it for 1 to 2
min before mixing it with the formula to decrease the risk of
contamination.
◉A nurse is caring for a client who is to receive a continuous IV
infusion of oxytocin following a vaginal birth. What assessment
findings should the nurse monitor to evaluate the effectiveness of
the med?
a. pulse rate
b. bp
c. fundal consistency
d. output. Answer: c. fundal consistency
Oxytocin is a smooth muscle relaxant that causes contraction of the
uterus. The nurse should palpate the uterine fundus to determine
consistency or tone to determine if the medication is effective.
◉A nurse is caring for a newborn who is premature in the neonatal
ICU. what action should the nurse take to promote development?
a. discourage the use of pacifiers
,b. position the naked newborn on the parents bare chest
c. provide frequent periods of visual and auditory stimulation
d. rapidly advance oral feedings. Answer: b. position the naked
newborn on the parents bare chest
◉A nurse is caring for a postpartum client 8hrs after delivery. What
factors place the client at risk for uterine atony? select all
a. oxytocin infusion
b. prolonged labor
c. mag sulfate infusion
d. small for gestational age newborn
e. distended bladder. Answer: b. prolonged labor
Prolonged labor can stretch out the musculature of the uterus and
cause fatigue, which prevents the uterus from contracting.
c. mag sulfate infusion
Magnesium sulfate is a smooth muscle relaxant and can prevent
adequate contraction of the uterus.
e. distended bladder
After birth, clients can experience a decreased urge to void due to
birth-induced trauma, increased bladder capacity, and anesthetics,
which can result in a distended bladder. The distended bladder
displaces the uterus and can prevent adequate contraction of the
uterus.
, ◉A nurse is assessing a newborn for congenital hip dysplasia. What
finding should the nurse expect?
a. temp of one leg differing from that of the other
b. symmetrical gluteal folds
c. limited abduction of one hip
d. legs that are shorter than the arms. Answer: c. limited abduction
of one hip
A newborn who has congenital hip dysplasia can have limited
abduction because the head of the femur might have slipped out of
the acetabulum.
asymmetrical gluteal folds
◉A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflexes is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
a. moro
b. babinski
c. rooting
d. tonic neck. Answer: d. tonic neck
To elicit the tonic neck reflex, the nurse should quickly and gently
turn the newborn's head to one side when he is sleeping or falling
