Education Comprehensive Exam & NCLEX
Review Notes 2026/2027 (Study Guide)
Introduction:
This document provides a complete ATI Maternal Newborn
study guide with high-yield questions and answers covering
pregnancy, labor and delivery, postpartum care, and newborn
assessment. It includes essential ATI and NCLEX-focused topics
such as fetal monitoring, obstetric complications,
pharmacology, newborn reflexes, and postpartum disorders.
The material is well-suited for comprehensive exam
preparation, quick review sessions, and reinforcement of core
maternal-newborn nursing concepts.
Exam Questions and Answers:
Education on breast hygiene in preventing mastitis ---Correct
Answer----washing hands prior to breast feeding
-keeping breasts clean
-allow nipples to air dry
,-when breast feeding, ensure the newborn is taking in both the
nipple and areola in their mouth
-attempt to empty both breasts when feeding
postpartum blues ---Correct Answer----last up to 10 days
-very common
-if last more than 10 days or s/s become worse, it is important
to test for postpartum depression
postpartum blues s/s ---Correct Answer---tearfulness,
insomnia, lack of appetite, feeling of let down
postpartum depression ---Correct Answer----occurs within 6
months of delivery
s/s of postpartum depression ---Correct Answer---persistent
feelings of sadness, intense mood swings
postpartum psychosis ---Correct Answer----common with
mothers who has hx of bipolar disorder
,s/s of postpartum psychosis ---Correct Answer---
disorientation, hallucinations, obsessive behaviors, paranoia
Types of barrier methods ---Correct Answer---condoms,
diaphragms
A client must be fitted every ___ years for a diaphragm. ---
Correct Answer---2
Reasons clients will have to be refitted for diaphragm: ---
Correct Answer----Every 2 years
-Gained 15 pounds (7 kg)
-had full term pregnancy
-had 2nd term abortion
What must be used in addition will diaphragms? ---Correct
Answer---spermicide
A diaphragm must remain in place for ___ hours after
intercourse. ---Correct Answer---6
True or False: Spermicide must be used with diaphragm for
each act of intercourse. ---Correct Answer---True
, Side effects of hormonal methods (oral, patch, Nuva Ring) of
contraception: ---Correct Answer---chest pain, SOB, leg pain
(possible clot), headache, eye problems, HTN
Hormonal methods risks ---Correct Answer----blood clots,
leading to a stroke or PE
-HTN
Smokers should not take: ---Correct Answer---hormonal
contraceptives
Contraindications of hormonal contraceptives: ---Correct
Answer---hx of blood clots, stroke, cardiac problems,
breast/estrogen related cancers, smoker
Depo-provera ---Correct Answer---injectable progestin
Depo-provera can cause: ---Correct Answer---decreased bone
mineral density