ATI MATERNAL NEWBORN EXAM
NEWEST 2026/ 2027 WITH COMPLETE
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH
RATIONALES ALREADY GRADED A+
A nurse is providing teaching about home care to the parent of a newborn. Which
of the following statements indicates an understanding of the teaching? -
ANSWER-A. I should make sure the baby's bath water is between 115 and
120 degrees Fahrenheit
B. I should let my baby sleep on the sofa until he is old enough to roll over
C. I should ensure the airbag is functional when my baby is riding in the front seat
of a car
D. I should remove the bumper paf and stuffed toys from my baby’s crib
D. The parent should remove bumper pads, stuffed toys and blankets from the
baby’s crib to decrease the risk of suffocation and SIDs
A nurse is assessing a female client 24 hours after delivery and notes the fundus is
2 cm above the umbilicus. Which of the following actions should the nurse take? -
ANSWER-A. Administer a tocolytic medication
B. Apply a heating pad to the mid-abdominal area
C. Reassess the fundus in 2 hours
D. Ambulate the client to the bathroom
,D. An increased fundal height in the postpartum period is a sign of non-contracted
uterus, which increases the risk for hemorrhage. The most common postpartum
cause of an elevated fundal height is an over-distended bladder
A nurse is assessing a client who missed 2 menstrual cycles and reports that she
might be pregnant. Which of the following findings is a positive sign of
pregnancy? - ANSWER-A. Quickening
B. Breast Tenderness
C. Uterine enlargement
D. Auscultation of a fetal heart rate
D. Auscultation of a fetal heart rate
The auscultation of a fetal heart rate is a conclusive sign of pregnancy
A nurse is reviewing the medical record of a client at 33 weeks gestation who has
placenta previa and bleeding. Which of the following prescriptions should the
nurse clarify with the provider? - ANSWER-A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large bore IV catheter
D. Obtain a blood sample for laboratory testing
A. Perform a vaginal examination
When a client has placenta previa, the placenta implants in the lower part of the
uterus and obstructs the cervical os (the opening to the vagina). The nurse should
clarify this prescription because any manipulation can cause tearing of the placenta
and increased bleeding
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client
reports that her breathing has become easier but notes an increased frequency of
urination. The nurse should document this occurrence as which of the following? -
ANSWER-A. Effacement
B. Dilation
C. Lightening
D. Quickening
,C. Lightening
Lightning describes the engagement of the fetal head into the pelvis. When this
occurs, breathing becomes easier, but urination is more frequent
A charge nurse is providing teaching for a newly hired nurse about the potential
side effects of an epidural anesthetic for a laboring client. Which of the following
effects should the charge nurse include in teaching? - ANSWER-A. Newborn
respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability
C. Impaired placental perfusion
Maternal hypotension can occur in 10% to 30% of women who receive epidural or
spinal anesthesia. This can result in decreased blood flow to the placenta and
impaired delivery of oxygen to the fetus
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? - ANSWER-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? -
ANSWER-A. Elevated blood pressure
, B. Feeling of warmth
C. Hyperactivity
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? - ANSWER-
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 hours postpartum and is experiencing
hemorrhage. Which of the following actions should the nurse implement after
notifying the provider (Select all that apply) - ANSWER-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
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
NEWEST 2026/ 2027 WITH COMPLETE
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH
RATIONALES ALREADY GRADED A+
A nurse is providing teaching about home care to the parent of a newborn. Which
of the following statements indicates an understanding of the teaching? -
ANSWER-A. I should make sure the baby's bath water is between 115 and
120 degrees Fahrenheit
B. I should let my baby sleep on the sofa until he is old enough to roll over
C. I should ensure the airbag is functional when my baby is riding in the front seat
of a car
D. I should remove the bumper paf and stuffed toys from my baby’s crib
D. The parent should remove bumper pads, stuffed toys and blankets from the
baby’s crib to decrease the risk of suffocation and SIDs
A nurse is assessing a female client 24 hours after delivery and notes the fundus is
2 cm above the umbilicus. Which of the following actions should the nurse take? -
ANSWER-A. Administer a tocolytic medication
B. Apply a heating pad to the mid-abdominal area
C. Reassess the fundus in 2 hours
D. Ambulate the client to the bathroom
,D. An increased fundal height in the postpartum period is a sign of non-contracted
uterus, which increases the risk for hemorrhage. The most common postpartum
cause of an elevated fundal height is an over-distended bladder
A nurse is assessing a client who missed 2 menstrual cycles and reports that she
might be pregnant. Which of the following findings is a positive sign of
pregnancy? - ANSWER-A. Quickening
B. Breast Tenderness
C. Uterine enlargement
D. Auscultation of a fetal heart rate
D. Auscultation of a fetal heart rate
The auscultation of a fetal heart rate is a conclusive sign of pregnancy
A nurse is reviewing the medical record of a client at 33 weeks gestation who has
placenta previa and bleeding. Which of the following prescriptions should the
nurse clarify with the provider? - ANSWER-A. Perform a vaginal examination
B. Perform continuous external fetal monitoring
C. Insert a large bore IV catheter
D. Obtain a blood sample for laboratory testing
A. Perform a vaginal examination
When a client has placenta previa, the placenta implants in the lower part of the
uterus and obstructs the cervical os (the opening to the vagina). The nurse should
clarify this prescription because any manipulation can cause tearing of the placenta
and increased bleeding
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client
reports that her breathing has become easier but notes an increased frequency of
urination. The nurse should document this occurrence as which of the following? -
ANSWER-A. Effacement
B. Dilation
C. Lightening
D. Quickening
,C. Lightening
Lightning describes the engagement of the fetal head into the pelvis. When this
occurs, breathing becomes easier, but urination is more frequent
A charge nurse is providing teaching for a newly hired nurse about the potential
side effects of an epidural anesthetic for a laboring client. Which of the following
effects should the charge nurse include in teaching? - ANSWER-A. Newborn
respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability
C. Impaired placental perfusion
Maternal hypotension can occur in 10% to 30% of women who receive epidural or
spinal anesthesia. This can result in decreased blood flow to the placenta and
impaired delivery of oxygen to the fetus
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? - ANSWER-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? -
ANSWER-A. Elevated blood pressure
, B. Feeling of warmth
C. Hyperactivity
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? - ANSWER-
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 hours postpartum and is experiencing
hemorrhage. Which of the following actions should the nurse implement after
notifying the provider (Select all that apply) - ANSWER-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
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
