ATI Maternal Newborn
Practice Assessment B:
Version 2.0 well written one
year 2025 /2026 updated
graded A+ Comprehensive 150-
Question Examination with Evidence-
Based Rationales for Advanced Nursing
Practice and NCLEX-RN Readiness
Instructions
,This comprehensive examination consists of 150 multiple-choice questions designed to assess
advanced knowledge in maternal-newborn nursing. Each question has one correct answer. Select the
best response and review the accompanying rationale for comprehensive understanding. Questions
cover antepartum, intrapartum, postpartum, newborn care, complications, pharmacology, and client
education domains.
Section 1: Antepartum Care (Questions 1–30)
1. A nurse is providing prenatal education to a client at 10 weeks of gestation. Which of the
following statements by the client indicates an understanding of the physiological changes of
pregnancy?
A. "My heart rate will decrease during pregnancy."
B. "My blood pressure will increase significantly in the first trimester."
C. "My respiratory rate will increase due to hormonal changes."
D. "My blood volume will decrease during the second trimester."
- detailed answer 100% correct :-C
Rationale: Respiratory rate increases slightly during pregnancy due to progesterone's effect on the
respiratory center and increased oxygen demands. Heart rate increases (not decreases) by 10–15 beats
per minute (A). Blood pressure typically decreases in the first and second trimesters, not increases (B).
Blood volume increases by 40–50% during pregnancy, not decreases (D).
2. A nurse is assessing a client at 12 weeks of gestation who reports frequent urination. Which
of the following responses by the nurse is most appropriate?
A. "This is a normal finding due to increased bladder capacity."
B. "This is caused by hormonal changes and increased renal blood flow."
C. "This indicates a urinary tract infection and requires evaluation."
D. "This will resolve completely after the first trimester."
- detailed answer 100% correct :-B
Rationale: Frequent urination in early pregnancy is caused by hormonal changes (increased
progesterone) and increased renal blood flow, leading to increased glomerular filtration rate and urine
production. Bladder capacity actually decreases (A). While UTIs should be ruled out if other symptoms
exist, frequency alone does not indicate infection (C). While it may improve in the second trimester, it
often returns in the third trimester due to uterine pressure (D).
3. A nurse is providing teaching to a client at 8 weeks of gestation about dietary needs. Which
of the following statements by the client indicates understanding?
,A. "I need to increase my iron intake to 30 mg per day."
B. "I need to increase my calcium intake to 1,000 mg per day."
C. "I need to increase my folic acid intake to 600 mcg per day."
D. "I need to increase my vitamin C intake to 100 mg per day."
- detailed answer 100% correct :-A
Rationale: Iron requirements increase to 27–30 mg per day during pregnancy to support increased
red blood cell mass and fetal needs. Calcium needs remain at 1,000 mg per day (not increased) (B).
Folic acid recommendation is 400–800 mcg per day; 600 mcg is the RDA, but the question asks for
understanding of iron specifically (C). Vitamin C needs increase to 85 mg per day, not 100 mg (D).
4. A nurse is reviewing laboratory results for a client at 16 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A. Urine specific gravity 1.005
B. Urine protein 2+
C. Blood glucose 95 mg/dL
D. Hematocrit 35%
- detailed answer 100% correct :-B
Rationale: Proteinuria (2+ or greater) in pregnancy is abnormal and should be reported as it may
indicate preeclampsia or renal disease. Urine specific gravity of 1.005 (A) is within expected range
(1.005–1.030). Blood glucose 95 mg/dL (C) is normal fasting (<95 mg/dL). Hematocrit 35% (D) is within
expected range (>33% in second trimester).
5. A nurse is teaching a client who is Rh-negative about RhoGAM administration. Which of the
following statements by the client indicates understanding?
A. "RhoGAM will be given at my 12-week visit."
B. "RhoGAM prevents my baby from developing jaundice."
C. "RhoGAM is given at 28 weeks and after delivery if my baby is Rh-positive."
D. "RhoGAM is only needed if I have had a previous miscarriage."
- detailed answer 100% correct :-C
Rationale: Rh immune globulin (RhoGAM) is administered at 28 weeks of gestation and again within
72 hours postpartum if the newborn is Rh-positive. RhoGAM is not given at 12 weeks (A). It prevents
maternal sensitization, not fetal jaundice directly (B). It is needed for every Rh-negative pregnancy, not
only after miscarriage (D).
6. A nurse is assessing a client at 24 weeks of gestation. Which of the following findings should
the nurse identify as an expected cardiovascular change during pregnancy?
A. Decreased cardiac output
B. Systolic ejection murmur
C. Increased peripheral vascular resistance
, D. Decreased blood volume
- detailed answer 100% correct :-B
Rationale: A systolic ejection murmur is commonly heard during pregnancy due to increased blood
volume and cardiac output, and is considered benign. Cardiac output increases (not decreases) by 30–
50% (A). Peripheral vascular resistance decreases (not increases) (C). Blood volume increases (not
decreases) (D).
7. A nurse is providing teaching to a client at 14 weeks of gestation about prenatal testing.
Which of the following statements by the client indicates understanding of chorionic villus
sampling (CVS)?
A. "CVS is performed at 10 to 13 weeks of gestation."
B. "CVS is performed at 15 to 20 weeks of gestation."
C. "CVS is performed at 24 to 28 weeks of gestation."
D. "CVS is performed at 34 to 36 weeks of gestation."
- detailed answer 100% correct :-A
Rationale: CVS is typically performed between 10 and 13 weeks of gestation. Amniocentesis (B) is
performed at 15–20 weeks. The other timeframes (C, D) are not associated with CVS.
8. A nurse is assessing a client at 30 weeks of gestation who reports leg cramps. Which of the
following recommendations should the nurse make?
A. Increase calcium and magnesium intake
B. Decrease fluid intake
C. Increase sodium intake
D. Decrease potassium intake
- detailed answer 100% correct :-A
Rationale: Leg cramps during pregnancy may be related to calcium-magnesium imbalance or
decreased circulation. Increasing calcium and magnesium intake (through diet or supplements) may
help relieve cramps. Fluid intake should be maintained (B). Sodium should not be increased (C).
Potassium is important and should not be decreased (D).
9. A nurse is caring for a client at 20 weeks of gestation who has a BMI of 18.5. Which of the
following weight gain recommendations should the nurse provide?
A. 11–20 pounds
B. 15–25 pounds
C. 25–35 pounds
D. 28–40 pounds
- detailed answer 100% correct :-D
Practice Assessment B:
Version 2.0 well written one
year 2025 /2026 updated
graded A+ Comprehensive 150-
Question Examination with Evidence-
Based Rationales for Advanced Nursing
Practice and NCLEX-RN Readiness
Instructions
,This comprehensive examination consists of 150 multiple-choice questions designed to assess
advanced knowledge in maternal-newborn nursing. Each question has one correct answer. Select the
best response and review the accompanying rationale for comprehensive understanding. Questions
cover antepartum, intrapartum, postpartum, newborn care, complications, pharmacology, and client
education domains.
Section 1: Antepartum Care (Questions 1–30)
1. A nurse is providing prenatal education to a client at 10 weeks of gestation. Which of the
following statements by the client indicates an understanding of the physiological changes of
pregnancy?
A. "My heart rate will decrease during pregnancy."
B. "My blood pressure will increase significantly in the first trimester."
C. "My respiratory rate will increase due to hormonal changes."
D. "My blood volume will decrease during the second trimester."
- detailed answer 100% correct :-C
Rationale: Respiratory rate increases slightly during pregnancy due to progesterone's effect on the
respiratory center and increased oxygen demands. Heart rate increases (not decreases) by 10–15 beats
per minute (A). Blood pressure typically decreases in the first and second trimesters, not increases (B).
Blood volume increases by 40–50% during pregnancy, not decreases (D).
2. A nurse is assessing a client at 12 weeks of gestation who reports frequent urination. Which
of the following responses by the nurse is most appropriate?
A. "This is a normal finding due to increased bladder capacity."
B. "This is caused by hormonal changes and increased renal blood flow."
C. "This indicates a urinary tract infection and requires evaluation."
D. "This will resolve completely after the first trimester."
- detailed answer 100% correct :-B
Rationale: Frequent urination in early pregnancy is caused by hormonal changes (increased
progesterone) and increased renal blood flow, leading to increased glomerular filtration rate and urine
production. Bladder capacity actually decreases (A). While UTIs should be ruled out if other symptoms
exist, frequency alone does not indicate infection (C). While it may improve in the second trimester, it
often returns in the third trimester due to uterine pressure (D).
3. A nurse is providing teaching to a client at 8 weeks of gestation about dietary needs. Which
of the following statements by the client indicates understanding?
,A. "I need to increase my iron intake to 30 mg per day."
B. "I need to increase my calcium intake to 1,000 mg per day."
C. "I need to increase my folic acid intake to 600 mcg per day."
D. "I need to increase my vitamin C intake to 100 mg per day."
- detailed answer 100% correct :-A
Rationale: Iron requirements increase to 27–30 mg per day during pregnancy to support increased
red blood cell mass and fetal needs. Calcium needs remain at 1,000 mg per day (not increased) (B).
Folic acid recommendation is 400–800 mcg per day; 600 mcg is the RDA, but the question asks for
understanding of iron specifically (C). Vitamin C needs increase to 85 mg per day, not 100 mg (D).
4. A nurse is reviewing laboratory results for a client at 16 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A. Urine specific gravity 1.005
B. Urine protein 2+
C. Blood glucose 95 mg/dL
D. Hematocrit 35%
- detailed answer 100% correct :-B
Rationale: Proteinuria (2+ or greater) in pregnancy is abnormal and should be reported as it may
indicate preeclampsia or renal disease. Urine specific gravity of 1.005 (A) is within expected range
(1.005–1.030). Blood glucose 95 mg/dL (C) is normal fasting (<95 mg/dL). Hematocrit 35% (D) is within
expected range (>33% in second trimester).
5. A nurse is teaching a client who is Rh-negative about RhoGAM administration. Which of the
following statements by the client indicates understanding?
A. "RhoGAM will be given at my 12-week visit."
B. "RhoGAM prevents my baby from developing jaundice."
C. "RhoGAM is given at 28 weeks and after delivery if my baby is Rh-positive."
D. "RhoGAM is only needed if I have had a previous miscarriage."
- detailed answer 100% correct :-C
Rationale: Rh immune globulin (RhoGAM) is administered at 28 weeks of gestation and again within
72 hours postpartum if the newborn is Rh-positive. RhoGAM is not given at 12 weeks (A). It prevents
maternal sensitization, not fetal jaundice directly (B). It is needed for every Rh-negative pregnancy, not
only after miscarriage (D).
6. A nurse is assessing a client at 24 weeks of gestation. Which of the following findings should
the nurse identify as an expected cardiovascular change during pregnancy?
A. Decreased cardiac output
B. Systolic ejection murmur
C. Increased peripheral vascular resistance
, D. Decreased blood volume
- detailed answer 100% correct :-B
Rationale: A systolic ejection murmur is commonly heard during pregnancy due to increased blood
volume and cardiac output, and is considered benign. Cardiac output increases (not decreases) by 30–
50% (A). Peripheral vascular resistance decreases (not increases) (C). Blood volume increases (not
decreases) (D).
7. A nurse is providing teaching to a client at 14 weeks of gestation about prenatal testing.
Which of the following statements by the client indicates understanding of chorionic villus
sampling (CVS)?
A. "CVS is performed at 10 to 13 weeks of gestation."
B. "CVS is performed at 15 to 20 weeks of gestation."
C. "CVS is performed at 24 to 28 weeks of gestation."
D. "CVS is performed at 34 to 36 weeks of gestation."
- detailed answer 100% correct :-A
Rationale: CVS is typically performed between 10 and 13 weeks of gestation. Amniocentesis (B) is
performed at 15–20 weeks. The other timeframes (C, D) are not associated with CVS.
8. A nurse is assessing a client at 30 weeks of gestation who reports leg cramps. Which of the
following recommendations should the nurse make?
A. Increase calcium and magnesium intake
B. Decrease fluid intake
C. Increase sodium intake
D. Decrease potassium intake
- detailed answer 100% correct :-A
Rationale: Leg cramps during pregnancy may be related to calcium-magnesium imbalance or
decreased circulation. Increasing calcium and magnesium intake (through diet or supplements) may
help relieve cramps. Fluid intake should be maintained (B). Sodium should not be increased (C).
Potassium is important and should not be decreased (D).
9. A nurse is caring for a client at 20 weeks of gestation who has a BMI of 18.5. Which of the
following weight gain recommendations should the nurse provide?
A. 11–20 pounds
B. 15–25 pounds
C. 25–35 pounds
D. 28–40 pounds
- detailed answer 100% correct :-D
