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Maternal ATI Practice Exam 2025: Top-Rated
Questions and Rationales for Nursing Students'
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1. Teaching About Toxoplasmosis in Pregnancy Question: A nurse is teaching a client who is pregnant about toxoplasmosis. Which of the following instructions should the nurse include? A. "To prevent toxoplasmosis, you will need to receive a measles, mumps, and rubella vaccination during your pregnancy." B. "You should avoid gardening during your pregnancy to decrease your risk of contracting toxoplasmosis." ✅ C. "You will get a body rash if you are infected with toxoplasmosis." D. "Toxoplasmosis is transmitted through a bite from an infected mosquito." Correct Answer: B Rationale: Toxoplasmosis is a parasitic infection transmitted through cat feces and contaminated soil, often found in gardens. Avoiding gardening or using gloves helps reduce the risk. MMR vaccination is unrelated and contraindicated during pregnancy, and toxoplasmosis is not mosquito-borne. 2. Nutrition During Lactation Question: A nurse reinforces teaching about nutritional requirements during lactation for a client who plans to breastfeed. Which of the following nutrients should the client increase during lactation? A. Calcium B. Iron C. Vitamin D D. Vitamin C ✅ Correct Answer: D Rationale: Vitamin C needs increase during lactation to support tissue repair and immune function for both mother and baby. The recommended intake is 115– 120 mg/day during breastfeeding.
3. Epidural Anesthesia Side Effect Question: A charge nurse is teaching a newly hired nurse about potential side effects of epidural anesthesia in laboring clients. Which of the following should be included? A. Newborn respiratory depression at birth B. Impaired ability of the neonate to maintain body temperature C. Impaired placental perfusion ✅ D. Decreased fetal heart rate (FHR) variability Correct Answer: C Rationale: Epidural anesthesia can lead to maternal hypotension, which reduces placental perfusion and thus oxygen delivery to the fetus. This is a significant concern during labor. 4. Priority Assessment Finding for Magnesium Sulfate Question: A nurse is assessing a client who is receiving magnesium sulfate for pre-eclampsia. Which finding should the nurse report immediately? A. Respirations 16/min B. Urinary output 40 mL in 2 hr ✅ C. Reflexes + D. Fetal heart rate 158/min Correct Answer: B Rationale: Urinary output below 30 mL/hr (i.e., <60 mL in 2 hours) indicates impaired renal function and magnesium excretion, increasing the risk of magnesium toxicity. This requires immediate action. 5. Complication of Newborn Hypothermia Question: A nurse is discussing complications of hypothermia in newborns with a newly licensed nurse. Which complication should the nurse include? A. Tachycardia B. Hypoglycemia ✅ C. Flushed skin D. Generalized petechiae
A. Extended periods of sleep B. Poor muscle tone C. Respiratory rate 50/min D. Exaggerated reflexes - - correct ans- - d; A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity within the central nervous system (CNS). Exaggerated reflexes are indicative of CNS irritability. A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the following reflexes is the nurse assessing by quickly and gently turning the newborn's head to one side? A. Rooting B. Moro C. Tonic neck D. Babinski - - correct ans- - c; To elicit the tonic neck reflex, the nurse should quickly and gently turn the newborn's head to one side when the newborn is sleeping or falling asleep. The newborn's arm and leg should extend outward to the same side that the nurse turned the head while the opposite arm and leg flex. This reflex persists for about 3 to 4 months. A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitor. Which of the following actions should the nurse perform? A. Prepare the client for an ultrasound examination B. Prepare the client for an emergency cesarean birth. C. Prepare equipment needed for newborn resuscitation. D. Perform endotracheal suctioning as soon as the fetal head is delivered - - correct ans- - c A client at a routine prenatal care visit asks the nurse if developing vaginal yeast infections is common during pregnancy. Which of the following responses should the nurse make?
A."Have you discussed this with your doctor yet?" B. "The hormonal changes of pregnancy alter the acidity of the vagina, making yeast infections more common." C. "Women who are already prone to vaginal yeast infections get them during pregnancy." D. "Why are you concerned about yeast infections during pregnancy?" - - correct ans- - b A nurse is caring for a client in active labor whose fetus is in a persistent occiput posterior position. Which of the following actions should the nurse take to promote rotation of the fetal head? A. Apply counterpressure to the client's back B. Place heat on the client's lower back C. Instruct the client to squat during contractions D. Encourage the client to ambulate in the hall - - correct ans- - c A nurse is teaching a client who is breastfeeding about strategies for preventing mastitis. Which of the following instructions should the nurse include? A. "Take an herbal galactagogue." B. "Gradually increase the time between feedings." C. "Wear an underwire bra." D. "Use your finger to release suction after feeding." - - correct ans- - d; Releasing the newborn's grasp on the nipple with a finger before removing the newborn from the breast helps prevent injury to the nipples, which can lead to mastitis. A nurse is providing discharge teaching to a client after removing a hydatidiform mole. Which of the following statements should the nurse include in the teaching?
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation. For which of the following results should the nurse notify the provider? A. Hgb 11.3 g/dL B. Platelet count 135,000/mm^ C. WBC count 10,500/mm^ D. Hct 38% - - correct ans- - b A nurse is preparing to perform Leopold maneuvers on a client who is in labor. Which of the following actions should the nurse plan to take? A. Ensure the client has a full bladder B. Stand at the client's right side of the nurse is right-handed C. Assist the client onto her back with knees extended. D. Palpate the outline of the fetus's head with the palms of the hands - - correct ans- - b A nurse is physically assessing a full-term newborn and eliciting the Moro reflex. Which of the following movements are expected responses to this reflex? (Select all that apply.) A. Thumb and forefinger forming a "C" B. Legs extending before pulling upward C. Arms and legs adducting D. Arms falling backward after startling E. Head turning to the right - - correct ans- - a, b; A "C" formation of the thumb and forefinger and an extension of the legs before pulling upward are expected components of the Moro reflex. This response is present at birth and absent by 6 months of age in neurologically intact infants.
A nurse is providing teaching for a client at 7 weeks of gestation who is experiencing nausea and vomiting. Which of the following client statements indicates an understanding of the teaching to the nurse? A. "I should eat fatty foods to increase my caloric intake." B. "I should brush my teeth right after eating." C. "Acupressure bands on my elbows might help me feel better." D. "I should have a small snack before bedtime." - - correct ans- - d A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter. The client asks why this type of monitoring is needed. Which of the following responses should the nurse make? A. "This type of monitoring is necessary for timing the frequency of your contractions." B. "This type of monitoring is noninvasive, so it is the best way to monitor your labor contractions." C. "This type of monitor allows us to evaluate your baby's heart rate while you are in labor." D. "This type of monitoring will allow us to measure the intensity of your contractions." -
- correct ans- - d A nurse prepares to provide umbilical cord care for a newborn 12 hours after delivery. Upon inspection, the nurse noted moderate bleeding from a blood vessel. Which of the following actions should the nurse take? A. Check the newborn's heart rate B. Place a pressure dressing on the cord stump. C. Administer vitamin K D. Check the integrity of the cord clamp - - correct ans- - d
dilation, effacement, station, consistency, and position. A score of 8 or more favors a successful induction. A postpartum nurse is caring for a client who reports abdominal cramping. Which of the following actions should the nurse take? A. Teach the client to lie on her side B. Request a prescription for an opioid analgesic C. Offer a sitz bath to the client D. Encourage the client to interact with the newborn - - correct ans- - d; Interacting with the baby can help provide a distraction and decrease the discomfort of uterine contractions. While it is important to let the parent know that afterpains are more intense during and after breastfeeding, it is also necessary to encourage the planning of methods that provide the most effective and timely relief. Other nonpharmacological interventions can include distraction, therapeutic touch, imagery, hydrotherapy, acupressure, aromatherapy, music therapy, massage therapy, and transcutaneous electrical nerve stimulation (TENS). A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which instructions should the nurse provide to the client about the treatment plan? A. "Your partner needs to be cultured and be treated with metronidazole only if his cultures are positive." B. "You and your partner need to take the medication and use a condom during intercourse until cultures are negative." C. "If both you and your partner are treated simultaneously, you may continue to engage in sexual intercourse." D. "Only you will need to take the metronidazole, but you should not have intercourse until your culture is negative." - - correct ans- - b A nurse is assessing a newborn 1 hr after birth. Which of the following findings should the nurse report to the provider?
A. Jaundice of the sclera B. Respiratory rate 50/min C. Acrocyanosis D. Blood glucose 60 mg/dL - - correct ans- - a; If the newborn has jaundice within the first 24 hours of life, this can indicate a potentially pathological process such as hemolytic disease. Pathological jaundice can result in high levels of bilirubin, which can damage the neonatal brain. A nurse is teaching a client who had a vacuum-assisted vaginal delivery. Which statements should the nurse identify as indicating that the client understands the information? A. "My baby's head will be cone-shaped for about 2 months." B. "My doctor performed this procedure because I did not dilate past 6 centimeters." C. "The doctor performed this procedure because my hemoglobin was low." D. "My baby has a higher risk of developing jaundice." - - correct ans- - d; A vacuum- assisted birth increases the risk of jaundice as the bruises caused by the device dissipate. A nurse is caring for a client who is in labor. The nurse decides to switch from intermittent auscultation to continuous fetal monitoring. Which of the following data can only be obtained from continuous electronic fetal monitoring? A. Determination of a baseline B. Determination of variability C.Presence of accelerations D. Presence of decelerations - - correct ans- - b; Continuous electronic fetal monitoring is required to determine variability since the nurse needs a monitor tracing to quantify variability.
a - A client's platelet count is usually below 100,000/mm^3 with preeclampsia3. There is no need to report this finding. c - With preeclampsia, a client's proteinuria is usually above 1+ on a urine reagent strip. There is no need to report this finding. d - With preeclampsia, a client's BUN level is usually above 20 mg/dL. There is no need to report this finding. A nurse is caring for a client in the third trimester of pregnancy who is scheduled to undergo a non-stress test. Which of the following actions should the nurse take A. Ask the client to drink a glass of orange juice B. Prepare the client for a vaginal examination C. Request a serum hemoglobin level D. Obtain a clean-catch urine specimen - - correct ans- - a; The nurse should give the client orange juice or a glucose preparation prior to this test. This should raise the client's blood glucose level and help promote fetal movement. A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting 3 min each. What action should the nurse take? A. Stop the oxytocin infusion B. Apply oxygen at 2 L/min via nasal cannula C. Administer methylergonovine intramuscularly D. Prepare for an emergent cesarean birth prior to the test? - - correct ans- - a; A pattern of contractions lasting longer than 2 minutes or of more than 5 contractions in a 10- minute period is considered tachysystole. This pattern can decrease the placental perfusion of oxygen. The appropriate action is to discontinue the oxytocin infusion.
A nurse is assessing a client at 12 weeks gestation with a hydatidiform mole. Which of the following findings should the nurse expect? A. Hypothermia B. Dark brown vaginal discharge C. Decreased urinary output D. Fetal heart tones - - correct ans- - b; A hydatidiform mole (a molar pregnancy) is a benign proliferative growth of the chorionic villi that gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grape-like clusters. A nurse is caring for a client who is in labor. The nurse observes late decelerations on the fetal monitor. Which of the following actions should the nurse take? A. Decrease the rate of the client's maintenance IV fluid B. Place the client in a left lateral position C. Apply oxygen at 2 L/min via nasal cannula D. Prepare the client for an amniocentesis - - correct ans- - b; The nurse should identify that decelerations of the fetal heart rate with an onset beginning after a contraction has started that persist beyond the end of the contraction are considered late decelerations. Later decelerations indicate an interruption in fetal oxygenation. A lateral position improves blood flow to the uterus and intervillous spaces. Repositioning the client is a component of intrauterine resuscitation. A nurse cares for a client in the first stage of labor. Which of the following findings should the nurse identify as a cause for concern? A. Pink, mucoid vaginal discharge B. Brownish vaginal discharge C. Contractions lasting 100 seconds
C. Measure the circumference of the newborn's head with a tape measure just above the eyebrows D. Measure the circumference of the newborn's chest with a tape measure 2 cm (0. in) below the nipple line - - correct ans- - c; Shortly after birth, the nurse should measure the circumference of the newborn's head at its largest diameter, which is around the occipitofrontal area. A nurse is assessing a newborn who was circumcised 24 hours ago. Which of the following findings should the nurse report to the provider? A. A scant amount of serosanguineous drainage is noted in the newborn's diaper. B. The newborn's circumcision site is covered with yellow exudate. C. The newborn has urinated once since the circumcision. D. The newborn fusses during each diaper change. - - correct ans- - c; A newborn should void 2 to 6 times a day the first 24 to 48 hours after birth and then 6 to 8 times per day starting on the third day. Therefore, the nurse should report 1 void in 24 hours following circumcision to the provider. A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide? A. "This test will determine if you will likely deliver within the next week." B. "This test will help determine if your baby is healthy." C. "This test can see how your baby responds when you have contractions." D. "This test will determine if your baby's lungs are mature." - - correct ans- - b A nurse is caring for a client who just had a spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and a prolapsed umbilical cord. Which of the following actions should the nurse take first? A. Place the client in an extreme Trendelenburg position
B. Increase the IV fluid infusion rate C. Manually apply upward pressure intravaginally on the presenting part D. Administer 8 to 10 L/min of oxygen via a nonrebreather face mask - - correct ans- - c; The greatest risk to this client is fetal CNS injury or death from fetal hypoxia due to cord compression. Therefore, the first action the nurse should take is to insert a gloved hand into the vagina and apply upward pressure to the presenting part to move it away from the cord. The nurse should place the client in an extreme Trendelenburg position, a knee-chest position, or a modified Sims' position to use gravity to keep the pressure of the presenting part off the cord; however, another action is the priority. A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following allergies should the nurse identify as a contraindication to receiving this vaccine? A. Shellfish B. Gelatin C. Baker's yeast D. Eggs - - correct ans- - c; An allergy to baker's yeast is a contraindication to receiving the hepatitis B vaccine. The nurse should notify the client's provider. A nurse is caring for a client who is in labor. Which of the following methods will determine the frequency of the client's contractions? A. Palpating the firmness of the uterus during a contraction B. Calculating the time from the end of each contraction to the beginning of the next C. Measuring the time from the beginning of a contraction to the end of that same contraction D. Evaluating the time from the beginning of a contraction to the beginning of the next contraction - - correct ans- - d
A. "You will not get pregnant while you are breastfeeding, so you will not need any birth control." B. "A birth control pill that contains only estrogen is available for use while you are breastfeeding." C. "Condoms are the only method of contraception that is appropriate while you are breastfeeding." D. "A progestin-only pill or injection is available for use while you are breastfeeding." - - correct ans- - d; Progestin-only injections, implants, and birth control pills are acceptable options for clients who are breastfeeding, although some experts recommend waiting until 6 weeks postpartum to initiate the medication. A nurse is planning care for a newborn who was born at 30 weeks gestation. The nurse should plan to assess the newborn for which of the following potential complications associated with prematurity? A. Intraventricular hemorrhage B. Hyperglycemia C. Hyperthermia D. Meconium aspiration syndrome - - correct ans- - a; When an infant is born before 34 weeks gestation, the blood vessels in the brain are fragile. Additionally, premature infants have an impaired coagulation process and fluctuating blood pressure. Combined, these factors increase the risk of bleeding into the ventricles of the brain and subsequent neurological damage. A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture line. Which of the following information should the nurse provide to the mother when she asks about this finding? A. "This will resolve in 3 to 6 weeks without treatment." B. "This will resolve on its own within 3 to 4 days." C. "The provider might drain this area with a syringe."
D. "This appearance is expected at birth, so you don't need to worry." - - correct ans- - a; This discoloration is a cephalhematoma, resulting from a collection of blood between the skull and periosteum. It will resolve within 2 to 6 weeks. A nurse is admitting a client who is in post-term labor. Which of the following statements should the nurse identify as the priority? A. "I had blood-streaked discharge a few hours ago." B. "When my water broke, it was not clear." C. "I have not felt my baby move as much today." D. "I feel like I cannot breathe when I walk up the stairs." - - correct ans- - b; The greatest risk to this client is an injury to the newborn from meconium aspiration; therefore, addressing this statement is the nurse's priority. A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should the nurse provide? A. The fundus is approximately 2 cm (0.79 in) above the level of the umbilicus at the end of the third stage of labor. B. The fundus is approximately 3 cm (1.18 in) above the umbilicus within 12 hours after delivery. C. The fundus is located halfway between the umbilicus and mons pubis on the sixth day postpartum. D. The fundus is not palpable abdominally at 2 weeks postpartum. - - correct ans- - d; Involution is the return of the uterus to its normal pre-pregnancy state, which occurs after the delivery of the placenta. By the end of the third stage of labor, the fundus is 2 cm below the umbilicus. Within 12 hours after delivery, the fundus rises 1 cm above the umbilicus. The fundus descends 1 to 2 cm (0.39 to 0.79 in) every 24 hours. The fundus is not palpable after the sixth postpartum day. A nurse is caring for a client who is in labor. The client speaks a different language than the nurse and is grimacing. Which actions should the nurse take while waiting for an interpreter?
