ATI MATERNAL NEWBORN FINAL EXAM 2026 |
ACCURATE ACTUAL EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES | EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE WITH A STUDY
GUIDE INCLUSIVE
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which
of the following statements should the nurse include in the teaching? - A. Drop by
the clinic any day this week so we can count your babies kicks
B. Count fetal kicks once a day for a total of 30 minutes
C. Before bedtime is a good time to start counting the kicks
D. Wear loose clothing when performing the kick count
B. Before bedtime is a good time to start counting the kicks
Clients should be instructed to perform a kick count, which is the daily fetal
movement count (DFMC) before bedtime or after meals for 2 hours or until 10
movements are counted, Alternatively the client can count all fetal movements
in a 12 hour period each day until at least 10 movements are counted
A nurse is reviewing the electronic medical record for a newborn. Which of the
following maternal factors may increase the risk of pathologic hyperbilirubinemia
in the newborn? - A. Placenta previa
B. Multiple gestation
C. Infection
D. Anemia
1|Page
,C. Infection
Blood group incompatibilities, maternal infection, maternal diabetes and the
administration of oxytocin during labor are potential risk factors for the
development of hyperbilirubinemia in newborns
A nurse in a clinic is assessing a client who is at 13 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse
identify as the priority? –
A. Blood pressure 90/52 mmHg
B. Ketones 2+
C. Specific gravity 1.035
D. Sodium 130mEq/L
B. Ketones 2+
The greatest risk to this client is malnutrition that poses a serious risk to the
developing fetus. Ketonuria indicates that the client's body is breaking down fat
and protein stores for energy and cannot provide the fetus with essential
nutrients. Therefore, this is the priority finding, and the nurse should report it to
the provider immediately.
A nurse is teaching a client with pre-eclampsia who is schedule to receive
magnesium sulfate via continuous IV infusion about expected adverse effects.
Which of the following adverse effects should the nurse include in the teaching? -
A. Elevated blood pressure
B. Feeling of warmth
C. Hyperactivity
2|Page
,D. Generalized pruritus
B. Feeling of warmth
The nurse should tell the client to expect a feeling of warmth all over her body
while the magnesium sulfate is infusing
A nurse is caring for a client who is in the latent phase of labor and is experiencing
low back pain. Which of the following actions should the nurse take? - A. Instruct
the client to pant during contractions
B. Position the client supine with legs elevated
C. Encourage the client to soak in a warm bath
D. Apply pressure to the client's sacral area during contractions
D. Apply pressure to the client's sacral area during contractions
The nurse should provide counter pressure to the sacral area with a palm or
firm object such as a tennis ball during contractions. Counter-pressure lifts the
fetal head away from the sacral nerves, which decrease pain
A nurse is caring for a client who is 8 hour postpartum and is experiencing
hemorrhage. Which of the following actions should the nurse implement after
notifying the provider (Select all that apply) - A. Massage the fundus
B. Give oxygen at 2L/min via nasal cannula
C. Administer oxytocin with IV fluids
D. Insert an indwelling urinary catheter
E. Place the client in a lateral position with her legs elevated 30 degrees
3|Page
, A,C,D,E
The nurse should massage the fundus to expel clots and help the uterus
contract. The nurse should add oxytocin to the intravenous drip and insert an
indwelling urinary catheter to monitor urinary output and perfusion to the
kidney. Finally, the nurse should place the client in a lateral position with her
legs elevated 30 degrees
A nurse is caring for a client who is experiencing prolonged labor. Which of the
following fetal monitoring results indicates fetal compromise? - A. Baseline fetal
heart rate of 110 to 130 per minute
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia
D. Late decelerations with fetal bradycardia
The nurse should identify that a fetal monitor showing recurrent late
decelerations and bradycardia indicates that the fetus is not tolerating labor
and might be compromised. These findings should be assessed in relation to the
clinical picture of the progression of labor
A nurse is teaching a client who is postpartum and breastfeeding. Which of the
following statements should the nurse include? - A. You will need to wait 3
months before resuming sexual intercourse
B. You don't need to use contraception
C. As long as you will experience an overproduction of vaginal lubrication
4|Page
ACCURATE ACTUAL EXAM QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES | EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE WITH A STUDY
GUIDE INCLUSIVE
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which
of the following statements should the nurse include in the teaching? - A. Drop by
the clinic any day this week so we can count your babies kicks
B. Count fetal kicks once a day for a total of 30 minutes
C. Before bedtime is a good time to start counting the kicks
D. Wear loose clothing when performing the kick count
B. Before bedtime is a good time to start counting the kicks
Clients should be instructed to perform a kick count, which is the daily fetal
movement count (DFMC) before bedtime or after meals for 2 hours or until 10
movements are counted, Alternatively the client can count all fetal movements
in a 12 hour period each day until at least 10 movements are counted
A nurse is reviewing the electronic medical record for a newborn. Which of the
following maternal factors may increase the risk of pathologic hyperbilirubinemia
in the newborn? - A. Placenta previa
B. Multiple gestation
C. Infection
D. Anemia
1|Page
,C. Infection
Blood group incompatibilities, maternal infection, maternal diabetes and the
administration of oxytocin during labor are potential risk factors for the
development of hyperbilirubinemia in newborns
A nurse in a clinic is assessing a client who is at 13 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse
identify as the priority? –
A. Blood pressure 90/52 mmHg
B. Ketones 2+
C. Specific gravity 1.035
D. Sodium 130mEq/L
B. Ketones 2+
The greatest risk to this client is malnutrition that poses a serious risk to the
developing fetus. Ketonuria indicates that the client's body is breaking down fat
and protein stores for energy and cannot provide the fetus with essential
nutrients. Therefore, this is the priority finding, and the nurse should report it to
the provider immediately.
A nurse is teaching a client with pre-eclampsia who is schedule to receive
magnesium sulfate via continuous IV infusion about expected adverse effects.
Which of the following adverse effects should the nurse include in the teaching? -
A. Elevated blood pressure
B. Feeling of warmth
C. Hyperactivity
2|Page
,D. Generalized pruritus
B. Feeling of warmth
The nurse should tell the client to expect a feeling of warmth all over her body
while the magnesium sulfate is infusing
A nurse is caring for a client who is in the latent phase of labor and is experiencing
low back pain. Which of the following actions should the nurse take? - A. Instruct
the client to pant during contractions
B. Position the client supine with legs elevated
C. Encourage the client to soak in a warm bath
D. Apply pressure to the client's sacral area during contractions
D. Apply pressure to the client's sacral area during contractions
The nurse should provide counter pressure to the sacral area with a palm or
firm object such as a tennis ball during contractions. Counter-pressure lifts the
fetal head away from the sacral nerves, which decrease pain
A nurse is caring for a client who is 8 hour postpartum and is experiencing
hemorrhage. Which of the following actions should the nurse implement after
notifying the provider (Select all that apply) - A. Massage the fundus
B. Give oxygen at 2L/min via nasal cannula
C. Administer oxytocin with IV fluids
D. Insert an indwelling urinary catheter
E. Place the client in a lateral position with her legs elevated 30 degrees
3|Page
, A,C,D,E
The nurse should massage the fundus to expel clots and help the uterus
contract. The nurse should add oxytocin to the intravenous drip and insert an
indwelling urinary catheter to monitor urinary output and perfusion to the
kidney. Finally, the nurse should place the client in a lateral position with her
legs elevated 30 degrees
A nurse is caring for a client who is experiencing prolonged labor. Which of the
following fetal monitoring results indicates fetal compromise? - A. Baseline fetal
heart rate of 110 to 130 per minute
B. Moderate baseline variability
C. Accelerations in response to fetal stimulation
D. Late decelerations with fetal bradycardia
D. Late decelerations with fetal bradycardia
The nurse should identify that a fetal monitor showing recurrent late
decelerations and bradycardia indicates that the fetus is not tolerating labor
and might be compromised. These findings should be assessed in relation to the
clinical picture of the progression of labor
A nurse is teaching a client who is postpartum and breastfeeding. Which of the
following statements should the nurse include? - A. You will need to wait 3
months before resuming sexual intercourse
B. You don't need to use contraception
C. As long as you will experience an overproduction of vaginal lubrication
4|Page
