Complete ATI Maternal Newborn
CMS Exam Review Expert-Verified
Questions and In-Depth Rationales
for Top Scores and Nursing Success
Prepared for Nursing Success
October 15, 2025
,Contents
1 Contraception and Fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Prenatal Care and Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3 Labor and Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
4 Postpartum Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
5 Newborn Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Complications and Management . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Additional Questions for Comprehensive Review . . . . . . . . . . . . . . . 7
1
, 1. Contraception and Fertility
Question 1: A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements by an adolescent reflects an understanding
of the teaching?
Answer: A water-soluble lubricant should be used with condoms.
Rationale: Water-soluble lubricants prevent condom breakage during use and are
safe for latex condoms. Oil-based lubricants, such as petroleum jelly or lotions, can
degrade latex, increasing the risk of condom failure and unintended pregnancy.
Question 2: A nurse is reinforcing teaching with a client who is taking an oral contraceptive about
danger indications to report to her provider. The nurse determines the client under-
stands the teaching when the client states the need to report which of the following
manifestations?
Answer: Shortness of breath.
Rationale: Shortness of breath can indicate a pulmonary embolism, a serious compli-
cation associated with oral contraceptives due to the increased risk of blood clots from
estrogen. Other danger signs include chest pain, severe headaches, or leg swelling.
Question 3: A nurse in an obstetrical clinic is reinforcing teaching with a client about using an
IUD for contraception. Which of the following statements by the client indicates an
understanding of the teaching?
Answer: I will check to be sure the strings of the IUD are still present after my
periods.
Rationale: Checking the IUD strings monthly after menstruation ensures the device
is in place. If strings are missing, longer, or shorter, it may indicate displacement or
expulsion, requiring medical evaluation.
Question 4: A nurse is reinforcing teaching with a client about potential adverse effects of im-
plantable progestins. Which of the following adverse effects should the nurse include?
Answer: Irregular vaginal bleeding, weight gain, breast changes.
Rationale: Implantable progestins like etonogestrel can cause hormonal imbalances
leading to spotting or irregular periods, fluid retention causing weight gain, and tender-
ness or changes in breast tissue due to progestin effects on hormone-sensitive tissues.
Question 5: A nurse in a clinic is reinforcing teaching with a client about her new prescription for
medroxyprogesterone. Which of the following information should the nurse include?
Answer: You should increase your intake of calcium; irregular vaginal spotting can
occur.
Rationale: Medroxyprogesterone can decrease bone density over time, so increasing
calcium intake helps mitigate this risk. Spotting is common in the first few months as
the body adjusts to the progestin hormone.
Question 6: What is the calendar method for contraception?
Answer: Ovulation occurs 14 days before the onset of the next menstrual cycle, and
intercourse is avoided during the fertile period, typically days 8-19.
Rationale: The calendar method calculates the fertile window based on cycle length
2
CMS Exam Review Expert-Verified
Questions and In-Depth Rationales
for Top Scores and Nursing Success
Prepared for Nursing Success
October 15, 2025
,Contents
1 Contraception and Fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 Prenatal Care and Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3 Labor and Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
4 Postpartum Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
5 Newborn Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Complications and Management . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Additional Questions for Comprehensive Review . . . . . . . . . . . . . . . 7
1
, 1. Contraception and Fertility
Question 1: A nurse in a health clinic is reviewing contraceptive use with a group of adolescent
clients. Which of the following statements by an adolescent reflects an understanding
of the teaching?
Answer: A water-soluble lubricant should be used with condoms.
Rationale: Water-soluble lubricants prevent condom breakage during use and are
safe for latex condoms. Oil-based lubricants, such as petroleum jelly or lotions, can
degrade latex, increasing the risk of condom failure and unintended pregnancy.
Question 2: A nurse is reinforcing teaching with a client who is taking an oral contraceptive about
danger indications to report to her provider. The nurse determines the client under-
stands the teaching when the client states the need to report which of the following
manifestations?
Answer: Shortness of breath.
Rationale: Shortness of breath can indicate a pulmonary embolism, a serious compli-
cation associated with oral contraceptives due to the increased risk of blood clots from
estrogen. Other danger signs include chest pain, severe headaches, or leg swelling.
Question 3: A nurse in an obstetrical clinic is reinforcing teaching with a client about using an
IUD for contraception. Which of the following statements by the client indicates an
understanding of the teaching?
Answer: I will check to be sure the strings of the IUD are still present after my
periods.
Rationale: Checking the IUD strings monthly after menstruation ensures the device
is in place. If strings are missing, longer, or shorter, it may indicate displacement or
expulsion, requiring medical evaluation.
Question 4: A nurse is reinforcing teaching with a client about potential adverse effects of im-
plantable progestins. Which of the following adverse effects should the nurse include?
Answer: Irregular vaginal bleeding, weight gain, breast changes.
Rationale: Implantable progestins like etonogestrel can cause hormonal imbalances
leading to spotting or irregular periods, fluid retention causing weight gain, and tender-
ness or changes in breast tissue due to progestin effects on hormone-sensitive tissues.
Question 5: A nurse in a clinic is reinforcing teaching with a client about her new prescription for
medroxyprogesterone. Which of the following information should the nurse include?
Answer: You should increase your intake of calcium; irregular vaginal spotting can
occur.
Rationale: Medroxyprogesterone can decrease bone density over time, so increasing
calcium intake helps mitigate this risk. Spotting is common in the first few months as
the body adjusts to the progestin hormone.
Question 6: What is the calendar method for contraception?
Answer: Ovulation occurs 14 days before the onset of the next menstrual cycle, and
intercourse is avoided during the fertile period, typically days 8-19.
Rationale: The calendar method calculates the fertile window based on cycle length
2
