ATI Maternal Newborn Exam
ATI Maternal Newborn Exam
Questions with Answers & Rationales| Latest Update
Page 1
,ATI Maternal Newborn Exam
1. A nurse is calculating the estimated date of birth (EDB) using
Naegele's rule for a client whose last menstrual period (LMP) was April
10. What is the EDB?
A. January 3
B. January 17
C. February 17
D. December 17
Answer: B
Rationale: Naegele's rule: subtract 3 months from the LMP, add 7 days, and
adjust the year. April 10 minus 3 months = January 10; adding 7 days =
January 17.
2. A client at 12 weeks gestation asks the nurse when she should
expect to first feel fetal movement (quickening). Which response is
correct?
A. 8 to 10 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 30 to 32 weeks
Answer: B
Rationale: Quickening, the first maternal perception of fetal movement,
typically occurs between 16 and 20 weeks of gestation, earlier in multiparous
clients.
Page 2
,ATI Maternal Newborn Exam
3. A nurse is assessing a client during the first prenatal visit. Which
finding should the nurse identify as a presumptive sign of pregnancy?
A. Positive serum hCG
B. Fetal heart tones on Doppler
C. Nausea and vomiting
D. Braxton Hicks contractions
Answer: C
Rationale: Presumptive signs are subjective changes reported by the client,
such as nausea, amenorrhea, and breast tenderness. Positive hCG and
Braxton Hicks are probable signs; fetal heart tones are a positive sign.
4. A nurse is teaching a client who is 8 weeks pregnant about
recommended weight gain. The client has a pre-pregnancy BMI of 27
(overweight). What total weight gain should the nurse recommend?
A. 28 to 40 lb
B. 25 to 35 lb
C. 15 to 25 lb
D. 11 to 20 lb
Answer: C
Rationale: For clients with a pre-pregnancy BMI classified as overweight
(25-29.9), the recommended total weight gain is 15 to 25 lb, per IOM
guidelines. Underweight clients: 28-40 lb; normal weight: 25-35 lb; obese:
11-20 lb.
Page 3
, ATI Maternal Newborn Exam
5. A nurse is reviewing laboratory results for a client at 26 weeks
gestation who underwent a 1-hour glucose challenge test with a result
of 156 mg/dL. What should the nurse plan to do next?
A. Reassure the client the result is normal
B. Schedule a 3-hour oral glucose tolerance test
C. Initiate insulin therapy immediately
D. Repeat the 1-hour test in 4 weeks
Answer: B
Rationale: A 1-hour glucose challenge result greater than 140 mg/dL (some
agencies use 130 mg/dL) is abnormal and requires a follow-up 3-hour oral
glucose tolerance test to diagnose gestational diabetes.
6. A nurse is caring for a client at 32 weeks gestation who reports a
severe headache, visual disturbances, and epigastric pain. Blood
pressure is 168/112 mmHg. Which action should the nurse take first?
A. Administer acetaminophen for the headache
B. Place the client on strict bed rest at home
C. Notify the provider immediately and prepare for further assessment
D. Reassure the client this is a normal pregnancy discomfort
Answer: C
Rationale: These findings (severe headache, visual disturbances, epigastric
pain, and severely elevated BP) indicate severe preeclampsia, a medical
emergency requiring immediate provider notification and further evaluation,
including magnesium sulfate for seizure prophylaxis.
Page 4
ATI Maternal Newborn Exam
Questions with Answers & Rationales| Latest Update
Page 1
,ATI Maternal Newborn Exam
1. A nurse is calculating the estimated date of birth (EDB) using
Naegele's rule for a client whose last menstrual period (LMP) was April
10. What is the EDB?
A. January 3
B. January 17
C. February 17
D. December 17
Answer: B
Rationale: Naegele's rule: subtract 3 months from the LMP, add 7 days, and
adjust the year. April 10 minus 3 months = January 10; adding 7 days =
January 17.
2. A client at 12 weeks gestation asks the nurse when she should
expect to first feel fetal movement (quickening). Which response is
correct?
A. 8 to 10 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 30 to 32 weeks
Answer: B
Rationale: Quickening, the first maternal perception of fetal movement,
typically occurs between 16 and 20 weeks of gestation, earlier in multiparous
clients.
Page 2
,ATI Maternal Newborn Exam
3. A nurse is assessing a client during the first prenatal visit. Which
finding should the nurse identify as a presumptive sign of pregnancy?
A. Positive serum hCG
B. Fetal heart tones on Doppler
C. Nausea and vomiting
D. Braxton Hicks contractions
Answer: C
Rationale: Presumptive signs are subjective changes reported by the client,
such as nausea, amenorrhea, and breast tenderness. Positive hCG and
Braxton Hicks are probable signs; fetal heart tones are a positive sign.
4. A nurse is teaching a client who is 8 weeks pregnant about
recommended weight gain. The client has a pre-pregnancy BMI of 27
(overweight). What total weight gain should the nurse recommend?
A. 28 to 40 lb
B. 25 to 35 lb
C. 15 to 25 lb
D. 11 to 20 lb
Answer: C
Rationale: For clients with a pre-pregnancy BMI classified as overweight
(25-29.9), the recommended total weight gain is 15 to 25 lb, per IOM
guidelines. Underweight clients: 28-40 lb; normal weight: 25-35 lb; obese:
11-20 lb.
Page 3
, ATI Maternal Newborn Exam
5. A nurse is reviewing laboratory results for a client at 26 weeks
gestation who underwent a 1-hour glucose challenge test with a result
of 156 mg/dL. What should the nurse plan to do next?
A. Reassure the client the result is normal
B. Schedule a 3-hour oral glucose tolerance test
C. Initiate insulin therapy immediately
D. Repeat the 1-hour test in 4 weeks
Answer: B
Rationale: A 1-hour glucose challenge result greater than 140 mg/dL (some
agencies use 130 mg/dL) is abnormal and requires a follow-up 3-hour oral
glucose tolerance test to diagnose gestational diabetes.
6. A nurse is caring for a client at 32 weeks gestation who reports a
severe headache, visual disturbances, and epigastric pain. Blood
pressure is 168/112 mmHg. Which action should the nurse take first?
A. Administer acetaminophen for the headache
B. Place the client on strict bed rest at home
C. Notify the provider immediately and prepare for further assessment
D. Reassure the client this is a normal pregnancy discomfort
Answer: C
Rationale: These findings (severe headache, visual disturbances, epigastric
pain, and severely elevated BP) indicate severe preeclampsia, a medical
emergency requiring immediate provider notification and further evaluation,
including magnesium sulfate for seizure prophylaxis.
Page 4
