ATI MATERNAL NEWBORN ASSESSMENT
STUDY GUIDE 2026 – COMPLETE CONCEPT
REVIEW & PRACTICE MATERIALS (LATEST
EDITION)
1. A nurse is reviewing a client's prenatal chart. Which finding indicates a positive sign of
pregnancy?
A. Amenorrhea
B. Positive serum hCG test
C. Fetal heartbeat visualized on ultrasound ✓
D. Chadwick's sign
2. During a prenatal visit, a client at 28 weeks gestation is diagnosed with iron-deficiency
anemia. Which dietary instruction is most appropriate?
A. "Increase your intake of citrus fruits and tomatoes."
B. "Take your iron supplement with a glass of milk."
C. "Take your iron supplement with orange juice." ✓
D. "Increase your consumption of cheese and yogurt."
3. Naegele's rule is used to calculate the:
A. Gravidity and parity
B. Estimated Date of Delivery (EDD) ✓
C. Fundal height
D. Recommended weight gain
4. A pregnant client asks about the purpose of the non-stress test (NST). The nurse's best
response is that it assesses:
A. Placental maturity via ultrasound
B. Fetal lung maturity via amniocentesis
C. Fetal heart rate accelerations in response to movement ✓
D. The contraction stress response of the uterus
5. Which finding in a pregnant client warrants immediate further assessment?
A. Dependent edema in the ankles at the end of the day
B. Complaints of heartburn after meals
,C. Facial edema and sudden weight gain of 4 lbs in a week ✓
D. Striae gravidarum on the abdomen
6. A primigravida client at 10 weeks gestation asks when she will first feel the baby move. The
nurse's best response is:
A. "Between 12 and 14 weeks."
B. "Between 18 and 20 weeks." ✓
C. "Between 24 and 26 weeks."
D. "Between 28 and 30 weeks."
7. The hormone responsible for maintaining the corpus luteum and progesterone production
in early pregnancy is:
A. Estrogen
B. Prolactin
C. Human chorionic gonadotropin (hCG) ✓
D. Follicle-stimulating hormone (FSH)
8. A client in her second trimester reports low back pain. Which suggestion by the nurse is
most appropriate?
A. "Wear high-heeled shoes for better support."
B. "Perform pelvic tilt exercises." ✓
C. "Limit your fluid intake to reduce pressure."
D. "Stay in a supine position for rest."
Intrapartum Care (Labor & Delivery)
9. A client in active labor has a fetus in the occiput posterior position. The nurse anticipates
the client will most likely experience:
A. Intense back pain ✓
B. Rapid cervical dilation
C. Decreased urge to push
D. Early rupture of membranes
10. The nurse observes late decelerations on the fetal heart monitor. The nurse's priority
action is to:
A. Increase the rate of the oxytocin infusion
B. Assist the client to a left lateral position ✓
C. Prepare for immediate forceps delivery
D. Encourage the client to push with contractions
,11. Which finding indicates that a client is in true labor?
A. Contractions that stop with ambulation
B. Cervical dilation and effacement ✓
C. Fetal station at -2
D. Loss of the mucus plug
12. The nurse is preparing a client for an emergency cesarean section. The client asks why an
indwelling urinary catheter is needed. The nurse explains it is to:
A. Monitor urine output during surgery
B. Prevent incontinence during delivery
C. Keep the bladder empty to reduce injury ✓
D. Collect a sterile urine specimen
13. During the second stage of labor, the nurse notes a trickle of bright red blood with
contractions and increased bulging of the perineum. This indicates:
A. Placental abruption
B. Normal progression of labor ✓
C. Cervical laceration
D. Onset of the third stage
14. A laboring client's membranes rupture spontaneously. The nurse's immediate action is to:
A. Prepare for imminent delivery
B. Check the fetal heart rate ✓
C. Perform a vaginal exam
D. Increase the IV fluid rate
15. A nurse is coaching a client through pushing. The most effective instruction is to:
A. Hold your breath and push for 20 seconds.
B. Take a cleansing breath, then push for 10 seconds while exhaling. ✓
C. Push with every other contraction to conserve energy.
D. Push only when you feel intense pressure.
16. The primary difference between the labor of a nullipara and a multipara is:
A. Total duration of labor ✓
B. Intensity of contractions
C. Onset of spontaneous rupture of membranes
D. Frequency of contractions in the first stage
17. A client at 40 weeks is receiving oxytocin for induction of labor. The nurse should
discontinue the oxytocin and notify the provider for which finding?
, A. Contractions every 3 minutes, lasting 60 seconds
B. Uterine resting tone that is firm between contractions ✓
C. FHR variability of 10-15 bpm
D. Cervical change from 3 cm to 5 cm in 2 hours
Postpartum Care
18. One hour after a vaginal delivery, a client's fundus is boggy, deviated to the right, and
there is a large amount of lochia rubra. The nurse's first action should be to:
A. Massage the fundus vigorously
B. Administer prescribed oxytocin
C. Assist the client to empty her bladder ✓
D. Check vital signs
19. A postpartum client is diagnosed with endometritis. Which finding is most consistent with
this diagnosis?
A. Localized perineal pain and swelling
B. Fever, uterine tenderness, and foul-smelling lochia ✓
C. Unilateral calf pain and redness
D. High blood pressure and proteinuria
20. A nurse is assessing for signs of deep vein thrombosis (DVT) in a postpartum client. Which
finding is most concerning?
A. Mild edema in both ankles
B. Homans' sign (calf pain on dorsiflexion) ✓
C. Varicose veins on both legs
D. Reports of afterpains with breastfeeding
21. The nurse understands that a postpartum client with an Rh-negative blood type who
delivers an Rh-positive infant will require:
A. Rho(D) immune globulin within 72 hours ✓
B. A blood transfusion before discharge
C. Prophylactic antibiotics for 7 days
D. Isolation from the newborn
22. On day 3 postpartum, a client reports feeling sad, tearful, and overwhelmed. She states, "I
just can't stop crying." The nurse's best response is:
A. "This is a medical emergency; I need to notify your doctor immediately."
B. "These feelings are common and are often called the 'baby blues.'" ✓
STUDY GUIDE 2026 – COMPLETE CONCEPT
REVIEW & PRACTICE MATERIALS (LATEST
EDITION)
1. A nurse is reviewing a client's prenatal chart. Which finding indicates a positive sign of
pregnancy?
A. Amenorrhea
B. Positive serum hCG test
C. Fetal heartbeat visualized on ultrasound ✓
D. Chadwick's sign
2. During a prenatal visit, a client at 28 weeks gestation is diagnosed with iron-deficiency
anemia. Which dietary instruction is most appropriate?
A. "Increase your intake of citrus fruits and tomatoes."
B. "Take your iron supplement with a glass of milk."
C. "Take your iron supplement with orange juice." ✓
D. "Increase your consumption of cheese and yogurt."
3. Naegele's rule is used to calculate the:
A. Gravidity and parity
B. Estimated Date of Delivery (EDD) ✓
C. Fundal height
D. Recommended weight gain
4. A pregnant client asks about the purpose of the non-stress test (NST). The nurse's best
response is that it assesses:
A. Placental maturity via ultrasound
B. Fetal lung maturity via amniocentesis
C. Fetal heart rate accelerations in response to movement ✓
D. The contraction stress response of the uterus
5. Which finding in a pregnant client warrants immediate further assessment?
A. Dependent edema in the ankles at the end of the day
B. Complaints of heartburn after meals
,C. Facial edema and sudden weight gain of 4 lbs in a week ✓
D. Striae gravidarum on the abdomen
6. A primigravida client at 10 weeks gestation asks when she will first feel the baby move. The
nurse's best response is:
A. "Between 12 and 14 weeks."
B. "Between 18 and 20 weeks." ✓
C. "Between 24 and 26 weeks."
D. "Between 28 and 30 weeks."
7. The hormone responsible for maintaining the corpus luteum and progesterone production
in early pregnancy is:
A. Estrogen
B. Prolactin
C. Human chorionic gonadotropin (hCG) ✓
D. Follicle-stimulating hormone (FSH)
8. A client in her second trimester reports low back pain. Which suggestion by the nurse is
most appropriate?
A. "Wear high-heeled shoes for better support."
B. "Perform pelvic tilt exercises." ✓
C. "Limit your fluid intake to reduce pressure."
D. "Stay in a supine position for rest."
Intrapartum Care (Labor & Delivery)
9. A client in active labor has a fetus in the occiput posterior position. The nurse anticipates
the client will most likely experience:
A. Intense back pain ✓
B. Rapid cervical dilation
C. Decreased urge to push
D. Early rupture of membranes
10. The nurse observes late decelerations on the fetal heart monitor. The nurse's priority
action is to:
A. Increase the rate of the oxytocin infusion
B. Assist the client to a left lateral position ✓
C. Prepare for immediate forceps delivery
D. Encourage the client to push with contractions
,11. Which finding indicates that a client is in true labor?
A. Contractions that stop with ambulation
B. Cervical dilation and effacement ✓
C. Fetal station at -2
D. Loss of the mucus plug
12. The nurse is preparing a client for an emergency cesarean section. The client asks why an
indwelling urinary catheter is needed. The nurse explains it is to:
A. Monitor urine output during surgery
B. Prevent incontinence during delivery
C. Keep the bladder empty to reduce injury ✓
D. Collect a sterile urine specimen
13. During the second stage of labor, the nurse notes a trickle of bright red blood with
contractions and increased bulging of the perineum. This indicates:
A. Placental abruption
B. Normal progression of labor ✓
C. Cervical laceration
D. Onset of the third stage
14. A laboring client's membranes rupture spontaneously. The nurse's immediate action is to:
A. Prepare for imminent delivery
B. Check the fetal heart rate ✓
C. Perform a vaginal exam
D. Increase the IV fluid rate
15. A nurse is coaching a client through pushing. The most effective instruction is to:
A. Hold your breath and push for 20 seconds.
B. Take a cleansing breath, then push for 10 seconds while exhaling. ✓
C. Push with every other contraction to conserve energy.
D. Push only when you feel intense pressure.
16. The primary difference between the labor of a nullipara and a multipara is:
A. Total duration of labor ✓
B. Intensity of contractions
C. Onset of spontaneous rupture of membranes
D. Frequency of contractions in the first stage
17. A client at 40 weeks is receiving oxytocin for induction of labor. The nurse should
discontinue the oxytocin and notify the provider for which finding?
, A. Contractions every 3 minutes, lasting 60 seconds
B. Uterine resting tone that is firm between contractions ✓
C. FHR variability of 10-15 bpm
D. Cervical change from 3 cm to 5 cm in 2 hours
Postpartum Care
18. One hour after a vaginal delivery, a client's fundus is boggy, deviated to the right, and
there is a large amount of lochia rubra. The nurse's first action should be to:
A. Massage the fundus vigorously
B. Administer prescribed oxytocin
C. Assist the client to empty her bladder ✓
D. Check vital signs
19. A postpartum client is diagnosed with endometritis. Which finding is most consistent with
this diagnosis?
A. Localized perineal pain and swelling
B. Fever, uterine tenderness, and foul-smelling lochia ✓
C. Unilateral calf pain and redness
D. High blood pressure and proteinuria
20. A nurse is assessing for signs of deep vein thrombosis (DVT) in a postpartum client. Which
finding is most concerning?
A. Mild edema in both ankles
B. Homans' sign (calf pain on dorsiflexion) ✓
C. Varicose veins on both legs
D. Reports of afterpains with breastfeeding
21. The nurse understands that a postpartum client with an Rh-negative blood type who
delivers an Rh-positive infant will require:
A. Rho(D) immune globulin within 72 hours ✓
B. A blood transfusion before discharge
C. Prophylactic antibiotics for 7 days
D. Isolation from the newborn
22. On day 3 postpartum, a client reports feeling sad, tearful, and overwhelmed. She states, "I
just can't stop crying." The nurse's best response is:
A. "This is a medical emergency; I need to notify your doctor immediately."
B. "These feelings are common and are often called the 'baby blues.'" ✓
