2026 RN ATI Capstone Maternal
Newborn Latest Exam with Actual
Exam Questions and Verified
Answers
Section 1: Antepartum Care
Question 1
A nurse is teaching a client who is at 8 weeks of gestation about manifestations to
report to the provider during pregnancy. Which of the following information
should the nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
Correct Answer: B) Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia, a serious
complication of pregnancy that requires immediate medical attention. Nausea upon
awakening (A) is a common first-trimester discomfort. Increased white vaginal
discharge (C) is normal leukorrhea caused by increased estrogen. Leg cramps (D)
are common in later pregnancy due to pressure on nerves and blood vessels .
,Question 2
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation
and has preeclampsia. Which of the following laboratory results should the nurse
report to the provider?
A) BUN 15 mg/dL
B) BUN 25 mg/dL
C) BUN 35 mg/dL
D) BUN 45 mg/dL
Correct Answer: C) BUN 35 mg/dL
Rationale: BUN 35 mg/dL is elevated above the normal range (10-20 mg/dL) and
indicates potential renal impairment, which can occur with worsening
preeclampsia. Elevated BUN suggests decreased kidney perfusion and possible
progression to severe features .
Question 3
A nurse is discussing recommendations for daily nutrient intake during pregnancy
with a client who is at 10 weeks of gestation. For which of the following nutrients
should the nurse instruct the client to increase intake during pregnancy?
A) Calcium
B) Fiber
C) Iron
D) Vitamin C
Correct Answer: C) Iron
Rationale: Iron requirements increase significantly during pregnancy to support
maternal red blood cell mass expansion and fetal development. The recommended
daily allowance increases from 18 mg to 27 mg during pregnancy. While calcium
,and fiber are important, iron deficiency is more common and has serious
consequences for both mother and fetus .
Question 4
A nurse is teaching a pregnant client who is Rh-negative about Rh(D) immune
globulin. Which of the following statements by the client indicates an
understanding of the teaching?
A) "This shot will prevent me from becoming anemic during pregnancy."
B) "This shot may be given after birth to protect future pregnancies."
C) "I will need this shot only once during my entire pregnancy."
D) "This medication is given to treat my baby's jaundice."
Correct Answer: B) "This shot may be given after birth to protect future
pregnancies."
Rationale: Rh(D) immune globulin is administered to Rh-negative mothers at 28
weeks of gestation and within 72 hours after delivery of an Rh-positive newborn to
prevent antibody formation that could harm future pregnancies. The statement
demonstrates understanding that postpartum administration protects subsequent
pregnancies .
Question 5
A nurse is caring for a client who is at 35 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests?
A) Nonstress test
B) Biophysical profile
, C) Amniocentesis
D) Percutaneous umbilical blood sampling
Correct Answer: B) Biophysical profile
Rationale: A positive contraction stress test (late decelerations with contractions)
indicates placental insufficiency and requires further fetal assessment. A
biophysical profile uses real-time ultrasound to evaluate fetal well-being, including
breathing, movement, tone, and amniotic fluid volume. A nonstress test would not
provide adequate additional information after a positive CST .
Section 2: Intrapartum Care
Question 6
A nurse is performing a vaginal exam on a client who is in active labor. The nurse
notes the umbilical cord protruding through the cervix. Which of the following
actions should the nurse take FIRST?
A) Apply oxygen via face mask
B) Assist the client into the knee-chest position
C) Notify the provider immediately
D) Insert a gloved hand into the vagina to relieve pressure on the cord
Correct Answer: B) Assist the client into the knee-chest position
Rationale: Cord prolapse is an obstetric emergency. The priority action is to
relieve pressure on the umbilical cord by positioning the mother in knee-chest or
Trendelenburg position. This uses gravity to move the presenting part away from
the cord. Oxygen administration, provider notification, and manual elevation of the
presenting part are subsequent actions, but positioning is first .
Newborn Latest Exam with Actual
Exam Questions and Verified
Answers
Section 1: Antepartum Care
Question 1
A nurse is teaching a client who is at 8 weeks of gestation about manifestations to
report to the provider during pregnancy. Which of the following information
should the nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
Correct Answer: B) Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia, a serious
complication of pregnancy that requires immediate medical attention. Nausea upon
awakening (A) is a common first-trimester discomfort. Increased white vaginal
discharge (C) is normal leukorrhea caused by increased estrogen. Leg cramps (D)
are common in later pregnancy due to pressure on nerves and blood vessels .
,Question 2
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation
and has preeclampsia. Which of the following laboratory results should the nurse
report to the provider?
A) BUN 15 mg/dL
B) BUN 25 mg/dL
C) BUN 35 mg/dL
D) BUN 45 mg/dL
Correct Answer: C) BUN 35 mg/dL
Rationale: BUN 35 mg/dL is elevated above the normal range (10-20 mg/dL) and
indicates potential renal impairment, which can occur with worsening
preeclampsia. Elevated BUN suggests decreased kidney perfusion and possible
progression to severe features .
Question 3
A nurse is discussing recommendations for daily nutrient intake during pregnancy
with a client who is at 10 weeks of gestation. For which of the following nutrients
should the nurse instruct the client to increase intake during pregnancy?
A) Calcium
B) Fiber
C) Iron
D) Vitamin C
Correct Answer: C) Iron
Rationale: Iron requirements increase significantly during pregnancy to support
maternal red blood cell mass expansion and fetal development. The recommended
daily allowance increases from 18 mg to 27 mg during pregnancy. While calcium
,and fiber are important, iron deficiency is more common and has serious
consequences for both mother and fetus .
Question 4
A nurse is teaching a pregnant client who is Rh-negative about Rh(D) immune
globulin. Which of the following statements by the client indicates an
understanding of the teaching?
A) "This shot will prevent me from becoming anemic during pregnancy."
B) "This shot may be given after birth to protect future pregnancies."
C) "I will need this shot only once during my entire pregnancy."
D) "This medication is given to treat my baby's jaundice."
Correct Answer: B) "This shot may be given after birth to protect future
pregnancies."
Rationale: Rh(D) immune globulin is administered to Rh-negative mothers at 28
weeks of gestation and within 72 hours after delivery of an Rh-positive newborn to
prevent antibody formation that could harm future pregnancies. The statement
demonstrates understanding that postpartum administration protects subsequent
pregnancies .
Question 5
A nurse is caring for a client who is at 35 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests?
A) Nonstress test
B) Biophysical profile
, C) Amniocentesis
D) Percutaneous umbilical blood sampling
Correct Answer: B) Biophysical profile
Rationale: A positive contraction stress test (late decelerations with contractions)
indicates placental insufficiency and requires further fetal assessment. A
biophysical profile uses real-time ultrasound to evaluate fetal well-being, including
breathing, movement, tone, and amniotic fluid volume. A nonstress test would not
provide adequate additional information after a positive CST .
Section 2: Intrapartum Care
Question 6
A nurse is performing a vaginal exam on a client who is in active labor. The nurse
notes the umbilical cord protruding through the cervix. Which of the following
actions should the nurse take FIRST?
A) Apply oxygen via face mask
B) Assist the client into the knee-chest position
C) Notify the provider immediately
D) Insert a gloved hand into the vagina to relieve pressure on the cord
Correct Answer: B) Assist the client into the knee-chest position
Rationale: Cord prolapse is an obstetric emergency. The priority action is to
relieve pressure on the umbilical cord by positioning the mother in knee-chest or
Trendelenburg position. This uses gravity to move the presenting part away from
the cord. Oxygen administration, provider notification, and manual elevation of the
presenting part are subsequent actions, but positioning is first .
