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ATI Maternal Newborn Online Practice Assessment 2026: 125 NCLEX-RN Questions & Answers with Rationales – Antepartum, Intrapartum, Postpartum, Newborn Care, High-Risk Pregnancy, Contraception

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This comprehensive 83-page practice assessment contains 125 ATI-style questions and answers for Maternal Newborn Nursing. Organized into 7 sections—Antepartum Care (25 Qs), Intrapartum Care & Fetal Monitoring (20 Qs), Postpartum Care & Complications (20 Qs), Newborn Care & Assessment (20 Qs), High-Risk Pregnancy & Complications (15 Qs), Contraception & Family Planning (10 Qs), and Comprehensive Mixed Review (15 Qs). Each question includes the correct answer and detailed rationale. Topics include Naegele’s rule, preeclampsia, HELLP syndrome, placenta previa, placental abruption, fetal heart rate patterns (early/late decelerations), epidural anesthesia, magnesium sulfate toxicity, uterine rupture, postpartum hemorrhage, mastitis, endometritis, newborn hypoglycemia, phototherapy, NAS, circumcision care, PPROM, preterm labor tocolytics, contraception methods (IUD, Depo-Provera, implant, POPs), and more. Perfect for ATI Maternal Newborn proctored exam prep, NCLEX-RN, and nursing students. Updated to 2026 standards. A+ graded.

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1|Page


# ATI PRACTICE ASSESSMENT – MATERNAL
NEWBORN ONLINE PRACTICE
## LATEST SOLUTION UPDATE 2026 |
COMPLETE Q&A BANK WITH RATIONALES
### A+ GRADED | FIRST-TIME PASS
GUARANTEE



## Table of Contents


| Section | Topic | Questions |
|---------|-------|-----------|
| 1 | Antepartum Care & Prenatal Assessment | 25 |
| 2 | Intrapartum Care & Fetal Monitoring | 20 |
| 3 | Postpartum Care & Complications | 20 |
| 4 | Newborn Care & Assessment | 20 |
| 5 | High-Risk Pregnancy & Complications | 15 |
| 6 | Contraception & Family Planning | 10 |
| 7 | Comprehensive Mixed Review | 15 |
| **Total** | | **125** |


---

,2|Page


# SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT
## (Questions 1–25)


**1.** A nurse is calculating the estimated date of birth using Naegele's rule for a
client whose last menstrual cycle began on June 21. Which of the following is the
estimated date of delivery in the next year?


A) March 14
B) March 28
C) April 14
D) April 28


**Answer:** B) March 28


**Rationale:** Naegele's rule: Subtract 3 months from the first day of the LMP
and add 7 days. June 21 → subtract 3 months = March 21 → add 7 days = March
28.


---


**2.** A nurse is providing teaching for a client at 7 weeks of gestation who is
experiencing nausea and vomiting. Which of the following client statements
indicates an understanding of the teaching?


A) "I should have a small snack before bedtime."
B) "I should drink fluids with my meals."

,3|Page


C) "I should lie down immediately after eating."
D) "I should eat three large meals daily."


**Answer:** A) "I should have a small snack before bedtime."


**Rationale:** Eating a small snack before bedtime helps prevent hypoglycemia
overnight, which can contribute to morning nausea. Clients should eat small,
frequent meals, drink fluids between meals (not with meals), and avoid lying down
immediately after eating.


---


**3.** A nurse is caring for a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?


A) Blood pressure 138/88 mm Hg
B) Urine protein 1+
C) Platelet count 60,000/mm³
D) Mild headache


**Answer:** C) Platelet count 60,000/mm³


**Rationale:** A platelet count of 60,000/mm³ is critically low and indicates
HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), a severe
complication of preeclampsia requiring immediate intervention.

, 4|Page




---


**4.** A nurse is reviewing the laboratory results for a client who is at 10 weeks of
gestation. Which of the following laboratory findings should the nurse report to the
provider?


A) Hemoglobin 10 g/dL
B) WBC count 15,000/mm³
C) RBC count 5.8 million/mm³
D) Hematocrit 34%


**Answer:** A) Hemoglobin 10 g/dL


**Rationale:** A hemoglobin level of 10 g/dL is below the expected reference
range of >11 g/dL for a client who is pregnant. This indicates anemia and should be
reported to the provider. WBC count up to 15,000/mm³ is normal in pregnancy.


---


**5.** A nurse is assessing a client who is at 34 weeks of gestation and has a
cardiac disorder. The nurse should notify the provider about which of the following
assessment findings?


A) The client reports occasional palpitations
B) The client reports a frequent cough

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