ATI Capstone Maternal Newborn Assessment Actual Exam 2026/2027 –
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed A+
EXAM INFORMATION
Total Questions: 50
Recommended Time: 75 Minutes
Passing Threshold: 80%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Professional Decision-Making Questions
Difficulty Level: Dynamically Determined Based on Exam Scope
==============================
SECTION 1: Antepartum Nursing Care and Assessment
Question 1: A nurse is caring for a client at 12 weeks gestation who asks when she
should expect to feel fetal movement. The nurse should respond that quickening is
typically felt between which gestational ages?
A. 8 to 12 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 32 to 36 weeks
Correct Answer: B
Rationale: Quickening, or the first perception of fetal movement by the pregnant client,
typically occurs between 16 and 20 weeks gestation in nulliparous clients. Multiparous
clients may perceive movement slightly earlier, around 14 to 16 weeks. Before 16
weeks, fetal movements are too small to be perceived. After 20 weeks, fetal movement
,should be consistently felt and monitored. The nurse should also instruct the client to
perform daily fetal movement counts after 28 weeks gestation.
Question 2: A nurse is reviewing the prenatal record of a client at 28 weeks gestation.
The fundal height measurement is 30 cm. Which action should the nurse take?
A. Document the finding as normal and continue routine care
B. Notify the provider immediately of a potential fetal growth restriction
C. Prepare the client for an emergency cesarean birth
D. Recheck the measurement in 2 weeks without further action
Correct Answer: A
Rationale: Fundal height measurement in centimeters should approximate gestational
age in weeks between 20 and 32 weeks gestation, with an acceptable variation of plus
or minus 2 cm. A measurement of 30 cm at 28 weeks gestation falls within the normal
range of 26 to 30 cm. The nurse should document the finding and continue routine care.
Fundal height measurements that deviate by more than 2 cm from gestational age
warrant further evaluation for conditions such as fetal growth restriction, macrosomia,
polyhydramnios, or oligohydramnios.
Question 3: A nurse is educating a pregnant client about foods to avoid during
pregnancy to reduce the risk of listeriosis. Which food should the nurse instruct the
client to avoid?
A. Pasteurized milk
B. Hard cheeses such as cheddar
C. Deli meats and unpasteurized soft cheeses
D. Cooked chicken breast
Correct Answer: C
Rationale: Listeria monocytogenes can cross the placenta and cause miscarriage,
stillbirth, or neonatal infection. Pregnant clients should avoid unpasteurized dairy
, products, unpasteurized soft cheeses such as brie and feta, deli meats and hot dogs
unless heated until steaming, refrigerated smoked seafood, and raw or undercooked
meats. Pasteurized milk, hard cheeses, and thoroughly cooked meats are safe to
consume during pregnancy.
Question 4: A nurse is assessing a client at 32 weeks gestation who reports persistent
itching of the palms and soles without a rash. The nurse should recognize this as a
potential sign of which condition?
A. Pruritic urticarial papules and plaques of pregnancy (PUPPP)
B. Intrahepatic cholestasis of pregnancy
C. Contact dermatitis
D. Scabies infestation
Correct Answer: B
Rationale: Intrahepatic cholestasis of pregnancy (ICP) is characterized by pruritus of the
palms and soles without a rash, typically occurring in the third trimester. It is caused by
impaired bile acid excretion and is associated with increased risk of preterm birth,
meconium aspiration, and stillbirth. PUPPP presents with a rash on the abdomen and
striae. Contact dermatitis would present with a localized rash. Scabies causes intense
itching with burrows and papules, not limited to palms and soles.
Question 5: A nurse is caring for a client at 10 weeks gestation with a history of sickle
cell disease. The nurse should anticipate which potential pregnancy complication?
A. Decreased risk of urinary tract infections
B. Increased risk of vaso-occlusive crises and preterm labor
C. Decreased risk of anemia due to pregnancy-induced erythropoiesis
D. Improved sickle cell symptoms during pregnancy
Correct Answer: B
Complete Exam-Style Questions with Detailed Rationales | 100%
Verified – Pass Guaranteed A+
EXAM INFORMATION
Total Questions: 50
Recommended Time: 75 Minutes
Passing Threshold: 80%
Exam Format: Multiple Choice Questions (MCQs)
Question Style: Scenario-Based, Applied, and Professional Decision-Making Questions
Difficulty Level: Dynamically Determined Based on Exam Scope
==============================
SECTION 1: Antepartum Nursing Care and Assessment
Question 1: A nurse is caring for a client at 12 weeks gestation who asks when she
should expect to feel fetal movement. The nurse should respond that quickening is
typically felt between which gestational ages?
A. 8 to 12 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 32 to 36 weeks
Correct Answer: B
Rationale: Quickening, or the first perception of fetal movement by the pregnant client,
typically occurs between 16 and 20 weeks gestation in nulliparous clients. Multiparous
clients may perceive movement slightly earlier, around 14 to 16 weeks. Before 16
weeks, fetal movements are too small to be perceived. After 20 weeks, fetal movement
,should be consistently felt and monitored. The nurse should also instruct the client to
perform daily fetal movement counts after 28 weeks gestation.
Question 2: A nurse is reviewing the prenatal record of a client at 28 weeks gestation.
The fundal height measurement is 30 cm. Which action should the nurse take?
A. Document the finding as normal and continue routine care
B. Notify the provider immediately of a potential fetal growth restriction
C. Prepare the client for an emergency cesarean birth
D. Recheck the measurement in 2 weeks without further action
Correct Answer: A
Rationale: Fundal height measurement in centimeters should approximate gestational
age in weeks between 20 and 32 weeks gestation, with an acceptable variation of plus
or minus 2 cm. A measurement of 30 cm at 28 weeks gestation falls within the normal
range of 26 to 30 cm. The nurse should document the finding and continue routine care.
Fundal height measurements that deviate by more than 2 cm from gestational age
warrant further evaluation for conditions such as fetal growth restriction, macrosomia,
polyhydramnios, or oligohydramnios.
Question 3: A nurse is educating a pregnant client about foods to avoid during
pregnancy to reduce the risk of listeriosis. Which food should the nurse instruct the
client to avoid?
A. Pasteurized milk
B. Hard cheeses such as cheddar
C. Deli meats and unpasteurized soft cheeses
D. Cooked chicken breast
Correct Answer: C
Rationale: Listeria monocytogenes can cross the placenta and cause miscarriage,
stillbirth, or neonatal infection. Pregnant clients should avoid unpasteurized dairy
, products, unpasteurized soft cheeses such as brie and feta, deli meats and hot dogs
unless heated until steaming, refrigerated smoked seafood, and raw or undercooked
meats. Pasteurized milk, hard cheeses, and thoroughly cooked meats are safe to
consume during pregnancy.
Question 4: A nurse is assessing a client at 32 weeks gestation who reports persistent
itching of the palms and soles without a rash. The nurse should recognize this as a
potential sign of which condition?
A. Pruritic urticarial papules and plaques of pregnancy (PUPPP)
B. Intrahepatic cholestasis of pregnancy
C. Contact dermatitis
D. Scabies infestation
Correct Answer: B
Rationale: Intrahepatic cholestasis of pregnancy (ICP) is characterized by pruritus of the
palms and soles without a rash, typically occurring in the third trimester. It is caused by
impaired bile acid excretion and is associated with increased risk of preterm birth,
meconium aspiration, and stillbirth. PUPPP presents with a rash on the abdomen and
striae. Contact dermatitis would present with a localized rash. Scabies causes intense
itching with burrows and papules, not limited to palms and soles.
Question 5: A nurse is caring for a client at 10 weeks gestation with a history of sickle
cell disease. The nurse should anticipate which potential pregnancy complication?
A. Decreased risk of urinary tract infections
B. Increased risk of vaso-occlusive crises and preterm labor
C. Decreased risk of anemia due to pregnancy-induced erythropoiesis
D. Improved sickle cell symptoms during pregnancy
Correct Answer: B
