2025 Maternal ATI Exam ACTUAL EXAM TESTBANK - 3 VERSIONS WITH VERIFIED ANSWERS FINAL EXAM BUNDLE 2026/2027 (REAL EXAM QUESTIONS)WITH Comprehensive Practice Questions and Expert Rationales for Guaranteed Success

1. Calculating Estimated Date of Birth (EDB) A nurse is using Naegele's rule to determine the estimated date of birth (EDB) for a client whose first day of her last menstrual period was February 2, 2018. The nurse should identify which of the following as the client's EDB? • A. November 16, 2018 • B. October 19, 2018 • C. October 26, 2018 • D. November 9, 2018 Rationale: Naegele’s rule is a standard formula calculated by adding 7 days to the first day of the last menstrual period (LMP), then subtracting 3 months and adding 1 year. Following this formula: February 2 + 7 days = February 9. Subtracting 3 months from February yields November, resulting in an EDB of November 9, 2018. 2. Nutritional Counseling During Pregnancy A nurse is providing nutritional counseling for a client who is pregnant. Which nutrient should the nurse instruct the client to increase in her daily diet? • A. Iron • B. Calcium • C. Vitamin E • D. Vitamin K Rationale: Iron requirements increase significantly during pregnancy to support the dramatic expansion of maternal red blood cell mass, supply iron to the developing fetus and placenta, and prevent maternal iron-deficiency anemia. 3. Evaluating Postpartum Oxytocin Effectiveness A nurse is caring for a client who is scheduled to receive a continuous IV infusion of oxytocin following a vaginal birth. Which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the medication? • A. Urinary output • B. Blood pressure • C. Fundal consistency • D. Pulse rate Rationale: Oxytocin is administered postpartum to stimulate uterine smooth muscle contractions, which constrict intramyometrial blood vessels and prevent postpartum hemorrhage. Uterine fundal firmness (consistency) confirms the therapeutic effect of the drug. 4. Prioritizing Labor and Delivery Clients A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first? • A. A client who is in active labor and has late decelerations on the fetal heart monitor strip • B. A client who is in transition and screaming and disturbing other clients • C. A client who has epidural analgesia and is reporting breakthrough pain • D. A client who has received an oxytocin infusion and is experiencing contractions every 2 minutes lasting 60 seconds Rationale: Late decelerations are non-reassuring patterns caused by uteroplacental insufficiency and fetal hypoxia. This indicates a threat to fetal well-being requiring immediate emergency nursing interventions (repositioning, oxygen, fluid bolus), making this client the highest priority. 5. Adverse Effects of Magnesium Sulfate A nurse is teaching a client with preeclampsia who is scheduled 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 • D. Generalized pruritus Rationale: Magnesium sulfate acts as a central nervous system depressant and smooth muscle relaxant. It causes peripheral vasodilation, which frequently produces a flushing, transient sensation of intense warmth or heat during administration. 6. Squatting Exercises in Pregnancy A nurse is teaching a client about squatting exercises during pregnancy. Which of the following statements should the nurse include? • A. "These exercises should be done for 15 minutes daily to strengthen the perineal muscles." • B. "Squatting exercises can tone your abdomen, helping you lose weight faster following delivery." • C. "Practicing squatting exercises during pregnancy will reduce lower back pain during labor." • D. "Doing squatting exercises 3 times weekly will improve your overall fitness." Rationale: Squatting stretches, tones, and strengthens the pelvic floor and perineal muscles. This prepares the muscle groups for the intense stretching involved in the second stage of labor and supports a faster postpartum recovery. 7. Post-Amniocentesis Interventions for Rh-Negative Clients A nurse is assisting with an amniocentesis for a client who is Rh-negative. Which of the following actions should the nurse take following the procedure? • A. Send a sample of amniotic fluid to the laboratory to screen the client for chlamydia • B. Send a sample of amniotic fluid to the laboratory to test for an elevated Rh-negative titer • C. Administer immune globulin to the client to prevent fetal isoimmunization • D. Administer intravenous antibiotics to prevent an infection Rationale: Amniocentesis carries an inherent risk of micro-hemorrhage, where fetal blood cells cross into maternal circulation. If an Rh-negative mother is exposed to Rh-positive fetal red blood cells, she will produce antibodies. Administering Rh-immune globulin prevents this maternal isoimmunization (sensitization). 8. Reporting Danger Signs in Preeclampsia A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicates an understanding of the teaching? • A. "I should call my provider if I develop melasma." • B. "If I notice my eyes are puffy, I should call my provider." • C. "I should call my provider if my feet and ankles are swollen." • D. "If I notice periodic numbness and tingling in my fingers, I should call my provider." Rationale: Facial and periorbital edema (puffy eyes) indicates significant, systemic fluid retention, which is a classic warning sign of preeclampsia. Dependent edema in the feet and ankles, or mild finger numbness (carpal tunnel syndrome), are common, non-emergency discomforts of late pregnancy. 9. Newborn Heel Stick Technique A nurse is preparing to perform a heel stick on a newborn. Which of the following actions should the nurse take? • A. Don sterile gloves prior to puncturing the newborn's heel • B. Puncture the center aspect of the newborn's heel • C. Elevate the newborn's heel prior to the procedure • D. Warm the heel with a warm washcloth prior to the procedure. Rationale: Application of a warm washcloth or chemical heel warmer for 5 to 10 minutes prior to a heel stick causes localized vasodilation. This increases blood flow to the superficial capillary beds, ensuring an adequate sample and minimizing tissue trauma. (Clean, non-sterile gloves are used; puncturing must be on the outer medial/lateral aspects of the heel to avoid calcaneus bone injury). 10. Positioning for Supine Hypotensive Syndrome A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assist the client? • A. Lateral • B. Lithotomy • C. Trendelenburg • D. Prone Rationale: Lying supine in late pregnancy causes the heavy gravid uterus to compress the inferior vena cava, decreasing venous return to the heart and causing supine hypotensive syndrome (dizziness, pallor, faintness). Moving the client into a lateral (side-lying) position shifts the uterus off the vena cava, restoring cardiac output and maternal-fetal perfusion. 11. Uterine Tachysystole Management A nurse is caring for a client in the latent phase of labor who is receiving oxytocin via continuous IV infusion. The client has contractions every 2 minutes that last 100 to 110 seconds, and the fetal heart rate (FHR) is reassuring. Which of the following actions should the nurse take? • A. Decrease the infusion rate of the maintenance IV fluid • B. Administer oxygen via a nonrebreather mask • C. Decrease the dose of oxytocin by half. • D. Administer terbutaline 0.25 mg subcutaneously Rationale: Uterine contractions lasting longer than 90 seconds or occurring more frequently than every 2 minutes signify uterine tachysystole. Because the FHR pattern remains reassuring, the initial action is to reduce the oxytocin dosage by half to allow the uterus to rest, preventing fetal distress. (If the FHR became non-reassuring, the infusion would be stopped entirely). 12. Analgesic Selection for Primary Dysmenorrhea An adolescent reports severe abdominal cramping due to dysmenorrhea. Which of the following analgesics should the nurse expect the provider to prescribe? • A. Fentanyl • B. Acetaminophen and oxycodone • C. Acetaminophen and hydrocodone • D. Ibuprofen Rationale: Primary dysmenorrhea is caused by excessive endometrial prostaglandin production, which drives painful uterine cramping. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen are choice therapies because they directly inhibit prostaglandin synthesis. Opioids are not indicated. 13. Developmental Interventions for Premature Infants A nurse is providing education for the parent of a premature infant on interventions to promote optimal neurodevelopment. Which of the following actions should the nurse instruct the parent to perform? • A. Maintain bright lighting to enable close observation of the infant at all times • B. Place the infant in a prone position with arms and legs extended • C. Rouse the infant every 1-2 hr to provide auditory and visual stimulation • D. Provide kangaroo care for the infant Rationale: Kangaroo care (skin-to-skin contact) promotes physiological stability, regulates infant temperature and heart rate, decreases stress behaviors, improves sleep cycles, and fosters parental attachment, optimizing neonatal brain development. 14. Priority Interventions for Late Decelerations A nurse is caring for a client in active labor whose membranes have ruptured. The fetal monitor tracing reveals late decelerations. Which of the following actions should the nurse take first? • A. Turn the client onto her left side • B. Palpate the client's uterus • C. Administer oxygen to the client • D. Increase the client's IV fluids Rationale: Using the airway-breathing-circulation (ABC) and safety frameworks, immediate corrective action for maternal-fetal perfusion must occur. Turning the client onto her left side is the quickest, most effective action to alleviate uterine pressure on major vessels, increasing blood flow to the placenta and improving fetal oxygenation. Oxygenation and fluid boluses are secondary steps in intrauterine resuscitation.