ATI Practice Assessments for Maternal-Newborn LATEST EXAM
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
A nurse is estimating a newborn's gestational age. What parameters should the nurse
evaluate? (Select all that apply.) - CORRECT ANSWER 3 Breast size
5 Genital development
The nurse is caring for a couple after the birth of their first child. What should the nurse
tell the family to do when their infant is exhibiting the behavior demonstrated in the
picture? - CORRECT ANSWER "This is the time when the baby is likely to be most
responsive to you."
A nurse in the clinic determines that a 4-day-old neonate who was born at home has a
purulent discharge from the eyes. What condition does the nurse suspect? -
CORRECT ANSWER Chlamydia trachomatis infection
In a noisy room a sleeping newborn initially startles and exhibits rapid movements but
soon goes back to sleep. What is the most appropriate nursing action in response to
this behavior? - CORRECT ANSWER Documenting an intact reflex
After being shown to the parents, a preterm male newborn weighing 3 lb 15 oz (1500 g)
is moved to the neonatal intensive care unit. What should the nurse's plan for parental
,visits include? - CORRECT ANSWER Taking them to visit their son as soon as
possible
A health care provider tells a mother that her newborn has multiple visible birth defects.
The mother seems composed and asks to see her baby. What nursing action will be
most helpful in easing the mother's stress when she sees her child for the first time? -
CORRECT ANSWER Staying with her after bringing the infant to help her verbalize
her feelings.
A mother asks the neonatal nurse why her infant must be monitored for hypoglycemia
when her type 1 diabetes was in excellent control during her pregnancy. How should the
nurse respond? - CORRECT ANSWER "Babies of mothers with diabetes have a
higher-than-average insulin level because of the excess glucose received from the
mothers during pregnancy, so the glucose level may drop."
A newborn's total body response to noise or movement is often distressing to the
parents. What should the nurse tell the parents this response represents? - CORRECT
ANSWER A reflex that is expected in the healthy newborn
During the second reactive period a newborn becomes more alert and responsive and
there is an increase in mucus production and gagging. What should the nurse do first? -
CORRECT ANSWER Remove secretions from the pharynx
A small-for-gestational-age (SGA) newborn who has just been admitted to the nursery
has a high-pitched cry, appears jittery, and exhibits irregular respirations. What
complication does the nurse suspect? - CORRECT ANSWER Hypoglycemia
What should the nurse recommend to a new mother when teaching her about the care
of the umbilical cord area? - CORRECT ANSWER Leave the area untouched or
clean with soap and water, then pat it dry.
What should the nurse do to enhance a neonate's behavioral development? -
CORRECT ANSWER Help the parents stimulate their awake baby through touch,
sound, and sight
A 1-day-old newborn has just expelled a thick, greenish-black stool. The nurse
determines that this is the first stool. What should the nurse do next? - CORRECT
ANSWER Document the stool in the infant's record
A nurse prepares to administer vitamin K to a newborn. Why is vitamin K given
specifically to newborns? - CORRECT ANSWER A newborn's intestinal tract does
not synthesize it for several days after birth.
,During assessment of a newborn, a practitioner diagnoses cephalhematoma and
informs the parents. The mother asks why her baby's head looks different. What does
the nurse take into consideration before responding in terms that the mother will
understand? - CORRECT ANSWER Swelling that is confined to one part of the
scalp is caused by hemorrhage beneath the periosteum.
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is
the priority nursing intervention for the newborn? - CORRECT ANSWER Suctioning
the airway
What should the nurse tell a new mother will be delayed until her newborn is 36 to 48
hours old? - CORRECT ANSWER Screening for phenylketonuria
The parents of a newborn tell the nurse that they do not want their infant's eyes treated
with a prophylactic agent. How should the nurse respond? - CORRECT ANSWER
"You'll have to sign an informed consent to refuse the treatment."
The nurse concludes that a couple with a newborn with Erb's palsy has an accurate
understanding of the infant's prognosis. Which statement confirms this conclusion? -
CORRECT ANSWER "Recovery usually occurs in about 3 months."
A male born at 28 weeks' gestation weighs 2 lb 12 oz. What characteristic does the
nurse expect to observe? - CORRECT ANSWER Transparent red skin
An infant is born in the breech position and diagnosed with Erb palsy (Erb-Duchenne
paralysis). What clinical manifestation supports this conclusion? - CORRECT
ANSWER Flaccid arm with the elbow extended on the affected side
One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90
beats/min. The newborn has a strong, loud cry; moves all extremities well; and has
acrocyanosis but is otherwise pink. What is this neonate's Apgar score? - CORRECT
ANSWER 8
A nurse in the newborn nursery is monitoring an infant for jaundice related to ABO
incompatibility. What blood type does the mother usually have to cause this
incompatibility? - CORRECT ANSWER O
A newborn male is being discharged 4 hours after having had a circumcision. What
should the nurse instruct the mother to do? - CORRECT ANSWER Apply the
diaper loosely for several days
Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby
cries all the time, and I don't know what to do." What question should the nurse ask
, before planning nursing care? - CORRECT ANSWER "What is the baby's daily
schedule?"
Vitamin K (Aquamephyton) is to be given to a newborn to aid clotting. Click on the area
where the injection will be administered. - CORRECT ANSWER The reason for
using the vastus lateralis is that the site does not contain major nerves or blood vessels.
Other sites, such as the ventrogluteal, which is not used until a child has been walking
for 1 year, carry risks. The vastus lateralis muscle, middle third, is the site of choice.
Either leg may be used.
Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. What condition of the
newborn is associated with hydramnios? - CORRECT ANSWER Esophageal
atresia
A mother whose newborn infant son has a cleft lip and palate asks how to feed her baby
because he has difficulty suckling. What information should the nurse provide
concerning safe feeding technique for this infant? - CORRECT ANSWER "Give him
brief rest periods and frequent burpings during feedings so he can get rid of swallowed
air."
A nurse notes that a healthy newborn is lying in the supine position with the head turned
to the side with the legs and arms extended on the same side and flexed on the
opposite side. Which reflex does the nurse identify? - CORRECT ANSWER Tonic
neck
On her first postpartum day, a client asks the nurse whether her baby has had a test for
phenylketonuria (PKU) yet. How should the nurse reply? - CORRECT ANSWER
"The test won't be done until your baby has had enough milk for the results to be
accurate."
-The PKU test cannot be done until the newborn has ingested a high-phenylalanine
(formula or breast milk) diet for at least 24 hours.
What does the nurse expect concerning the alveoli in the lungs of a 28-week-gestation
neonate? - CORRECT ANSWER They have a tendency to collapse with each
breath
One minute after birth a nurse notes that a newborn is crying, has a heart rate of 140
beats/min, is acrocyanotic, resists the suction catheter, and keeps the arms extended.
What Apgar score should the nurse assign to the newborn? Record your answer using
a whole number. ___ - CORRECT ANSWER 8
Which parts of a newborn's body are usually affected by the rash erythema toxicum
neonatorum? Select all that apply. - CORRECT ANSWER A face
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
A nurse is estimating a newborn's gestational age. What parameters should the nurse
evaluate? (Select all that apply.) - CORRECT ANSWER 3 Breast size
5 Genital development
The nurse is caring for a couple after the birth of their first child. What should the nurse
tell the family to do when their infant is exhibiting the behavior demonstrated in the
picture? - CORRECT ANSWER "This is the time when the baby is likely to be most
responsive to you."
A nurse in the clinic determines that a 4-day-old neonate who was born at home has a
purulent discharge from the eyes. What condition does the nurse suspect? -
CORRECT ANSWER Chlamydia trachomatis infection
In a noisy room a sleeping newborn initially startles and exhibits rapid movements but
soon goes back to sleep. What is the most appropriate nursing action in response to
this behavior? - CORRECT ANSWER Documenting an intact reflex
After being shown to the parents, a preterm male newborn weighing 3 lb 15 oz (1500 g)
is moved to the neonatal intensive care unit. What should the nurse's plan for parental
,visits include? - CORRECT ANSWER Taking them to visit their son as soon as
possible
A health care provider tells a mother that her newborn has multiple visible birth defects.
The mother seems composed and asks to see her baby. What nursing action will be
most helpful in easing the mother's stress when she sees her child for the first time? -
CORRECT ANSWER Staying with her after bringing the infant to help her verbalize
her feelings.
A mother asks the neonatal nurse why her infant must be monitored for hypoglycemia
when her type 1 diabetes was in excellent control during her pregnancy. How should the
nurse respond? - CORRECT ANSWER "Babies of mothers with diabetes have a
higher-than-average insulin level because of the excess glucose received from the
mothers during pregnancy, so the glucose level may drop."
A newborn's total body response to noise or movement is often distressing to the
parents. What should the nurse tell the parents this response represents? - CORRECT
ANSWER A reflex that is expected in the healthy newborn
During the second reactive period a newborn becomes more alert and responsive and
there is an increase in mucus production and gagging. What should the nurse do first? -
CORRECT ANSWER Remove secretions from the pharynx
A small-for-gestational-age (SGA) newborn who has just been admitted to the nursery
has a high-pitched cry, appears jittery, and exhibits irregular respirations. What
complication does the nurse suspect? - CORRECT ANSWER Hypoglycemia
What should the nurse recommend to a new mother when teaching her about the care
of the umbilical cord area? - CORRECT ANSWER Leave the area untouched or
clean with soap and water, then pat it dry.
What should the nurse do to enhance a neonate's behavioral development? -
CORRECT ANSWER Help the parents stimulate their awake baby through touch,
sound, and sight
A 1-day-old newborn has just expelled a thick, greenish-black stool. The nurse
determines that this is the first stool. What should the nurse do next? - CORRECT
ANSWER Document the stool in the infant's record
A nurse prepares to administer vitamin K to a newborn. Why is vitamin K given
specifically to newborns? - CORRECT ANSWER A newborn's intestinal tract does
not synthesize it for several days after birth.
,During assessment of a newborn, a practitioner diagnoses cephalhematoma and
informs the parents. The mother asks why her baby's head looks different. What does
the nurse take into consideration before responding in terms that the mother will
understand? - CORRECT ANSWER Swelling that is confined to one part of the
scalp is caused by hemorrhage beneath the periosteum.
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is
the priority nursing intervention for the newborn? - CORRECT ANSWER Suctioning
the airway
What should the nurse tell a new mother will be delayed until her newborn is 36 to 48
hours old? - CORRECT ANSWER Screening for phenylketonuria
The parents of a newborn tell the nurse that they do not want their infant's eyes treated
with a prophylactic agent. How should the nurse respond? - CORRECT ANSWER
"You'll have to sign an informed consent to refuse the treatment."
The nurse concludes that a couple with a newborn with Erb's palsy has an accurate
understanding of the infant's prognosis. Which statement confirms this conclusion? -
CORRECT ANSWER "Recovery usually occurs in about 3 months."
A male born at 28 weeks' gestation weighs 2 lb 12 oz. What characteristic does the
nurse expect to observe? - CORRECT ANSWER Transparent red skin
An infant is born in the breech position and diagnosed with Erb palsy (Erb-Duchenne
paralysis). What clinical manifestation supports this conclusion? - CORRECT
ANSWER Flaccid arm with the elbow extended on the affected side
One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90
beats/min. The newborn has a strong, loud cry; moves all extremities well; and has
acrocyanosis but is otherwise pink. What is this neonate's Apgar score? - CORRECT
ANSWER 8
A nurse in the newborn nursery is monitoring an infant for jaundice related to ABO
incompatibility. What blood type does the mother usually have to cause this
incompatibility? - CORRECT ANSWER O
A newborn male is being discharged 4 hours after having had a circumcision. What
should the nurse instruct the mother to do? - CORRECT ANSWER Apply the
diaper loosely for several days
Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby
cries all the time, and I don't know what to do." What question should the nurse ask
, before planning nursing care? - CORRECT ANSWER "What is the baby's daily
schedule?"
Vitamin K (Aquamephyton) is to be given to a newborn to aid clotting. Click on the area
where the injection will be administered. - CORRECT ANSWER The reason for
using the vastus lateralis is that the site does not contain major nerves or blood vessels.
Other sites, such as the ventrogluteal, which is not used until a child has been walking
for 1 year, carry risks. The vastus lateralis muscle, middle third, is the site of choice.
Either leg may be used.
Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. What condition of the
newborn is associated with hydramnios? - CORRECT ANSWER Esophageal
atresia
A mother whose newborn infant son has a cleft lip and palate asks how to feed her baby
because he has difficulty suckling. What information should the nurse provide
concerning safe feeding technique for this infant? - CORRECT ANSWER "Give him
brief rest periods and frequent burpings during feedings so he can get rid of swallowed
air."
A nurse notes that a healthy newborn is lying in the supine position with the head turned
to the side with the legs and arms extended on the same side and flexed on the
opposite side. Which reflex does the nurse identify? - CORRECT ANSWER Tonic
neck
On her first postpartum day, a client asks the nurse whether her baby has had a test for
phenylketonuria (PKU) yet. How should the nurse reply? - CORRECT ANSWER
"The test won't be done until your baby has had enough milk for the results to be
accurate."
-The PKU test cannot be done until the newborn has ingested a high-phenylalanine
(formula or breast milk) diet for at least 24 hours.
What does the nurse expect concerning the alveoli in the lungs of a 28-week-gestation
neonate? - CORRECT ANSWER They have a tendency to collapse with each
breath
One minute after birth a nurse notes that a newborn is crying, has a heart rate of 140
beats/min, is acrocyanotic, resists the suction catheter, and keeps the arms extended.
What Apgar score should the nurse assign to the newborn? Record your answer using
a whole number. ___ - CORRECT ANSWER 8
Which parts of a newborn's body are usually affected by the rash erythema toxicum
neonatorum? Select all that apply. - CORRECT ANSWER A face
