ATI Comprehensive Predictor | Maternal-Newborn Review Practice
Exam 2026/2027 |Questions |Answers |Rationales
1. A nurse is calculating the estimated date of delivery for a client whose last
menstrual period began on November 1. Using Naegele’s rule, what is the
expected date of delivery?
A. August 8
B. August 1
C. July 25
D. September 8
Answer: A
Rationale: To calculate Naegele’s rule, subtract 3 months and add 7 days to the first day of
the last menstrual period. November 1 minus 3 months is August 1, plus 7 days is August 8.
2. A nurse is assessing a client who is at 34 weeks of gestation and has a
prescription for magnesium sulfate. Which of the following findings should the
nurse identify as a sign of magnesium toxicity?
A. Respiratory rate of 10/min
B. Hyperreflexia
C. Increased urine output
D. Tachycardia
Answer: A
Rationale: Signs of magnesium toxicity include a respiratory rate of less than 12/min,
absence of deep tendon reflexes, and decreased urine output.
,3. A nurse is caring for a client who is in the first stage of labor and has an
external fetal monitor. The nurse observes early decelerations on the monitor.
Which of the following actions should the nurse take?
A. Increase the rate of IV fluids
B. Administer oxygen via nonrebreather mask
C. Continue to monitor the fetal heart rate
D. Place the client in a Trendelenburg position
Answer: C
Rationale: Early decelerations are caused by fetal head compression during contractions
and are considered a benign finding. No specific intervention is required other than
continued monitoring.
4. A nurse is providing teaching to a client who is at 8 weeks of gestation and is
experiencing nausea and vomiting. Which of the following instructions should
the nurse include?
A. Drink a large glass of water with each meal
B. Eat high-fat foods to increase calorie intake
C. Eat dry crackers before getting out of bed
D. Skip breakfast to settle the stomach
Answer: C
Rationale: Eating dry crackers or toast before rising in the morning can help alleviate
nausea and vomiting associated with pregnancy.
, 5. A nurse is assessing a newborn 1 minute after birth and notes the following:
heart rate 110/min, slow/weak cry, some flexion of extremities, grimace in
response to suctioning, and a pink body with blue extremities. What is the
Apgar score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (1), and
Color (1) equals a total of 6.
6. A nurse is caring for a client who is at 38 weeks of gestation and reports
painless, bright red vaginal bleeding. Which of the following conditions should
the nurse suspect?
A. Abruptio placentae
B. Preeclampsia
C. Placenta previa
D. Rupture of membranes
Answer: C
Rationale: Painless, bright red vaginal bleeding during the second or third trimester is the
classic sign of placenta previa.
Exam 2026/2027 |Questions |Answers |Rationales
1. A nurse is calculating the estimated date of delivery for a client whose last
menstrual period began on November 1. Using Naegele’s rule, what is the
expected date of delivery?
A. August 8
B. August 1
C. July 25
D. September 8
Answer: A
Rationale: To calculate Naegele’s rule, subtract 3 months and add 7 days to the first day of
the last menstrual period. November 1 minus 3 months is August 1, plus 7 days is August 8.
2. A nurse is assessing a client who is at 34 weeks of gestation and has a
prescription for magnesium sulfate. Which of the following findings should the
nurse identify as a sign of magnesium toxicity?
A. Respiratory rate of 10/min
B. Hyperreflexia
C. Increased urine output
D. Tachycardia
Answer: A
Rationale: Signs of magnesium toxicity include a respiratory rate of less than 12/min,
absence of deep tendon reflexes, and decreased urine output.
,3. A nurse is caring for a client who is in the first stage of labor and has an
external fetal monitor. The nurse observes early decelerations on the monitor.
Which of the following actions should the nurse take?
A. Increase the rate of IV fluids
B. Administer oxygen via nonrebreather mask
C. Continue to monitor the fetal heart rate
D. Place the client in a Trendelenburg position
Answer: C
Rationale: Early decelerations are caused by fetal head compression during contractions
and are considered a benign finding. No specific intervention is required other than
continued monitoring.
4. A nurse is providing teaching to a client who is at 8 weeks of gestation and is
experiencing nausea and vomiting. Which of the following instructions should
the nurse include?
A. Drink a large glass of water with each meal
B. Eat high-fat foods to increase calorie intake
C. Eat dry crackers before getting out of bed
D. Skip breakfast to settle the stomach
Answer: C
Rationale: Eating dry crackers or toast before rising in the morning can help alleviate
nausea and vomiting associated with pregnancy.
, 5. A nurse is assessing a newborn 1 minute after birth and notes the following:
heart rate 110/min, slow/weak cry, some flexion of extremities, grimace in
response to suctioning, and a pink body with blue extremities. What is the
Apgar score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (1), and
Color (1) equals a total of 6.
6. A nurse is caring for a client who is at 38 weeks of gestation and reports
painless, bright red vaginal bleeding. Which of the following conditions should
the nurse suspect?
A. Abruptio placentae
B. Preeclampsia
C. Placenta previa
D. Rupture of membranes
Answer: C
Rationale: Painless, bright red vaginal bleeding during the second or third trimester is the
classic sign of placenta previa.
