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 37 week pregnant woman presents to triage with reports of a
headache and begins to have a seizure. What actions should the nurse
take?
Select all that apply
1. Place the client's head in the nurse's lap.
2. Administer oxygen.
3. Monitor tonic-clonic activity.
4. Place an oral airway into the client's mouth.
5. Administer diazepam. - CORRECT ANSWER 1, 2. & 3. Correct: This
client in triage experiencing a seizure should be gently lowered to the
floor, with her head protected. Oxygen is needed to ensure supply of
oxygen to mom and fetus. Seizure activity should be monitored for
tonic and clonic phases of seizure, timing, and body part affected.
seizures.
The nurse is assessing a newborn to determine gestational age. What
findings by the nurse would indicate the infant is premature?
Select all that apply
1. Folded ear pinna springs back slowly.
,2. Peripheral cyanosis on feet and hands.
3. Shoulders and chest have moderate lanugo.
4. Vernix covering axilla, back and buttocks.
5. Feet soles entirely covered with creases. - CORRECT ANSWER 1,
3. & 4. Correct: The nurse is assessing a neonate for indications of
premature gestational age. In a full term infant, the ear pinna would
spring back firmly and quickly, so a slow response indicates probable
prematurity. Lanugo is also an indicator of gestational age. Lanugo
that covers all the shoulders and chest indicate prematurity. Vernix is
the waxy, cheesy coating that is noted on the neonate after birth. A
large amount of vernix, in this case covering axilla, back and the
buttocks, denotes prematurity.
- CORRECT ANSWER 2. Correct: If the neonate's toes curl downward
when the soles of the feet are stroked, it may be evidence that
neurologic damage from asphyxia has occurred. A normal response
would be for the toes to curl fan out when the soles of the feet are
stroked.
- CORRECT ANSWER 1. Incorrect: Naloxone is not indicated here.
Naloxone reverses the effects of morphine. There is nothing in the
stem indicating that the client received a narcotic.
2. Correct: The side-lying position will relieve pressure from the aorta
thus getting more oxygen to the fetus.
3. Correct: Stop the oxytocin infusion. During uterine contraction,
blood flow through the uterus slows reducing fetal oxygenation. These
intense contractions may be the cause of the late decelerations.
4. Correct: Increasing the IV fluid expands the client's blood volume
and improves placental perfusion.
5. Correct: The primary healthcare provider should be notified as
continued late decelerations may mean the fetus needs to be
delivered immediately via C-section.
6. Correct: Administering oxygen to increase the client's blood oxygen
saturation will make more oxygen available to the fetus.
The nurse is educating a group of sexually active teenagers about
Chlamydia. What should the nurse teach these clients to prevent them
from acquiring or transmitting this disease ?
, 1. Use a latex condom when having sex to protect against Chlamydia.
2. Seek the advice of a primary healthcare provider if there is vaginal
discharge or burning on urination.
3. Suggest that the teens be screened for Chlamydia.
4. Reassure the teens that if they have no symptoms, they have no
disease.
5. Take prescribed medication if diagnosed with Chlamydia, and
repeat screening in three months. - CORRECT ANSWER
- CORRECT ANSWER 3. Correct: Spermicidal agents have an
approximately 25% failure rate in preventing pregnancy. These agents
kill sperm by destroying the protective surface of sperm and
preventing metabolic activities necessary for survival
he nurse is caring for a client with hyperemesis gravidarum. What
electrolyte imbalance is most likely?
1. Hypocalcemia
2. Hypomagnesemia
3. Hyponatremia
4. Hypokalemia - CORRECT ANSWER 4. Correct: Hyperemesis
gravidarum is characterized by persistent severe pregnancy related
nausea and vomiting. There is a large amount of potassium in the
upper GI tract. A client with prolonged vomiting will lose potassium in
the emesis. Additionally, the client is unable to replace the lost
potassium due to the persistent nausea and vomiting.
Post epidural anesthesia, a laboring client's blood pressure drops to
92/42. Which intervention by the nurse takes priority?
1. Elevate the head of the bed
2. Administer oxygen by face mask
3. Position client side-lying
4. Begin dopamine 5 mcg/kg/min - CORRECT ANSWER 3. Correct:
When you turn them on their side, this relieves pressure on the vena
cava and the BP will go UP.
All of the beds in a 10 bed Labor, Delivery, Recovery, Postpartum Unit
(LDRP) are full when one of the nurses assigned that day calls in sick.
, A nurse from the Med surg unit is transferred to the LDRP unit. Which
client should the charge nurse assign to this nurse?
1. Client at 32 weeks gestation on oral terbutaline with 4
contractions/hour.
2. One hour postpartum client with a continuous trickle of vaginal
bleeding.
3. 2 hours postpartum client reporting intense perineal pain.
4. Client at 36 weeks gestation with a blood pressure of 148/92. -
CORRECT ANSWER 1. Correct: This client is at lowest risk for
complications. She is having infrequent contractions and is not at high
risk for preterm delivery. She is also receiving an oral tocolytic,
terbutaline. Tocolytic agents are used to inhibit uterine contractions
and suppress preterm labor. The medical surgical nurse should be able
to safely provide care for this client.
A client has just found out that she is pregnant and asks the nurse,
"When is my baby due?" The client's last menstrual period began
March 3. What date will the nurse calculate as the expected date of
confinement?
1. December 3
2. December 7
3. December 10
4. December 13 - CORRECT ANSWER 3. Correct: The most common
method of determining the expected date of confinement is by
Nagele's rule. To use this method begin with the first day of the last
menstrual period, add seven days, subtract 3 months and add one
year. So the expected date of confinement for this client would be
December 10.
A mother of a newborn is crying and tells the nurse, "I am worried
about my baby. His Apgar score was 6 and the nurses had to help him
breath for a while." What response should the nurse make to this
mother?
1. "Don't worry about what score your baby received on the Apgar. The
nurses know how to take care of him."
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
A 37 week pregnant woman presents to triage with reports of a
headache and begins to have a seizure. What actions should the nurse
take?
Select all that apply
1. Place the client's head in the nurse's lap.
2. Administer oxygen.
3. Monitor tonic-clonic activity.
4. Place an oral airway into the client's mouth.
5. Administer diazepam. - CORRECT ANSWER 1, 2. & 3. Correct: This
client in triage experiencing a seizure should be gently lowered to the
floor, with her head protected. Oxygen is needed to ensure supply of
oxygen to mom and fetus. Seizure activity should be monitored for
tonic and clonic phases of seizure, timing, and body part affected.
seizures.
The nurse is assessing a newborn to determine gestational age. What
findings by the nurse would indicate the infant is premature?
Select all that apply
1. Folded ear pinna springs back slowly.
,2. Peripheral cyanosis on feet and hands.
3. Shoulders and chest have moderate lanugo.
4. Vernix covering axilla, back and buttocks.
5. Feet soles entirely covered with creases. - CORRECT ANSWER 1,
3. & 4. Correct: The nurse is assessing a neonate for indications of
premature gestational age. In a full term infant, the ear pinna would
spring back firmly and quickly, so a slow response indicates probable
prematurity. Lanugo is also an indicator of gestational age. Lanugo
that covers all the shoulders and chest indicate prematurity. Vernix is
the waxy, cheesy coating that is noted on the neonate after birth. A
large amount of vernix, in this case covering axilla, back and the
buttocks, denotes prematurity.
- CORRECT ANSWER 2. Correct: If the neonate's toes curl downward
when the soles of the feet are stroked, it may be evidence that
neurologic damage from asphyxia has occurred. A normal response
would be for the toes to curl fan out when the soles of the feet are
stroked.
- CORRECT ANSWER 1. Incorrect: Naloxone is not indicated here.
Naloxone reverses the effects of morphine. There is nothing in the
stem indicating that the client received a narcotic.
2. Correct: The side-lying position will relieve pressure from the aorta
thus getting more oxygen to the fetus.
3. Correct: Stop the oxytocin infusion. During uterine contraction,
blood flow through the uterus slows reducing fetal oxygenation. These
intense contractions may be the cause of the late decelerations.
4. Correct: Increasing the IV fluid expands the client's blood volume
and improves placental perfusion.
5. Correct: The primary healthcare provider should be notified as
continued late decelerations may mean the fetus needs to be
delivered immediately via C-section.
6. Correct: Administering oxygen to increase the client's blood oxygen
saturation will make more oxygen available to the fetus.
The nurse is educating a group of sexually active teenagers about
Chlamydia. What should the nurse teach these clients to prevent them
from acquiring or transmitting this disease ?
, 1. Use a latex condom when having sex to protect against Chlamydia.
2. Seek the advice of a primary healthcare provider if there is vaginal
discharge or burning on urination.
3. Suggest that the teens be screened for Chlamydia.
4. Reassure the teens that if they have no symptoms, they have no
disease.
5. Take prescribed medication if diagnosed with Chlamydia, and
repeat screening in three months. - CORRECT ANSWER
- CORRECT ANSWER 3. Correct: Spermicidal agents have an
approximately 25% failure rate in preventing pregnancy. These agents
kill sperm by destroying the protective surface of sperm and
preventing metabolic activities necessary for survival
he nurse is caring for a client with hyperemesis gravidarum. What
electrolyte imbalance is most likely?
1. Hypocalcemia
2. Hypomagnesemia
3. Hyponatremia
4. Hypokalemia - CORRECT ANSWER 4. Correct: Hyperemesis
gravidarum is characterized by persistent severe pregnancy related
nausea and vomiting. There is a large amount of potassium in the
upper GI tract. A client with prolonged vomiting will lose potassium in
the emesis. Additionally, the client is unable to replace the lost
potassium due to the persistent nausea and vomiting.
Post epidural anesthesia, a laboring client's blood pressure drops to
92/42. Which intervention by the nurse takes priority?
1. Elevate the head of the bed
2. Administer oxygen by face mask
3. Position client side-lying
4. Begin dopamine 5 mcg/kg/min - CORRECT ANSWER 3. Correct:
When you turn them on their side, this relieves pressure on the vena
cava and the BP will go UP.
All of the beds in a 10 bed Labor, Delivery, Recovery, Postpartum Unit
(LDRP) are full when one of the nurses assigned that day calls in sick.
, A nurse from the Med surg unit is transferred to the LDRP unit. Which
client should the charge nurse assign to this nurse?
1. Client at 32 weeks gestation on oral terbutaline with 4
contractions/hour.
2. One hour postpartum client with a continuous trickle of vaginal
bleeding.
3. 2 hours postpartum client reporting intense perineal pain.
4. Client at 36 weeks gestation with a blood pressure of 148/92. -
CORRECT ANSWER 1. Correct: This client is at lowest risk for
complications. She is having infrequent contractions and is not at high
risk for preterm delivery. She is also receiving an oral tocolytic,
terbutaline. Tocolytic agents are used to inhibit uterine contractions
and suppress preterm labor. The medical surgical nurse should be able
to safely provide care for this client.
A client has just found out that she is pregnant and asks the nurse,
"When is my baby due?" The client's last menstrual period began
March 3. What date will the nurse calculate as the expected date of
confinement?
1. December 3
2. December 7
3. December 10
4. December 13 - CORRECT ANSWER 3. Correct: The most common
method of determining the expected date of confinement is by
Nagele's rule. To use this method begin with the first day of the last
menstrual period, add seven days, subtract 3 months and add one
year. So the expected date of confinement for this client would be
December 10.
A mother of a newborn is crying and tells the nurse, "I am worried
about my baby. His Apgar score was 6 and the nurses had to help him
breath for a while." What response should the nurse make to this
mother?
1. "Don't worry about what score your baby received on the Apgar. The
nurses know how to take care of him."
