ATI Maternal Newborn Proctored Exam Professional Practice Examination
Actual Exam 2026/2027 with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
SECTION 1: Antepartum Care
Question 1: A nurse is assessing a client who is 8 weeks pregnant and reports nausea
and vomiting. Which of the following dietary recommendations should the nurse
provide?
A. Eat three large meals per day to ensure adequate caloric intake.
B. Consume dry crackers or toast before getting out of bed in the morning.
C. Drink large amounts of fluids with each meal to maintain hydration.
D. Avoid all carbohydrates until symptoms resolve.
Correct Answer: B
Rationale: Consuming dry crackers or toast before rising helps absorb gastric acid and
can reduce morning nausea. Small, frequent meals are preferred over large meals.
Drinking fluids between meals rather than with meals reduces gastric distention.
Carbohydrates are generally well tolerated and should not be avoided.
Question 2: A client at 28 weeks gestation asks the nurse about the purpose of the
glucose challenge test. Which response by the nurse is most accurate?
A. It screens for gestational diabetes by evaluating how the body processes glucose.
,B. It detects chromosomal abnormalities in the fetus.
C. It measures the amount of amniotic fluid surrounding the fetus.
D. It assesses fetal lung maturity in preparation for delivery.
Correct Answer: A
Rationale: The glucose challenge test is a screening tool for gestational diabetes
mellitus, typically performed between 24 and 28 weeks gestation. It does not screen for
chromosomal abnormalities, measure amniotic fluid, or assess fetal lung maturity.
Question 3: A nurse is caring for a client who is Rh-negative and delivered an Rh-positive
newborn. Which intervention should the nurse anticipate?
A. Administration of Rh immune globulin to the newborn within 72 hours of birth.
B. Administration of Rh immune globulin to the mother within 72 hours of birth.
C. Immediate exchange transfusion for the newborn.
D. Administration of RhoGAM to the father of the newborn.
Correct Answer: B
Rationale: Rh immune globulin (RhoGAM) is administered to Rh-negative mothers within
72 hours after delivery of an Rh-positive infant to prevent sensitization in future
pregnancies. It is given to the mother, not the newborn or father. An exchange
transfusion is not indicated prophylactically.
,Question 4: A pregnant client at 32 weeks gestation reports sudden onset of severe
headache, visual disturbances, and epigastric pain. Her blood pressure is 162/104
mmHg. Which condition should the nurse suspect?
A. Gestational diabetes mellitus
B. Preeclampsia with severe features
C. Placenta previa
D. Preterm labor
Correct Answer: B
Rationale: The triad of severe headache, visual disturbances, and epigastric pain in the
presence of elevated blood pressure is characteristic of preeclampsia with severe
features. Gestational diabetes does not present with these neurological symptoms.
Placenta previa presents with painless vaginal bleeding. Preterm labor presents with
regular uterine contractions.
Question 5: A nurse is providing education to a client about recommended weight gain
during pregnancy. The client has a pre-pregnancy BMI of 22. Which statement by the
client indicates understanding?
A. I should gain about 15 to 25 pounds during my pregnancy.
B. I should gain about 25 to 35 pounds during my pregnancy.
C. I should gain about 28 to 40 pounds during my pregnancy.
D. I should gain about 11 to 20 pounds during my pregnancy.
Correct Answer: B
, Rationale: For a client with a normal pre-pregnancy BMI of 18.5 to 24.9, the
recommended total weight gain is 25 to 35 pounds. Underweight clients should gain 28
to 40 pounds. Overweight clients should gain 15 to 25 pounds. Obese clients should
gain 11 to 20 pounds.
Question 6: A client at 10 weeks gestation asks the nurse when she should expect to
feel fetal movement. Which response by the nurse is correct?
A. Most clients feel movement between 16 and 20 weeks gestation.
B. Fetal movement is typically felt at 24 weeks gestation.
C. Quickening usually occurs at 12 weeks gestation.
D. Movement is not felt until the third trimester.
Correct Answer: A
Rationale: Quickening, or the first perception of fetal movement, typically occurs
between 16 and 20 weeks gestation for nulliparous clients and may be felt slightly
earlier for multiparous clients. It does not typically occur at 12 weeks or as late as the
third trimester.
Question 7: A nurse is reviewing the laboratory results of a pregnant client. Which
finding requires immediate follow-up?
A. Hemoglobin of 11.2 g/dL at 20 weeks gestation
B. Hematocrit of 33% at 30 weeks gestation
C. Platelet count of 85,000/mm3 at 34 weeks gestation
Actual Exam 2026/2027 with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
SECTION 1: Antepartum Care
Question 1: A nurse is assessing a client who is 8 weeks pregnant and reports nausea
and vomiting. Which of the following dietary recommendations should the nurse
provide?
A. Eat three large meals per day to ensure adequate caloric intake.
B. Consume dry crackers or toast before getting out of bed in the morning.
C. Drink large amounts of fluids with each meal to maintain hydration.
D. Avoid all carbohydrates until symptoms resolve.
Correct Answer: B
Rationale: Consuming dry crackers or toast before rising helps absorb gastric acid and
can reduce morning nausea. Small, frequent meals are preferred over large meals.
Drinking fluids between meals rather than with meals reduces gastric distention.
Carbohydrates are generally well tolerated and should not be avoided.
Question 2: A client at 28 weeks gestation asks the nurse about the purpose of the
glucose challenge test. Which response by the nurse is most accurate?
A. It screens for gestational diabetes by evaluating how the body processes glucose.
,B. It detects chromosomal abnormalities in the fetus.
C. It measures the amount of amniotic fluid surrounding the fetus.
D. It assesses fetal lung maturity in preparation for delivery.
Correct Answer: A
Rationale: The glucose challenge test is a screening tool for gestational diabetes
mellitus, typically performed between 24 and 28 weeks gestation. It does not screen for
chromosomal abnormalities, measure amniotic fluid, or assess fetal lung maturity.
Question 3: A nurse is caring for a client who is Rh-negative and delivered an Rh-positive
newborn. Which intervention should the nurse anticipate?
A. Administration of Rh immune globulin to the newborn within 72 hours of birth.
B. Administration of Rh immune globulin to the mother within 72 hours of birth.
C. Immediate exchange transfusion for the newborn.
D. Administration of RhoGAM to the father of the newborn.
Correct Answer: B
Rationale: Rh immune globulin (RhoGAM) is administered to Rh-negative mothers within
72 hours after delivery of an Rh-positive infant to prevent sensitization in future
pregnancies. It is given to the mother, not the newborn or father. An exchange
transfusion is not indicated prophylactically.
,Question 4: A pregnant client at 32 weeks gestation reports sudden onset of severe
headache, visual disturbances, and epigastric pain. Her blood pressure is 162/104
mmHg. Which condition should the nurse suspect?
A. Gestational diabetes mellitus
B. Preeclampsia with severe features
C. Placenta previa
D. Preterm labor
Correct Answer: B
Rationale: The triad of severe headache, visual disturbances, and epigastric pain in the
presence of elevated blood pressure is characteristic of preeclampsia with severe
features. Gestational diabetes does not present with these neurological symptoms.
Placenta previa presents with painless vaginal bleeding. Preterm labor presents with
regular uterine contractions.
Question 5: A nurse is providing education to a client about recommended weight gain
during pregnancy. The client has a pre-pregnancy BMI of 22. Which statement by the
client indicates understanding?
A. I should gain about 15 to 25 pounds during my pregnancy.
B. I should gain about 25 to 35 pounds during my pregnancy.
C. I should gain about 28 to 40 pounds during my pregnancy.
D. I should gain about 11 to 20 pounds during my pregnancy.
Correct Answer: B
, Rationale: For a client with a normal pre-pregnancy BMI of 18.5 to 24.9, the
recommended total weight gain is 25 to 35 pounds. Underweight clients should gain 28
to 40 pounds. Overweight clients should gain 15 to 25 pounds. Obese clients should
gain 11 to 20 pounds.
Question 6: A client at 10 weeks gestation asks the nurse when she should expect to
feel fetal movement. Which response by the nurse is correct?
A. Most clients feel movement between 16 and 20 weeks gestation.
B. Fetal movement is typically felt at 24 weeks gestation.
C. Quickening usually occurs at 12 weeks gestation.
D. Movement is not felt until the third trimester.
Correct Answer: A
Rationale: Quickening, or the first perception of fetal movement, typically occurs
between 16 and 20 weeks gestation for nulliparous clients and may be felt slightly
earlier for multiparous clients. It does not typically occur at 12 weeks or as late as the
third trimester.
Question 7: A nurse is reviewing the laboratory results of a pregnant client. Which
finding requires immediate follow-up?
A. Hemoglobin of 11.2 g/dL at 20 weeks gestation
B. Hematocrit of 33% at 30 weeks gestation
C. Platelet count of 85,000/mm3 at 34 weeks gestation
