ATI RN MATERNAL NEWBORN EXAM 2026
NCLEX-STYLE PRACTICE QUESTIONS | DETAILED RATIONALES | STUDY GUIDE
1. A nurse is reviewing contraceptive teaching. Which statement shows correct
understanding?
A. Oil-based lubricants are safe with latex condoms
B. A diaphragm should be removed immediately after intercourse
C. Oral contraceptives may improve acne
D. The contraceptive patch is replaced monthly
Correct Answer: C
Rationale: Combined oral contraceptives reduce androgen levels, which can improve acne. Oil-based
lubricants weaken latex. Diaphragms must stay in for 6 hours post-intercourse. Patches are replaced
weekly.
2. A client on oral contraceptives reports which symptom requires immediate reporting?
A. Mild nausea
B. Breast tenderness
C. Shortness of breath
D. Slight weight gain
Correct Answer: C
Rationale: Shortness of breath may indicate pulmonary embolism, a life-threatening complication of
estrogen-containing contraceptives.
3. A nurse teaches IUD care. Which statement is correct?
A. It must be replaced yearly
B. Fertility does not return after removal
C. Strings should be checked after menstruation
D. It prevents STIs
Correct Answer: C
Rationale: Checking IUD strings ensures correct placement. IUDs do not prevent sexually transmitted
infections.
ATI RN Maternal Newborn 2026 | Page 1 of 17
,4. Implantable progestin side effects include: (Select all that apply)
A. Irregular bleeding
B. Weight gain
C. Nausea
D. Hearing loss
Correct Answer: A, B, C
Rationale: Hormonal implants commonly cause irregular bleeding, weight gain, and nausea due to
systemic hormonal changes.
5. Medroxyprogesterone teaching includes: (Select all that apply)
A. Weight changes may occur
B. Protection against STIs
C. Calcium intake is important
D. Irregular spotting is expected
Correct Answer: A, C, D
Rationale: This medication can reduce bone density (requiring calcium) and causes significant
menstrual irregularities.
6. Which antibody crosses the placenta?
A. IgA
B. IgE
C. IgG
D. IgM
Correct Answer: C
Rationale: IgG is the only immunoglobulin that crosses the placenta, providing passive immunity to
the fetus.
ATI RN Maternal Newborn 2026 | Page 2 of 17
, 7. Early sign of esophageal atresia:
A. Polyhydramnios history
B. Choking and drooling during feeding
C. Low birth weight
D. Cyanosis at rest
Correct Answer: B
Rationale: Feeding difficulty characterized by choking, coughing, and drooling is a hallmark sign of
esophageal obstruction.
8. Most common cause of postpartum hemorrhage:
A. Infection
B. Uterine atony
C. Hypertension
D. Bradycardia
Correct Answer: B
Rationale: Uterine atony (failure of the uterus to contract) is responsible for the majority of PPH cases.
9. Most concerning newborn sign:
A. Nasal flaring
B. Grunting
C. Apnea
D. Tachypnea
Correct Answer: C
Rationale: Apnea (cessation of breathing) is the most critical sign requiring immediate life-saving
intervention.
ATI RN Maternal Newborn 2026 | Page 3 of 17
NCLEX-STYLE PRACTICE QUESTIONS | DETAILED RATIONALES | STUDY GUIDE
1. A nurse is reviewing contraceptive teaching. Which statement shows correct
understanding?
A. Oil-based lubricants are safe with latex condoms
B. A diaphragm should be removed immediately after intercourse
C. Oral contraceptives may improve acne
D. The contraceptive patch is replaced monthly
Correct Answer: C
Rationale: Combined oral contraceptives reduce androgen levels, which can improve acne. Oil-based
lubricants weaken latex. Diaphragms must stay in for 6 hours post-intercourse. Patches are replaced
weekly.
2. A client on oral contraceptives reports which symptom requires immediate reporting?
A. Mild nausea
B. Breast tenderness
C. Shortness of breath
D. Slight weight gain
Correct Answer: C
Rationale: Shortness of breath may indicate pulmonary embolism, a life-threatening complication of
estrogen-containing contraceptives.
3. A nurse teaches IUD care. Which statement is correct?
A. It must be replaced yearly
B. Fertility does not return after removal
C. Strings should be checked after menstruation
D. It prevents STIs
Correct Answer: C
Rationale: Checking IUD strings ensures correct placement. IUDs do not prevent sexually transmitted
infections.
ATI RN Maternal Newborn 2026 | Page 1 of 17
,4. Implantable progestin side effects include: (Select all that apply)
A. Irregular bleeding
B. Weight gain
C. Nausea
D. Hearing loss
Correct Answer: A, B, C
Rationale: Hormonal implants commonly cause irregular bleeding, weight gain, and nausea due to
systemic hormonal changes.
5. Medroxyprogesterone teaching includes: (Select all that apply)
A. Weight changes may occur
B. Protection against STIs
C. Calcium intake is important
D. Irregular spotting is expected
Correct Answer: A, C, D
Rationale: This medication can reduce bone density (requiring calcium) and causes significant
menstrual irregularities.
6. Which antibody crosses the placenta?
A. IgA
B. IgE
C. IgG
D. IgM
Correct Answer: C
Rationale: IgG is the only immunoglobulin that crosses the placenta, providing passive immunity to
the fetus.
ATI RN Maternal Newborn 2026 | Page 2 of 17
, 7. Early sign of esophageal atresia:
A. Polyhydramnios history
B. Choking and drooling during feeding
C. Low birth weight
D. Cyanosis at rest
Correct Answer: B
Rationale: Feeding difficulty characterized by choking, coughing, and drooling is a hallmark sign of
esophageal obstruction.
8. Most common cause of postpartum hemorrhage:
A. Infection
B. Uterine atony
C. Hypertension
D. Bradycardia
Correct Answer: B
Rationale: Uterine atony (failure of the uterus to contract) is responsible for the majority of PPH cases.
9. Most concerning newborn sign:
A. Nasal flaring
B. Grunting
C. Apnea
D. Tachypnea
Correct Answer: C
Rationale: Apnea (cessation of breathing) is the most critical sign requiring immediate life-saving
intervention.
ATI RN Maternal Newborn 2026 | Page 3 of 17
