ATI Maternal Newborn Assessment Practice
Questions
Instructions
The following 80 multiple-choice questions are designed to test your knowledge
in Antepartum, Intrapartum, Postpartum Care, Newborn Assessment and Com-
plications, Lactation, Medications, and Patient Teaching. Each question has four
answer choices (A–D). Select the best answer for each question. An answer key
is provided at the end.
Questions
1. A 32-year-old client at 30 weeks gestation reports a sudden gush of fluid
from the vagina. What is the nurse’s priority action?
A. Assess fetal heart rate
B. Administer tocolytics
C. Encourage ambulation
D. Collect a urine sample
Correct Answer: A
2. A client in labor at 39 weeks gestation has a fetal heart rate of 90 bpm lasting
2 minutes. What should the nurse do first?
A. Increase oxytocin infusion
B. Reposition the client to the left side
C. Prepare for cesarean delivery
D. Administer IV fluids
Correct Answer: B
3. A client 24 hours postpartum reports a sudden increase in vaginal bleeding.
What should the nurse assess first?
A. Fundal height and tone
B. Lochia odor
C. Perineal swelling
D. Blood pressure
Correct Answer: A
4. A newborn at 12 hours of age has a temperature of 36.1°C (97°F). What is
the nurse’s priority action?
A. Place the newborn under a radiant warmer
1
,Page 2 of 16 ATI Maternal Newborn Assessment
B. Administer antipyretics
C. Document as normal
D. Increase feeding frequency
Correct Answer: A
5. A breastfeeding client reports cracked nipples after 3 days. What should
the nurse recommend?
A. Clean nipples with soap before feeding
B. Apply lanolin cream after feedings
C. Use a nipple shield for all feedings
D. Stop breastfeeding for 48 hours
Correct Answer: B
6. A client with preeclampsia is prescribed magnesium sulfate. What should
the nurse monitor for as a sign of toxicity?
A. Increased respiratory rate
B. Decreased deep tendon reflexes
C. Elevated blood pressure
D. Increased urine output
Correct Answer: B
7. A nurse is teaching a client about postpartum warning signs. Which client
statement indicates a need for further teaching?
A. “I should report a fever above 100.4°F.”
B. “Soaking a pad every hour is normal.”
C. “Foul-smelling lochia is a concern.”
D. “Chest pain requires immediate attention.”
Correct Answer: B
8. A client at 28 weeks gestation reports epigastric pain and headache. What
should the nurse suspect?
A. Gestational diabetes
B. Preeclampsia
C. Normal pregnancy discomfort
D. Preterm labor
Correct Answer: B
9. A client in active labor has meconium-stained amniotic fluid. What is the
nurse’s priority action?
A. Increase oxytocin infusion
B. Notify the neonatal team
C. Administer IV antibiotics
D. Change the client’s position
Correct Answer: B
10. A client 3 days postpartum reports tenderness and redness in one breast.
What should the nurse suspect?
A. Engorgement
B. Mastitis
C. Plugged milk duct
, Page 3 of 16 ATI Maternal Newborn Assessment
D. Normal lactation change
Correct Answer: B
11. A newborn exhibits cyanosis during feeding. What should the nurse assess
first?
A. Blood glucose level
B. Oxygen saturation
C. Temperature
D. Bilirubin level
Correct Answer: B
12. A client reports breast engorgement 4 days postpartum. What should the
nurse recommend?
A. Apply warm compresses before feeding
B. Stop breastfeeding for 24 hours
C. Limit feeding to every 4 hours
D. Use a breast pump exclusively
Correct Answer: A
13. A postpartum client is prescribed methylergonovine. What is the primary
purpose of this medication?
A. Relieve postpartum pain
B. Prevent postpartum infection
C. Promote uterine involution
D. Reduce blood pressure
Correct Answer: C
14. A nurse is teaching a client about newborn safety. Which statement indi-
cates understanding?
A. “I should place my baby on their stomach to sleep.”
B. “I can use soft bedding in the crib.”
C. “I should place my baby on their back to sleep.”
D. “I can leave my baby alone on the changing table.”
Correct Answer: C
15. A client at 34 weeks gestation reports decreased fetal movement. What
should the nurse do first?
A. Administer oxygen
B. Perform a nonstress test
C. Encourage fluid intake
D. Prepare for induction
Correct Answer: B
16. A client in labor has a prolonged fetal heart rate deceleration. What should
the nurse do first?
A. Administer a tocolytic
B. Change the client’s position
C. Increase IV fluids
D. Prepare for cesarean delivery
Correct Answer: B
Questions
Instructions
The following 80 multiple-choice questions are designed to test your knowledge
in Antepartum, Intrapartum, Postpartum Care, Newborn Assessment and Com-
plications, Lactation, Medications, and Patient Teaching. Each question has four
answer choices (A–D). Select the best answer for each question. An answer key
is provided at the end.
Questions
1. A 32-year-old client at 30 weeks gestation reports a sudden gush of fluid
from the vagina. What is the nurse’s priority action?
A. Assess fetal heart rate
B. Administer tocolytics
C. Encourage ambulation
D. Collect a urine sample
Correct Answer: A
2. A client in labor at 39 weeks gestation has a fetal heart rate of 90 bpm lasting
2 minutes. What should the nurse do first?
A. Increase oxytocin infusion
B. Reposition the client to the left side
C. Prepare for cesarean delivery
D. Administer IV fluids
Correct Answer: B
3. A client 24 hours postpartum reports a sudden increase in vaginal bleeding.
What should the nurse assess first?
A. Fundal height and tone
B. Lochia odor
C. Perineal swelling
D. Blood pressure
Correct Answer: A
4. A newborn at 12 hours of age has a temperature of 36.1°C (97°F). What is
the nurse’s priority action?
A. Place the newborn under a radiant warmer
1
,Page 2 of 16 ATI Maternal Newborn Assessment
B. Administer antipyretics
C. Document as normal
D. Increase feeding frequency
Correct Answer: A
5. A breastfeeding client reports cracked nipples after 3 days. What should
the nurse recommend?
A. Clean nipples with soap before feeding
B. Apply lanolin cream after feedings
C. Use a nipple shield for all feedings
D. Stop breastfeeding for 48 hours
Correct Answer: B
6. A client with preeclampsia is prescribed magnesium sulfate. What should
the nurse monitor for as a sign of toxicity?
A. Increased respiratory rate
B. Decreased deep tendon reflexes
C. Elevated blood pressure
D. Increased urine output
Correct Answer: B
7. A nurse is teaching a client about postpartum warning signs. Which client
statement indicates a need for further teaching?
A. “I should report a fever above 100.4°F.”
B. “Soaking a pad every hour is normal.”
C. “Foul-smelling lochia is a concern.”
D. “Chest pain requires immediate attention.”
Correct Answer: B
8. A client at 28 weeks gestation reports epigastric pain and headache. What
should the nurse suspect?
A. Gestational diabetes
B. Preeclampsia
C. Normal pregnancy discomfort
D. Preterm labor
Correct Answer: B
9. A client in active labor has meconium-stained amniotic fluid. What is the
nurse’s priority action?
A. Increase oxytocin infusion
B. Notify the neonatal team
C. Administer IV antibiotics
D. Change the client’s position
Correct Answer: B
10. A client 3 days postpartum reports tenderness and redness in one breast.
What should the nurse suspect?
A. Engorgement
B. Mastitis
C. Plugged milk duct
, Page 3 of 16 ATI Maternal Newborn Assessment
D. Normal lactation change
Correct Answer: B
11. A newborn exhibits cyanosis during feeding. What should the nurse assess
first?
A. Blood glucose level
B. Oxygen saturation
C. Temperature
D. Bilirubin level
Correct Answer: B
12. A client reports breast engorgement 4 days postpartum. What should the
nurse recommend?
A. Apply warm compresses before feeding
B. Stop breastfeeding for 24 hours
C. Limit feeding to every 4 hours
D. Use a breast pump exclusively
Correct Answer: A
13. A postpartum client is prescribed methylergonovine. What is the primary
purpose of this medication?
A. Relieve postpartum pain
B. Prevent postpartum infection
C. Promote uterine involution
D. Reduce blood pressure
Correct Answer: C
14. A nurse is teaching a client about newborn safety. Which statement indi-
cates understanding?
A. “I should place my baby on their stomach to sleep.”
B. “I can use soft bedding in the crib.”
C. “I should place my baby on their back to sleep.”
D. “I can leave my baby alone on the changing table.”
Correct Answer: C
15. A client at 34 weeks gestation reports decreased fetal movement. What
should the nurse do first?
A. Administer oxygen
B. Perform a nonstress test
C. Encourage fluid intake
D. Prepare for induction
Correct Answer: B
16. A client in labor has a prolonged fetal heart rate deceleration. What should
the nurse do first?
A. Administer a tocolytic
B. Change the client’s position
C. Increase IV fluids
D. Prepare for cesarean delivery
Correct Answer: B
