1|Page
ATI Maternal-Newborn Nursing Practice Exam (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS A+
UPDATED 2026
PREGNANCY & ANTENATAL CARE (1–10)
1. A client at 8 weeks gestation asks about warning signs to report. Which should the nurse
include?
A. Vaginal bleeding, severe abdominal cramping, fever
B. Mild nausea and fatigue
C. Occasional back pain
D. Breast tenderness
Answer: A
Rationale: Vaginal bleeding, severe cramping, or fever may indicate miscarriage, infection, or
ectopic pregnancy and require immediate evaluation.
2. At 12 weeks gestation, a client asks about fetal heart tone. The nurse should:
A. Use Doppler to assess fetal heart tones
B. Assess with stethoscope
C. Order a fetal MRI
D. Wait until 20 weeks
Answer: A
Rationale: Fetal heart tones are typically detectable with Doppler between 10–12 weeks.
3. A client in the first trimester reports nausea and vomiting. The nurse should:
A. Encourage small, frequent meals and hydration
B. Restrict fluids
C. Recommend bed rest only
D. Administer laxatives
Answer: A
Rationale: Small, frequent meals and hydration help manage nausea and prevent dehydration.
2026 2027 GRADED A+
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4. A client with a history of preterm birth is prescribed progesterone supplementation. The
purpose is to:
A. Reduce risk of recurrent preterm labor
B. Treat morning sickness
C. Increase maternal blood pressure
D. Promote fetal lung maturity
Answer: A
Rationale: Progesterone reduces uterine irritability and risk of preterm birth in high-risk clients.
5. A client asks about foods high in folic acid. The nurse should recommend:
A. Leafy greens, citrus fruits, fortified cereals
B. Red meat only
C. Dairy products only
D. Sugary snacks
Answer: A
Rationale: Folic acid prevents neural tube defects; leafy greens, citrus, and fortified cereals are
good sources.
6. Gravida 2, Para 1 reports mild edema in feet at 32 weeks. The nurse should:
A. Assess for proteinuria and blood pressure changes
B. Reassure without assessment
C. Recommend bed rest only
D. Restrict fluids
Answer: A
Rationale: Mild edema is common, but assessing for preeclampsia (proteinuria, hypertension) is
essential.
7. Fundal height measurement at 24 weeks should approximately be:
A. 24 cm
B. 20 cm
C. 28 cm
D. 32 cm
Answer: A
Rationale: Fundal height in cm roughly corresponds to gestational age in weeks after 20 weeks.
2026 2027 GRADED A+
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8. A client is Rh-negative and 28 weeks pregnant. The nurse anticipates:
A. Administration of Rh immunoglobulin (RhoGAM)
B. No intervention
C. Blood transfusion
D. Iron supplementation only
Answer: A
Rationale: RhoGAM prevents isoimmunization in Rh-negative clients.
9. A client with gestational diabetes asks about dietary management. The nurse should:
A. Encourage complex carbohydrates and frequent small meals
B. Restrict all carbohydrates
C. Encourage high sugar intake
D. No dietary changes are needed
Answer: A
Rationale: Complex carbs and balanced meals help maintain stable blood glucose levels.
10. A prenatal client at 28 weeks complains of calf pain and swelling. The nurse should:
A. Assess for signs of DVT and notify provider
B. Apply heat only
C. Ignore if mild
D. Encourage ambulation without assessment
Answer: A
Rationale: Calf pain and swelling may indicate deep vein thrombosis, a serious complication
requiring prompt evaluation.
LABOR & DELIVERY (11–20)
11. A client is in active labor with contractions every 2 minutes, lasting 60 seconds. Cervical
dilation is 6 cm. This is:
A. Active labor
B. Latent labor
C. Transition phase
D. Postpartum period
Answer: A
12. The nurse assesses fetal heart rate (FHR) at 160 bpm. This is:
A. Tachycardia
B. Bradycardia
2026 2027 GRADED A+
ATI Maternal-Newborn Nursing Practice Exam (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED PASS A+
UPDATED 2026
PREGNANCY & ANTENATAL CARE (1–10)
1. A client at 8 weeks gestation asks about warning signs to report. Which should the nurse
include?
A. Vaginal bleeding, severe abdominal cramping, fever
B. Mild nausea and fatigue
C. Occasional back pain
D. Breast tenderness
Answer: A
Rationale: Vaginal bleeding, severe cramping, or fever may indicate miscarriage, infection, or
ectopic pregnancy and require immediate evaluation.
2. At 12 weeks gestation, a client asks about fetal heart tone. The nurse should:
A. Use Doppler to assess fetal heart tones
B. Assess with stethoscope
C. Order a fetal MRI
D. Wait until 20 weeks
Answer: A
Rationale: Fetal heart tones are typically detectable with Doppler between 10–12 weeks.
3. A client in the first trimester reports nausea and vomiting. The nurse should:
A. Encourage small, frequent meals and hydration
B. Restrict fluids
C. Recommend bed rest only
D. Administer laxatives
Answer: A
Rationale: Small, frequent meals and hydration help manage nausea and prevent dehydration.
2026 2027 GRADED A+
,2|Page
4. A client with a history of preterm birth is prescribed progesterone supplementation. The
purpose is to:
A. Reduce risk of recurrent preterm labor
B. Treat morning sickness
C. Increase maternal blood pressure
D. Promote fetal lung maturity
Answer: A
Rationale: Progesterone reduces uterine irritability and risk of preterm birth in high-risk clients.
5. A client asks about foods high in folic acid. The nurse should recommend:
A. Leafy greens, citrus fruits, fortified cereals
B. Red meat only
C. Dairy products only
D. Sugary snacks
Answer: A
Rationale: Folic acid prevents neural tube defects; leafy greens, citrus, and fortified cereals are
good sources.
6. Gravida 2, Para 1 reports mild edema in feet at 32 weeks. The nurse should:
A. Assess for proteinuria and blood pressure changes
B. Reassure without assessment
C. Recommend bed rest only
D. Restrict fluids
Answer: A
Rationale: Mild edema is common, but assessing for preeclampsia (proteinuria, hypertension) is
essential.
7. Fundal height measurement at 24 weeks should approximately be:
A. 24 cm
B. 20 cm
C. 28 cm
D. 32 cm
Answer: A
Rationale: Fundal height in cm roughly corresponds to gestational age in weeks after 20 weeks.
2026 2027 GRADED A+
, 3|Page
8. A client is Rh-negative and 28 weeks pregnant. The nurse anticipates:
A. Administration of Rh immunoglobulin (RhoGAM)
B. No intervention
C. Blood transfusion
D. Iron supplementation only
Answer: A
Rationale: RhoGAM prevents isoimmunization in Rh-negative clients.
9. A client with gestational diabetes asks about dietary management. The nurse should:
A. Encourage complex carbohydrates and frequent small meals
B. Restrict all carbohydrates
C. Encourage high sugar intake
D. No dietary changes are needed
Answer: A
Rationale: Complex carbs and balanced meals help maintain stable blood glucose levels.
10. A prenatal client at 28 weeks complains of calf pain and swelling. The nurse should:
A. Assess for signs of DVT and notify provider
B. Apply heat only
C. Ignore if mild
D. Encourage ambulation without assessment
Answer: A
Rationale: Calf pain and swelling may indicate deep vein thrombosis, a serious complication
requiring prompt evaluation.
LABOR & DELIVERY (11–20)
11. A client is in active labor with contractions every 2 minutes, lasting 60 seconds. Cervical
dilation is 6 cm. This is:
A. Active labor
B. Latent labor
C. Transition phase
D. Postpartum period
Answer: A
12. The nurse assesses fetal heart rate (FHR) at 160 bpm. This is:
A. Tachycardia
B. Bradycardia
2026 2027 GRADED A+
