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Quizzes > Health & Medicine

Maternal Newborn Final Quiz: RN Practice for OB and Newborn Care

Quick, free quiz to check your RN maternal newborn final knowledge. Instant results.

Editorial: Review CompletedCreated By: Camille Dela TorreUpdated Aug 24, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for ATI Maternal Newborn Final Practice Quiz on sky blue background

Use this maternal newborn final quiz to check your understanding of labor, postpartum care, newborn assessment, and breastfeeding before test day, and clarify tricky topics like Apgar scoring. For more OB review, try maternity hesi practice and hesi maternal newborn practice, or build medication skills with a pharmacology practice quiz.

What does an Apgar score of 7 to 10 at 5 minutes typically indicate?
Moderate neonatal distress
Severe respiratory depression
Healthy infant with good adaptation
Immediate need for resuscitation
An Apgar score of 7 to 10 at 5 minutes indicates the newborn is adapting well to extrauterine life and usually requires only routine care. Scores below this range suggest varying degrees of distress and may prompt further intervention. Continual monitoring ensures any late-appearing issues are caught promptly.
What is the primary purpose of the Apgar scoring system?
Evaluate newborn adaptation at birth
Monitor maternal vital signs
Assess genetic anomalies
Determine gestational age
The Apgar score is designed to quickly assess a newborn's transition to extrauterine life by evaluating heart rate, respiratory effort, muscle tone, reflex irritability, and color. It is not a tool for determining gestational age or detecting birth defects. Scoring occurs at 1 and 5 minutes after birth to guide immediate care.
Which cervical dilation marks the beginning of the active phase of labor?
6 centimeters
3 centimeters
8 centimeters
4 centimeters
Modern obstetric guidelines define the active phase of labor as beginning when the cervix is dilated to 6 centimeters and uterine contractions become more frequent and intense. Earlier definitions cited 4 cm, but ACOG recognizes 6 cm for the active phase. Proper identification of phases helps guide labor management.
Which breastfeeding position is commonly recommended for a new mother to promote comfort and effective latch?
Cradle hold
Inverted hold
Supine hold
Prone hold
The cradle hold is one of the most commonly taught and comfortable breastfeeding positions, promoting good breast support and a clear view of the infant's latch. Proper positioning helps prevent nipple trauma and ensures efficient milk transfer. Lactation consultants often start teaching with this position.
When is it generally recommended to give a healthy newborn their first bath?
Within the first hour after birth
After stabilizing temperature and bonding
Exactly 24 hours after birth
Immediately in the delivery room
Delaying the newborn's first bath until after the baby's temperature is stable and early skin?to-skin bonding has occurred helps maintain body heat and supports colonization with maternal flora. Early baths can increase the risk of hypothermia and stress. Most guidelines recommend postponing bathing for at least several hours.
What is the normal respiratory rate range for a full-term newborn?
60 - 80 breaths/minute
30 - 60 breaths/minute
20 - 30 breaths/minute
10 - 20 breaths/minute
A normal respiratory rate for a term newborn ranges between 30 and 60 breaths per minute. Rates below 30 or above 60 may indicate respiratory distress or other pathology. Continuous monitoring is advised in the first hours after birth.
Which vitamin is routinely administered to newborns to prevent hemorrhagic disease?
Vitamin C
Vitamin A
Vitamin K
Vitamin D
Newborns have low levels of vitamin K, which is essential for clotting factor synthesis. Administering vitamin K intramuscularly shortly after birth prevents vitamin K deficiency bleeding. This practice is standard worldwide.
What is the soft, white, creamy substance covering a newborn's skin at birth?
Milia
Acrocyanosis
Lanugo
Vernix caseosa
Vernix caseosa is a natural, protective, creamy white biofilm covering the fetus's skin in utero. It moisturizes the skin, has antimicrobial properties, and facilitates passage through the birth canal. It is gradually absorbed or wiped off after birth.
Which neonatal reflex is elicited by stroking a newborn's cheek and observing head turn toward the stimulus?
Rooting reflex
Babinski reflex
Grasp reflex
Moro reflex
The rooting reflex is triggered when the newborn's cheek is stroked, causing the infant to turn toward the stimulus in search of a nipple. This reflex supports effective breastfeeding by aiding in latch-on. It usually disappears by 4 months of age.
At what gestational age range is a pregnancy considered full term?
36 - 38 weeks
42 - 44 weeks
37 - 42 weeks
34 - 36 weeks
Full-term gestation is defined as 37 weeks through 42 weeks of pregnancy. Infants born before 37 weeks are preterm, and those after 42 weeks are postterm. Accurate dating supports appropriate clinical decisions.
What does 'lochia alba' refer to in the postpartum period?
Creamy or yellowish-white discharge
Bright red vaginal bleeding
Foul-smelling discharge
Brownish discharge
Lochia alba is the late postpartum vaginal discharge, appearing around 10 days and lasting up to 6 weeks. It is typically cream or yellowish-white and contains leukocytes and epithelial cells. Any foul odor may indicate infection.
Which hormone primarily stimulates milk ejection (let-down) during breastfeeding?
Progesterone
Oxytocin
Prolactin
Estrogen
Oxytocin causes the myoepithelial cells around the alveoli to contract, ejecting milk into the ducts. Prolactin is responsible for milk production. Both hormones are critical to the lactation process.
What is the typical weight gain recommendation during the first trimester for a healthy-weight woman?
4 - 6 kilograms
6 - 8 kilograms
1 - 2 kilograms
No weight gain
In the first trimester, a healthy-weight woman is advised to gain about 1 to 2 kilograms (2.2 - 4.4 pounds). This modest gain supports early fetal development without excessive maternal fat accumulation. Subsequent trimesters have higher weekly targets.
Which condition is characterized by elevated blood pressure and proteinuria after 20 weeks of gestation?
Eclampsia
Gestational hypertension
Chronic hypertension
Preeclampsia
Preeclampsia is defined by new-onset hypertension (?140/90 mm Hg) and proteinuria after 20 weeks of gestation in a previously normotensive woman. It can progress to eclampsia if seizures occur. Early detection and management reduce maternal and fetal risks.
What is the normal resting heart rate range for a full-term newborn?
160 - 200 beats per minute
120 - 160 beats per minute
80 - 120 beats per minute
60 - 100 beats per minute
A term newborn's resting heart rate typically ranges from 120 to 160 beats per minute. Rates outside this range may indicate distress, infection, or cardiac anomalies. Regular assessments are critical in the immediate postpartum period.
Where should the nurse palpate the fundus one hour after delivery in a normal postpartum patient?
2 cm below the umbilicus
At the level of the umbilicus
1 cm above the umbilicus
Midway between symphysis and umbilicus
One hour after delivery, the fundus should be firm and at the level of the umbilicus. This indicates proper uterine contraction and helps prevent hemorrhage. Deviation suggests possible atony or retained tissue.
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Study Outcomes

  1. Apply Apgar Scoring Criteria -

    Use standardized Apgar score components at 1 and 5 minutes post-delivery to evaluate newborn health status and determine immediate care needs.

  2. Interpret Neonatal Vital Signs and Behaviors -

    Analyze heart rate, respiratory effort, muscle tone, reflex irritability, and color to identify normal versus at-risk newborn conditions during the virtual ATI Maternal Newborn Assessment.

  3. Identify Effective Breastfeeding Cues -

    Recognize hunger signs and optimal latch techniques to support successful breastfeeding initiation and maternal confidence in postpartum care.

  4. Analyze Postpartum Maternal Assessments -

    Evaluate uterine involution, lochia characteristics, and vital signs to detect early signs of complications and guide evidence-based interventions.

  5. Apply Evidence-Based Care Plans -

    Develop targeted nursing interventions based on RN Learning System Maternal Newborn Final Quiz scenarios to promote maternal-newborn bonding and recovery.

  6. Assess Knowledge Gaps for Exam Readiness -

    Identify strengths and areas for improvement through practice quiz performance to focus review efforts and increase confidence for the ATI Maternal Newborn Final exam.

Cheat Sheet

  1. Apgar Scoring Essentials -

    Recall the five components - Appearance, Pulse, Grimace, Activity, Respiration - each scored 0 - 2 for a total of 0 - 10, and use the mnemonic "A Perfectly Good Apgar Really Helps." For ati maternal newborn final review, practice calculating scores at 1 and 5 minutes, noting that a score ≥7 indicates newborn stability (American Academy of Pediatrics, 2015).

  2. Fetal Heart Rate Patterns (VEAL-CHOP) -

    Master the VEAL-CHOP mnemonic (Variable: Cord; Early: Head; Accelerations: Okay; Late: Placenta) to quickly interpret decelerations on electronic monitoring. During your rn learning system maternal newborn final quiz prep, identify Category I tracing as reassuring and Category III as concerning to refine clinical decision-making.

  3. LATCH Breastfeeding Assessment -

    Use the LATCH tool (Latch, Audible swallowing, Type of nipple, Comfort, Hold) scored 0 - 2 to objectively evaluate feeding sessions (Academy of Breastfeeding Medicine, 2017). On ati maternal newborn practice A questions, recognize that a score <8 signals the need for lactation support and re-education.

  4. Postpartum Hemorrhage Prevention -

    Remember the "4 Ts" (Tone, Trauma, Tissue, Thrombin) to systematically assess hemorrhage risk during your virtual ati maternal newborn assessment. Proactive fundal massage, uterotonics (e.g., oxytocin 10 - 40 U IV/IM), and vital-sign monitoring are cornerstone interventions endorsed by AWHONN guidelines.

  5. Neonatal Thermoregulation (CRAE) -

    Learn the heat-loss pathways - Conduction, Radiation, Convection, Evaporation - and maintain a neutral thermal environment of 36.5 - 37.5 °C for term newborns (WHO, 2011). In rn learning system maternal newborn practice quiz 1, expect questions on skin-to-skin contact and pre-warmed blankets to prevent hypothermia.

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