ATI Maternal Newborn Assessment Questions 2025 – 80 High-Impact ATI-Style Multiple-Choice Questions with Answers & Expert Insights

Set of 80 Unique NCLEX-Style Multiple-Choice
Questions for ATI Maternal Newborn Assessment



80 Unique Multiple-Choice Questions for ATI Maternal Newborn
Assessment Designed to align with core topics: Antepartum, Intrapartum, Postpartum

Care, Newborn Assessment and Complications, Lactation, Medications, and Patient
Teaching


Maternal Newborn Practice Questions
Question 1: A nurse is assessing a client at 28 weeks gestation who reports dizziness when lying
flat. Which action should the nurse recommend?
A Lie on the left side
B Elevate the head of the bed
C Lie supine for 30 minutes
D Stand up quickly

Question 2: A nurse is assessing a newborn 2 hours after birth. Which finding requires imme-
diate intervention?
A Respiratory rate of 70 breaths/min
B Heart rate of 140 bpm
C Acrocyanosis of hands
D Temperature of 36.7°C (98.1°F)

Question 3: A nurse is teaching a new mother about breastfeeding. Which statement indicates
understanding?
A “I should nurse every 2–3 hours.”
B “I’ll switch breasts after 30 minutes.”
C “I should avoid breastfeeding if I have a cold.”
D “I’ll feed only during the day.”



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,Question 4: A nurse is monitoring a client in active labor with fetal heart rate (FHR) deceler-
ations. Which action is the priority?
A Position the client on her left side
B Administer oxygen at 2 L/min
C Increase the IV fluid rate
D Prepare for a cesarean delivery

Question 5: A nurse is assessing a client 24 hours postpartum who reports heavy vaginal bleed-
ing. Which finding is most concerning?
A Passing large clots
B Lochia rubra
C Mild cramping
D Perineal discomfort

Question 6: A nurse is administering magnesium sulfate to a client with preeclampsia. Which
finding indicates toxicity?
A Respiratory rate of 10 breaths/min
B Blood pressure of 150/90 mmHg
C Deep tendon reflexes of 2+
D Urine output of 50 mL/hr

Question 7: A nurse is caring for a newborn with suspected neonatal abstinence syndrome.
Which symptom should the nurse expect?
A High-pitched cry
B Decreased muscle tone
C Stable temperature
D Slowed reflexes

Question 8: A nurse is teaching a client at 32 weeks gestation about signs of preterm labor.
Which symptom should the client report immediately?
A Regular uterine contractions
B Occasional Braxton Hicks contractions
C Increased appetite
D Mild ankle swelling




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, Question 9: A nurse is assisting a client with latching difficulties during breastfeeding. Which
action is most effective?
A Positioning the newborn’s mouth to cover the areola
B Offering a pacifier before feeding
C Limiting feeding to 5 minutes per breast
D Using a nipple shield routinely

Question 10: A nurse is caring for a client in labor receiving oxytocin. Which finding requires
immediate action?
A Contractions every 1 minute
B FHR of 130 bpm
C Maternal BP of 120/80 mmHg
D Cervical dilation of 6 cm

Question 11: A nurse is assessing a client 3 days postpartum. Which finding suggests a postpar-
tum infection?
A Foul-smelling lochia
B Lochia serosa
C Uterine involution
D Breast engorgement

Question 12: A nurse is performing a newborn assessment. Which finding is within normal limits?
A Milia on the nose
B Cyanosis of the lips
C Heart rate of 90 bpm
D Absent Moro reflex

Question 13: A nurse is administering Rho(D) immune globulin to a client postpartum. Which
situation indicates the need for this medication?
A Rh-negative mother, Rh-positive newborn
B Rh-positive mother, Rh-negative newborn
C Rh-negative mother, Rh-negative newborn
D Rh-positive mother, Rh-positive newborn

Question 14: A nurse is conducting a nonstress test (NST) on a client at 36 weeks gestation.
Which result is reassuring?


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