ATI Maternal Newborn Practice Exam

Free ATI Maternal Newborn Sample Questions with Rationales

Try these 3 practice questions written by NursingPlex. The correct answer and rationale are shown under each one.

1. 1. The nurse sees late decelerations on the fetal monitor. What should the nurse do first?

   1. A. Increase the oxytocin rate
   2. B. Turn the client onto her side ✓
   3. C. Document the finding
   4. D. Prepare for discharge

   Rationale: Late decelerations suggest uteroplacental insufficiency. Repositioning to the side improves blood flow; the nurse also stops oxytocin, gives fluids and oxygen as indicated, and notifies the provider.

2. 2. A postpartum client has a boggy uterus and heavy bleeding. What is the nurse's first action?

   1. A. Massage the fundus ✓
   2. B. Insert a urinary catheter
   3. C. Give an oral analgesic
   4. D. Encourage breastfeeding later

   Rationale: Uterine atony is the most common cause of postpartum hemorrhage. Fundal massage helps the uterus contract and is the first action.

3. 3. A client receiving magnesium sulfate has absent deep tendon reflexes. Which medication should be available?

   1. A. Calcium gluconate ✓
   2. B. Oxytocin
   3. C. Terbutaline
   4. D. Methylergonovine

   Rationale: Absent reflexes signal magnesium toxicity. The nurse stops the infusion and calcium gluconate is the antidote.