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 woman provides the nurse with the following obstetrical history.
Delivered a son, now age 7, at 28 weeks gestation, delivered a
daughter, not 5, at 39 weeks, ad a miscarriage 3 years ago, and had a
first trimester abortion 2 years ago. She is currently pregnant. What is
her GTPAL? - CORRECT ANSWER G5 T1 P1 A2 L2
A client states that she is a strong believer in vitamin supplements to
maintain her health. The nurse advises the woman that it is
recommended to refrain from consuming excess quantities of which
vitamin during pregnancy? - CORRECT ANSWER Vitamin D
A woman asks the nurse about consuming herbal supplements during
pregnancy. What is an appropriate response by the nurse? - CORRECT
ANSWER The woman should discuss everything she eats with a HCP
It is discovered that a pregnant woman practices pica. Which
complication is most often associated with this behavior - CORRECT
ANSWER Iron deficiency anemia
,A woman has just completed her first trimester. Which fetal structures
are formed at this time? - CORRECT ANSWER Genitals, heart, fingers,
and kidneys
An ultrasound of a fetus' heart shows that normal fetal circulation is
occurring. Which statement is interpreted as correct in relation to the
fetal circulation? - CORRECT ANSWER The right atrium contains both
oxygen rich and oxygen poor blood
A mother has just experienced quickening. Which developmental
changes would the nurse expect to occur at the same time in the
woman's pregnancy? - CORRECT ANSWER Lanugo covers the fetal
body
The gravida's fundal height is noted to be at the xiphoid process. The
nurse is aware that which fetal changes are likely to be occurring at
the same time? - CORRECT ANSWER Surfactant is formed in the fetal
lungs
Place in chronological order the for important fetal landmarks of fetal
development - CORRECT ANSWER 1. Blastocyst development is
complete
2. Four chambered heart is formed
3. Vernix caseosa is present
4. Testest has descended into the scrotal sac
Which developmental features would the nurse expect to be absent in
a 41 week gestation fetus? - CORRECT ANSWER Lanugo
A woman delivers a fetal demise that has lanugo covering the entire
body, nails that are present on fingers and toes, but the eyes are still
fused to the death, the mother stated hat she had felt quickening.
Based on this information, he nurse knows that the baby is about how
many weeks gestation? - CORRECT ANSWER 22 weeks
A client asks the nurse "Could you explain how the baby's blood and
my blood separate at delivery?" Which response is appropriate for the
,nurse to make? - CORRECT ANSWER The blood actually never mixes,
your blood supply and the baby's blood supply are completely separate
A client comes to an obstetric clinic for a routine prenatal checkup at
32 weeks gestation. The nurse palpates the client's abdomen to
determine fetal position so that fetal heart sounds can be assessed. It
is determined that the fetal position is left occipital anterior (LOA).
Where should the nurse place the Doppler to hear fetal heart sounds?
1. Below the umbilicus, on the mother's left side.
2. Below the umbilicus, on the mother's right side.
3. Above the umbilicus, on the mother's right side.
4. Above the umbilicus, on the mother's left side. - CORRECT ANSWER
1. Correct: The point of maximal intensity of the fetus is on the mom's
abdomen where the fetal heart tones (FHT) is the loudest, usually over
the fetal back. Divide the mom's pelvis into 4 quadrants (right and left
anterior and right and left posterior). The occiput of the head is the
most common presenting part and is abbreviated O. The occiput and
back are pressing against left side of mom's abdomen; FHT would be
heard below umbilicus on left side.
The nurse is teaching comfort measures to a postpartum client with
an episiotomy and external hemorrhoids. Which teaching points should
the nurse include?
Select all that apply
1. Apply ice to perineum for first 12 hours.
2. Take sitz baths at temperature of 107.6°-111.2°F (42-44°C).
3. Use witch hazel compresses on rectal areas for hemorrhoids.
4. Take ibuprofen for pain.
5. Apply topical anesthetics to perineal area.
6. Avoid sexual intercourse until episiotomy has healed. - CORRECT
ANSWER 1., 3., 4., 5., & 6. Correct: Ice causes vasoconstriction and is
most effective if applied soon after the birth to prevent edema and to
numb the area. Chemical ice packs or clean gloves filled with ice may
be used during the first 12 hours after a vaginal birth. Witch hazel
contains chemicals called tannins. When applied directly to the skin,
witch hazel might help reduce swelling and help repair broken skin.
Analgesics such as acetaminophen and nonsteroidal anti inflammatory
, drugs (NSAIDs) such as ibuprofen frequently are prescribed to provide
relief for mild to moderate discomfort. Topical anesthetic may be used
as needed to decrease surface discomfort and allow more comfortable
ambulation. Sexual intercourse prior to healing of the episiotomy may
contribute to further perineal damage.
A nurse has provided postpartum discharge instructions to a client
who had a cesarean section. What statement by the client would
indicate to the nurse that further teaching is necessary?
1. "I will relax and contract my pelvic floor muscles 10 times, eight
times a day."
2. "Driving is permitted in one week if I am pain free."
3. "Lifting anything heavier than my baby is not advised."
4. "I will not cross my legs while sitting." - CORRECT ANSWER 2.
Correct: This is an incorrect statement. C-sections require a much
longer recovery. The client will not have the abdominal muscles to
press down on the brake pedal in an emergency. Therefore, new moms
who had C-sections should wait until after the three week postpartum
appointment to drive.
The nurse is instructing expectant first-time mothers about the
process of rooming-in while at the hospital. After discussing security
protocols, one client asks the nurse what to do if no staff is available
when toileting or showering assistance is needed. The nurse knows
teaching was successful when another client responds with what
statement?
1. "Only hand the baby to individuals wearing proper hospital I.D."
2. "Ask family member to watch infant while you're in the bathroom."
3. "Showering is not necessary since discharge is within 24 hours."
4. "Push baby in bassinet with you into bathroom if no one available." -
CORRECT ANSWER 4. CORRECT. There are many safety and security
measures implemented to diminish the potential for newborn
abductions. At no time should a newborn ever be left alone, even in
the mother's room. In the unlikely event no authorized staff can assist
the client in the bathroom, the newborn should be wheeled by the
mother into the bathroom and kept in view at all times.
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
A woman provides the nurse with the following obstetrical history.
Delivered a son, now age 7, at 28 weeks gestation, delivered a
daughter, not 5, at 39 weeks, ad a miscarriage 3 years ago, and had a
first trimester abortion 2 years ago. She is currently pregnant. What is
her GTPAL? - CORRECT ANSWER G5 T1 P1 A2 L2
A client states that she is a strong believer in vitamin supplements to
maintain her health. The nurse advises the woman that it is
recommended to refrain from consuming excess quantities of which
vitamin during pregnancy? - CORRECT ANSWER Vitamin D
A woman asks the nurse about consuming herbal supplements during
pregnancy. What is an appropriate response by the nurse? - CORRECT
ANSWER The woman should discuss everything she eats with a HCP
It is discovered that a pregnant woman practices pica. Which
complication is most often associated with this behavior - CORRECT
ANSWER Iron deficiency anemia
,A woman has just completed her first trimester. Which fetal structures
are formed at this time? - CORRECT ANSWER Genitals, heart, fingers,
and kidneys
An ultrasound of a fetus' heart shows that normal fetal circulation is
occurring. Which statement is interpreted as correct in relation to the
fetal circulation? - CORRECT ANSWER The right atrium contains both
oxygen rich and oxygen poor blood
A mother has just experienced quickening. Which developmental
changes would the nurse expect to occur at the same time in the
woman's pregnancy? - CORRECT ANSWER Lanugo covers the fetal
body
The gravida's fundal height is noted to be at the xiphoid process. The
nurse is aware that which fetal changes are likely to be occurring at
the same time? - CORRECT ANSWER Surfactant is formed in the fetal
lungs
Place in chronological order the for important fetal landmarks of fetal
development - CORRECT ANSWER 1. Blastocyst development is
complete
2. Four chambered heart is formed
3. Vernix caseosa is present
4. Testest has descended into the scrotal sac
Which developmental features would the nurse expect to be absent in
a 41 week gestation fetus? - CORRECT ANSWER Lanugo
A woman delivers a fetal demise that has lanugo covering the entire
body, nails that are present on fingers and toes, but the eyes are still
fused to the death, the mother stated hat she had felt quickening.
Based on this information, he nurse knows that the baby is about how
many weeks gestation? - CORRECT ANSWER 22 weeks
A client asks the nurse "Could you explain how the baby's blood and
my blood separate at delivery?" Which response is appropriate for the
,nurse to make? - CORRECT ANSWER The blood actually never mixes,
your blood supply and the baby's blood supply are completely separate
A client comes to an obstetric clinic for a routine prenatal checkup at
32 weeks gestation. The nurse palpates the client's abdomen to
determine fetal position so that fetal heart sounds can be assessed. It
is determined that the fetal position is left occipital anterior (LOA).
Where should the nurse place the Doppler to hear fetal heart sounds?
1. Below the umbilicus, on the mother's left side.
2. Below the umbilicus, on the mother's right side.
3. Above the umbilicus, on the mother's right side.
4. Above the umbilicus, on the mother's left side. - CORRECT ANSWER
1. Correct: The point of maximal intensity of the fetus is on the mom's
abdomen where the fetal heart tones (FHT) is the loudest, usually over
the fetal back. Divide the mom's pelvis into 4 quadrants (right and left
anterior and right and left posterior). The occiput of the head is the
most common presenting part and is abbreviated O. The occiput and
back are pressing against left side of mom's abdomen; FHT would be
heard below umbilicus on left side.
The nurse is teaching comfort measures to a postpartum client with
an episiotomy and external hemorrhoids. Which teaching points should
the nurse include?
Select all that apply
1. Apply ice to perineum for first 12 hours.
2. Take sitz baths at temperature of 107.6°-111.2°F (42-44°C).
3. Use witch hazel compresses on rectal areas for hemorrhoids.
4. Take ibuprofen for pain.
5. Apply topical anesthetics to perineal area.
6. Avoid sexual intercourse until episiotomy has healed. - CORRECT
ANSWER 1., 3., 4., 5., & 6. Correct: Ice causes vasoconstriction and is
most effective if applied soon after the birth to prevent edema and to
numb the area. Chemical ice packs or clean gloves filled with ice may
be used during the first 12 hours after a vaginal birth. Witch hazel
contains chemicals called tannins. When applied directly to the skin,
witch hazel might help reduce swelling and help repair broken skin.
Analgesics such as acetaminophen and nonsteroidal anti inflammatory
, drugs (NSAIDs) such as ibuprofen frequently are prescribed to provide
relief for mild to moderate discomfort. Topical anesthetic may be used
as needed to decrease surface discomfort and allow more comfortable
ambulation. Sexual intercourse prior to healing of the episiotomy may
contribute to further perineal damage.
A nurse has provided postpartum discharge instructions to a client
who had a cesarean section. What statement by the client would
indicate to the nurse that further teaching is necessary?
1. "I will relax and contract my pelvic floor muscles 10 times, eight
times a day."
2. "Driving is permitted in one week if I am pain free."
3. "Lifting anything heavier than my baby is not advised."
4. "I will not cross my legs while sitting." - CORRECT ANSWER 2.
Correct: This is an incorrect statement. C-sections require a much
longer recovery. The client will not have the abdominal muscles to
press down on the brake pedal in an emergency. Therefore, new moms
who had C-sections should wait until after the three week postpartum
appointment to drive.
The nurse is instructing expectant first-time mothers about the
process of rooming-in while at the hospital. After discussing security
protocols, one client asks the nurse what to do if no staff is available
when toileting or showering assistance is needed. The nurse knows
teaching was successful when another client responds with what
statement?
1. "Only hand the baby to individuals wearing proper hospital I.D."
2. "Ask family member to watch infant while you're in the bathroom."
3. "Showering is not necessary since discharge is within 24 hours."
4. "Push baby in bassinet with you into bathroom if no one available." -
CORRECT ANSWER 4. CORRECT. There are many safety and security
measures implemented to diminish the potential for newborn
abductions. At no time should a newborn ever be left alone, even in
the mother's room. In the unlikely event no authorized staff can assist
the client in the bathroom, the newborn should be wheeled by the
mother into the bathroom and kept in view at all times.
