The 2025 Maternity ATI Exam: Comprehensive Practice Questions, Expert Answers, and Proven Study Strategies for Guaranteed Success With 75 Questions is a meticulously designed preparation tool for nursing students aiming to excel in the 2025 ATI Maternity exam. This resource offers 75 expertly curated questions in Next Gen NCLEX (NGN) formats, including case studies, bowtie, and select-all-that-apply questions, covering critical maternity nursing topics such as prenatal care, labor and delivery, postpartum care, and newborn assessment. It addresses high-priority areas like managing preeclampsia, interpreting fetal heart rate patterns, handling postpartum hemorrhage, and calculating APGAR scores, with questions designed to mirror the complexity of the actual exam. Each question is paired with expert answers and detailed rationales, explaining clinical decision-making processes—for example, why oxytocin is administered for a flaccid uterus to reduce vaginal bleeding, or the steps to manage a prolapsed umbilical cord during labor. The guide also integrates proven study strategies, such as time management techniques, critical thinking pathways, and the NCSBN Clinical Judgment Measurement Model (NCJMM), to enhance test-taking skills. Aligned with the latest ATI test blueprint, this comprehensive resource ensures students are well-equipped to achieve success on the ATI Maternity exam, prepare effectively for the NCLEX, and develop confidence for real-world maternal nursing practice.
Preview
1. A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse
notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Which of the following actions should the nurse take?
1. Apply an ice pack to the incision site
2. Replace the surgical dressing
3. Administer 500 mL lactated Ringer’s IV bolus
4. Evaluate urinary output ✅
Rationale:
A full bladder can displace the uterus and prevent it from contracting effectively, leading
to postpartum hemorrhage. Evaluating urinary output helps determine if the bladder is
distended and if catheterization or voiding assistance is necessary.
2. A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures
should the nurse include in the teaching?
1. Wear nipple shields during feeding
2. Use plastic-lined breast pads
3. Use a breast binder for 2 days
4. Apply cabbage leaves after feedings ✅
Rationale:
Cabbage leaves have natural anti-inflammatory properties and help reduce swelling and
pain associated with engorgement. They provide cooling relief and help decrease milk
supply when used after breastfeeding.
3. A nurse is calculating the estimated date of birth using Naegele’s rule for a client
whose last menstrual cycle started on June 21. What is the estimated delivery date in
the next year?
1. March 14
2. March 28 ✅
3. April 4
Rationale:
Naegele’s Rule: (LMP – 3 months) + 7 days
• June 21 – 3 months = March 21
• March 21 + 7 days = March 28
4. A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Which of the following actions should the nurse take?
1. Inform the client that the law requires her to name the fetus
2. Limit the amount of time the fetus is in the client’s room
3. Instruct the client that an autopsy should be performed within 24 hours
4. Prepare the client for what to expect the fetus to look like ✅
Rationale:
Parents may want to see and hold the stillborn fetus. Preparing them for the fetus’s
appearance helps reduce emotional distress. It also supports grieving and psychological
adjustment.
notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Which of the following actions should the nurse take?
1. Apply an ice pack to the incision site
2. Replace the surgical dressing
3. Administer 500 mL lactated Ringer’s IV bolus
4. Evaluate urinary output ✅
Rationale:
A full bladder can displace the uterus and prevent it from contracting effectively, leading
to postpartum hemorrhage. Evaluating urinary output helps determine if the bladder is
distended and if catheterization or voiding assistance is necessary.
2. A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures
should the nurse include in the teaching?
1. Wear nipple shields during feeding
2. Use plastic-lined breast pads
3. Use a breast binder for 2 days
4. Apply cabbage leaves after feedings ✅
Rationale:
Cabbage leaves have natural anti-inflammatory properties and help reduce swelling and
pain associated with engorgement. They provide cooling relief and help decrease milk
supply when used after breastfeeding.
3. A nurse is calculating the estimated date of birth using Naegele’s rule for a client
whose last menstrual cycle started on June 21. What is the estimated delivery date in
the next year?
1. March 14
2. March 28 ✅
3. April 4
Rationale:
Naegele’s Rule: (LMP – 3 months) + 7 days
• June 21 – 3 months = March 21
• March 21 + 7 days = March 28
4. A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Which of the following actions should the nurse take?
1. Inform the client that the law requires her to name the fetus
2. Limit the amount of time the fetus is in the client’s room
3. Instruct the client that an autopsy should be performed within 24 hours
4. Prepare the client for what to expect the fetus to look like ✅
Rationale:
Parents may want to see and hold the stillborn fetus. Preparing them for the fetus’s
appearance helps reduce emotional distress. It also supports grieving and psychological
adjustment.
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