ATI Practice Assessments for Maternal-Newborn LATEST EXAM
STUDY GUIDE QUESTIONS AND WELL ELABORATED ANSWERS (MOST
TESTED QUESTIONS WITH VERIFIED ANSWERS) LATEST UPDATES
2025 |ALREADY GRADED A+
A client chooses the mini-pill (progestin-only pill) for contraception.
What does the nurse teach the client about the effectiveness of this
form of contraception?
You must take it in the same three-hour window every day or it will not
be effective.
You must take one pill each day. If you miss one pill you can take 2
the next day.
You must take it within 12 hours of having intercourse to prevent
conception.
You must take one of the supplemental pills just before having
intercourse. - CORRECT ANSWER You must take it in the same three-
hour window every day or it will not be effective.
A client receives general anesthesia for an emergency cesarean birth.
The nurse should monitor the client for which postpartum
complication during the first 2 hours after birth?
Uterine atony
Endometriosis
Pneumonia
Urinary retention - CORRECT ANSWER Uterine atony
During active labor the provider ruptures the client's membranes. The
fluid flowing out of the client's vagina is green-colored. The nurse
recognizes that this finding is evidence of which condition?
Fetal hypoxia
Placenta abruption
Rupture of the umbilical vessel
Fetal bleeding - CORRECT ANSWER Fetal hypoxia
,After a postpartum hemorrhage, what signs would alert the nurse to
the development of hypovolemic shock?
Tachycardia, hypotension, and decreased urine output
Bradycardia, hypertension, and low platelets
Tachycardia, hypertension, and decreasing hematocrit levels
Bradycardia, hypotension, and decreasing SpO2 - CORRECT ANSWER
Tachycardia, hypotension, and decreased urine output
During an ultrasound, the client's placenta is visualized low in the
uterus and covers the cervix. The nurse explains to the client that this
finding is a characteristic of:
placenta previa.
placental abruption.
placenta accreta.
placental insufficiency. - CORRECT ANSWER placenta previa.
A nurse is listening to a client who is a victim of intimate partner
violence. The client is describing how events would unfold with the
partner. The nurse interprets the client's statements and identifies
which action as characteristic of the second phase of the cycle of
violence?
The batterer is contrite and attempts to apologize for the behavior.
The physical battery is abrupt and unpredictable.
Verbal assaults begin to escalate toward the victim.
The victim accepts the anger as legitimately directed at him or her. -
CORRECT ANSWER The physical battery is abrupt and unpredictable.
Place the three phases of intimate partner violence in the order in
which they occur. Use all options.
1tension-building phase
2acute violence phase
3honeymoon phase - CORRECT ANSWER 1tension-building phase
2acute violence phase
3honeymoon phase
,During her annual visit, a woman states that she is trying to become
pregnant. The nurse takes an inventory of all the over-the counter
medications, vitamins, and supplements the woman uses. Which item
on this list would the nurse instruct the woman to discontinue in case
she becomes pregnant?
Folate-enriched vitamins
Iron supplement
Vitamin A capsules
Vitamin D Tablets - CORRECT ANSWER Vitamin A capsules
A client at 38 weeks' gestation is admitted to labor and delivery with
heavy vaginal bleeding after sustaining abdominal trauma during a
motor vehicle accident.
1Assess maternal vital signs.
2Assess uterine tone.
3Obtain blood for routine labs.
4Administer pain medication. - CORRECT ANSWER Assess maternal
vital signs.
Assess uterine tone.
Obtain blood for routine labs.
Administer pain medication.
Maria Sanchez
Maria Sanchez, 20-year-old female, G1 P1 L1, 39 weeks gestation.
Pregnancy uncomplicated. O+, Rubella immune, Group B Strep
negative. NKDA. 12-hour 1st stage, 1 hour 2nd stage, 10 minute 3rd
stage. Spontaneous vaginal delivery with 1st degree perineal
laceration one hour ago. Vital signs stable; fundus firm, midline, at
umbilicus; Lochia rubra moderate, no clots; Up to bathroom x1- 500
mL, no dysuria, instructed on peri-care; Legs still a little "tingly" but
able to bear weight with assist X2. Pain level 3/10- ice to perineum
with relief. Neonate male- Juan- 3500 g; Apgar 8 & 9; T 36.8 C, 98.2 F;
AP 156 beats/minute, regular; R 52 breaths/minute, irregular. Skin-to-
skin with mother for first hour. Beginning to show hunger cues. Their
, plan is do both breast and bottle feeding; "las dos cosas." Maria's
husband Raul is a quiet presence. Her mother, grandmother, and older
sister were Maria's support persons - CORRECT ANSWER Educational
Needs: Increased acuity
Fall Risk: Increased acuity
Health Changes: Increased acuity
Pain Level: Increased acuity
Psychological Needs: Increased acuity
Sensorium: Normal acuity
Jessica Wu
Jessica Wu, 35-year-old Asian female, G3 T2 P2 A0 L2, 35 weeks
gestation. NKDA. Previous pregnancies uncomplicated but Cesarean
births due to persistent breech position. Smoker x 15 years but states
she "cut back to 3 cigarettes/day during her pregnancies." Reports
that she started smoking during college. States started having
moderate amount of bright red bleeding about 0800. Came to the
hospital after dropping the older children at school (5 and 7 years old).
She has called her husband and he is meeting her at the hospital
because he was already at work. It is now 0945. She is anxious about
the bleeding. States she "never had anything like this with her other
pregnancies!" Denies pain, contractions, or leaking of amniotic fluid. -
CORRECT ANSWER Educational Needs: Increased acuity
Fall Risk: Increased acuity
Health Change: Increased acuity
Pain Level: Normal acuity
Psychological Needs: Increased acuity
Sensorium: Normal acuity
Miranda Johnson
Miranda Johnson, 32 y/o G3P2 at 39 weeks gestation. It has been 10
years since her last pregnancy. She was admitted to Labor & Delivery
late last night in active labor. Upon admission, sterile vaginal exam
(SVE) was 2 cm dilated, 80% effaced and -1 station (2/80/-1). She had
small amount of bloody discharge, but membranes were intact.
Contractions were every 3-4 mins., lasting 50-80 secs., with reassuring
fetal heart rate (FHR). She rated her pain as 3 on 0-10 pain scale and
stated most of the pain was in her back and vaginal area. Ms. Johnson
STUDY GUIDE QUESTIONS AND WELL ELABORATED ANSWERS (MOST
TESTED QUESTIONS WITH VERIFIED ANSWERS) LATEST UPDATES
2025 |ALREADY GRADED A+
A client chooses the mini-pill (progestin-only pill) for contraception.
What does the nurse teach the client about the effectiveness of this
form of contraception?
You must take it in the same three-hour window every day or it will not
be effective.
You must take one pill each day. If you miss one pill you can take 2
the next day.
You must take it within 12 hours of having intercourse to prevent
conception.
You must take one of the supplemental pills just before having
intercourse. - CORRECT ANSWER You must take it in the same three-
hour window every day or it will not be effective.
A client receives general anesthesia for an emergency cesarean birth.
The nurse should monitor the client for which postpartum
complication during the first 2 hours after birth?
Uterine atony
Endometriosis
Pneumonia
Urinary retention - CORRECT ANSWER Uterine atony
During active labor the provider ruptures the client's membranes. The
fluid flowing out of the client's vagina is green-colored. The nurse
recognizes that this finding is evidence of which condition?
Fetal hypoxia
Placenta abruption
Rupture of the umbilical vessel
Fetal bleeding - CORRECT ANSWER Fetal hypoxia
,After a postpartum hemorrhage, what signs would alert the nurse to
the development of hypovolemic shock?
Tachycardia, hypotension, and decreased urine output
Bradycardia, hypertension, and low platelets
Tachycardia, hypertension, and decreasing hematocrit levels
Bradycardia, hypotension, and decreasing SpO2 - CORRECT ANSWER
Tachycardia, hypotension, and decreased urine output
During an ultrasound, the client's placenta is visualized low in the
uterus and covers the cervix. The nurse explains to the client that this
finding is a characteristic of:
placenta previa.
placental abruption.
placenta accreta.
placental insufficiency. - CORRECT ANSWER placenta previa.
A nurse is listening to a client who is a victim of intimate partner
violence. The client is describing how events would unfold with the
partner. The nurse interprets the client's statements and identifies
which action as characteristic of the second phase of the cycle of
violence?
The batterer is contrite and attempts to apologize for the behavior.
The physical battery is abrupt and unpredictable.
Verbal assaults begin to escalate toward the victim.
The victim accepts the anger as legitimately directed at him or her. -
CORRECT ANSWER The physical battery is abrupt and unpredictable.
Place the three phases of intimate partner violence in the order in
which they occur. Use all options.
1tension-building phase
2acute violence phase
3honeymoon phase - CORRECT ANSWER 1tension-building phase
2acute violence phase
3honeymoon phase
,During her annual visit, a woman states that she is trying to become
pregnant. The nurse takes an inventory of all the over-the counter
medications, vitamins, and supplements the woman uses. Which item
on this list would the nurse instruct the woman to discontinue in case
she becomes pregnant?
Folate-enriched vitamins
Iron supplement
Vitamin A capsules
Vitamin D Tablets - CORRECT ANSWER Vitamin A capsules
A client at 38 weeks' gestation is admitted to labor and delivery with
heavy vaginal bleeding after sustaining abdominal trauma during a
motor vehicle accident.
1Assess maternal vital signs.
2Assess uterine tone.
3Obtain blood for routine labs.
4Administer pain medication. - CORRECT ANSWER Assess maternal
vital signs.
Assess uterine tone.
Obtain blood for routine labs.
Administer pain medication.
Maria Sanchez
Maria Sanchez, 20-year-old female, G1 P1 L1, 39 weeks gestation.
Pregnancy uncomplicated. O+, Rubella immune, Group B Strep
negative. NKDA. 12-hour 1st stage, 1 hour 2nd stage, 10 minute 3rd
stage. Spontaneous vaginal delivery with 1st degree perineal
laceration one hour ago. Vital signs stable; fundus firm, midline, at
umbilicus; Lochia rubra moderate, no clots; Up to bathroom x1- 500
mL, no dysuria, instructed on peri-care; Legs still a little "tingly" but
able to bear weight with assist X2. Pain level 3/10- ice to perineum
with relief. Neonate male- Juan- 3500 g; Apgar 8 & 9; T 36.8 C, 98.2 F;
AP 156 beats/minute, regular; R 52 breaths/minute, irregular. Skin-to-
skin with mother for first hour. Beginning to show hunger cues. Their
, plan is do both breast and bottle feeding; "las dos cosas." Maria's
husband Raul is a quiet presence. Her mother, grandmother, and older
sister were Maria's support persons - CORRECT ANSWER Educational
Needs: Increased acuity
Fall Risk: Increased acuity
Health Changes: Increased acuity
Pain Level: Increased acuity
Psychological Needs: Increased acuity
Sensorium: Normal acuity
Jessica Wu
Jessica Wu, 35-year-old Asian female, G3 T2 P2 A0 L2, 35 weeks
gestation. NKDA. Previous pregnancies uncomplicated but Cesarean
births due to persistent breech position. Smoker x 15 years but states
she "cut back to 3 cigarettes/day during her pregnancies." Reports
that she started smoking during college. States started having
moderate amount of bright red bleeding about 0800. Came to the
hospital after dropping the older children at school (5 and 7 years old).
She has called her husband and he is meeting her at the hospital
because he was already at work. It is now 0945. She is anxious about
the bleeding. States she "never had anything like this with her other
pregnancies!" Denies pain, contractions, or leaking of amniotic fluid. -
CORRECT ANSWER Educational Needs: Increased acuity
Fall Risk: Increased acuity
Health Change: Increased acuity
Pain Level: Normal acuity
Psychological Needs: Increased acuity
Sensorium: Normal acuity
Miranda Johnson
Miranda Johnson, 32 y/o G3P2 at 39 weeks gestation. It has been 10
years since her last pregnancy. She was admitted to Labor & Delivery
late last night in active labor. Upon admission, sterile vaginal exam
(SVE) was 2 cm dilated, 80% effaced and -1 station (2/80/-1). She had
small amount of bloody discharge, but membranes were intact.
Contractions were every 3-4 mins., lasting 50-80 secs., with reassuring
fetal heart rate (FHR). She rated her pain as 3 on 0-10 pain scale and
stated most of the pain was in her back and vaginal area. Ms. Johnson
