ATI PN PROCTORED MATERNAL NEWBORN
2023 EXAM: COMPREHENSIVE QUESTION
BANK WITH ANSWERS AND RATIONALES
SECTION 1: ANTEPARTUM CARE AND PRENATAL ASSESSMENT
1. A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2
weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the
following responses should the nurse make?
A. "You are definitely pregnant since your period is late."
B. "Let me schedule you for an ultrasound to confirm pregnancy."
C. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
D. "I will have the provider prescribe a blood test immediately."
Answer: C
Rationale: Amenorrhea is a presumptive sign of pregnancy, not a positive sign. The nurse
should explore the client's menstrual cycle to determine other necessary interventions and
avoid making assumptions .
,2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
client that which laboratory test will be used to confirm her pregnancy?
A. Urine test for presence of human chorionic gonadotropin (hCG)
B. Urine test for the presence of human chorionic somatomammotropin (hCS)
C. Blood test for presence of estrogen
D. Blood test for the amount of circulating progesterone
Answer: A
Rationale: A urine test for the presence of hCG is used to confirm pregnancy. hCG is the
hormone produced by the placenta that is detectable in urine and blood shortly after
implantation .
3. A nurse is assessing a client who is at 18 weeks of gestation. Which of the following
findings should the nurse expect?
A. Fundal height of 14 cm
B. Fundal height of 18 cm
C. Fundal height of 22 cm
D. Fundal height of 26 cm
Answer: B
Rationale: Fundal height should be measured in centimeters and is the same as the
number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. At 18
weeks, the expected fundal height is 18 cm .
,4. A nurse is caring for a client who believes she may be pregnant. Which finding should the
nurse identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
Answer: A
Rationale: Palpable fetal movement is a positive sign of pregnancy. Other positive signs
include visualization of the fetus by ultrasound, auscultation of fetal heart tones, and the
provider palpating fetal parts. Amenorrhea, Chadwick's sign, and a positive pregnancy test
are probable signs .
5. A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which finding should the nurse
report to the provider? (Exhibit shows: Progress notes - Fundal height 30 cm, Good fetal
movement, No headache/dizziness/blurred vision/vaginal bleeding, Fetal heart rate
110/min)
A. Fundal height measurement
B. Fetal heart rate
C. Good fetal movement
D. Absence of symptoms
Answer: A
, Rationale: A fundal height measurement of 30 cm should be reported to the provider.
Fundal height should be measured in centimeters and is the same as the number of
gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. At 26 weeks, the
expected range is 24-28 cm .
6. A nurse is reviewing the medical record of a client who is at 39 weeks gestation and has
polyhydramnios. Which finding should the nurse expect?
A. Total pregnancy weight gain of 3.6 kg
B. Fetal gastrointestinal anomaly
C. Gestational hypertension
D. Fundal height of 34 cm
Answer: B
Rationale: Polyhydramnios is the presence of excessive amniotic fluid surrounding the
unborn fetus. Gastrointestinal malformations and neurologic disorders are expected
findings for a fetus experiencing the effects of polyhydramnios .
7. A nurse is caring for a client who has oligohydramnios. Which fetal anomalies should the
nurse expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
2023 EXAM: COMPREHENSIVE QUESTION
BANK WITH ANSWERS AND RATIONALES
SECTION 1: ANTEPARTUM CARE AND PRENATAL ASSESSMENT
1. A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2
weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the
following responses should the nurse make?
A. "You are definitely pregnant since your period is late."
B. "Let me schedule you for an ultrasound to confirm pregnancy."
C. "You can miss your period for several other reasons. Describe your typical menstrual
cycle."
D. "I will have the provider prescribe a blood test immediately."
Answer: C
Rationale: Amenorrhea is a presumptive sign of pregnancy, not a positive sign. The nurse
should explore the client's menstrual cycle to determine other necessary interventions and
avoid making assumptions .
,2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
client that which laboratory test will be used to confirm her pregnancy?
A. Urine test for presence of human chorionic gonadotropin (hCG)
B. Urine test for the presence of human chorionic somatomammotropin (hCS)
C. Blood test for presence of estrogen
D. Blood test for the amount of circulating progesterone
Answer: A
Rationale: A urine test for the presence of hCG is used to confirm pregnancy. hCG is the
hormone produced by the placenta that is detectable in urine and blood shortly after
implantation .
3. A nurse is assessing a client who is at 18 weeks of gestation. Which of the following
findings should the nurse expect?
A. Fundal height of 14 cm
B. Fundal height of 18 cm
C. Fundal height of 22 cm
D. Fundal height of 26 cm
Answer: B
Rationale: Fundal height should be measured in centimeters and is the same as the
number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. At 18
weeks, the expected fundal height is 18 cm .
,4. A nurse is caring for a client who believes she may be pregnant. Which finding should the
nurse identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
Answer: A
Rationale: Palpable fetal movement is a positive sign of pregnancy. Other positive signs
include visualization of the fetus by ultrasound, auscultation of fetal heart tones, and the
provider palpating fetal parts. Amenorrhea, Chadwick's sign, and a positive pregnancy test
are probable signs .
5. A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which finding should the nurse
report to the provider? (Exhibit shows: Progress notes - Fundal height 30 cm, Good fetal
movement, No headache/dizziness/blurred vision/vaginal bleeding, Fetal heart rate
110/min)
A. Fundal height measurement
B. Fetal heart rate
C. Good fetal movement
D. Absence of symptoms
Answer: A
, Rationale: A fundal height measurement of 30 cm should be reported to the provider.
Fundal height should be measured in centimeters and is the same as the number of
gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. At 26 weeks, the
expected range is 24-28 cm .
6. A nurse is reviewing the medical record of a client who is at 39 weeks gestation and has
polyhydramnios. Which finding should the nurse expect?
A. Total pregnancy weight gain of 3.6 kg
B. Fetal gastrointestinal anomaly
C. Gestational hypertension
D. Fundal height of 34 cm
Answer: B
Rationale: Polyhydramnios is the presence of excessive amniotic fluid surrounding the
unborn fetus. Gastrointestinal malformations and neurologic disorders are expected
findings for a fetus experiencing the effects of polyhydramnios .
7. A nurse is caring for a client who has oligohydramnios. Which fetal anomalies should the
nurse expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
