ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026 QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES |
250 Q&A
Domain 1: Antepartum Care & Prenatal Assessment (Questions 1–
80)
1. A nurse is calculating a due date using Nägele's rule for a client
whose last menstrual period began on May 10. Which date is
correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer B: February 17
,Rationale: Nägele's rule: subtract 3 months, add 7 days. May 10 →
February 10 + 7 days = February 17.
2. Which finding is a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer C: Fetal heartbeat on Doppler
Rationale: Positive signs confirm pregnancy (fetal heart tones,
ultrasound visualization, fetal movement felt by examiner).
Amenorrhea, Chadwick's sign, and nausea are probable/presumptive
signs.
3. A nurse teaches a client about folic acid. Which statement
indicates understanding?
A) "It prevents iron deficiency anemia."
B) "It reduces risk of neural tube defects."
C) "It is only needed in the third trimester."
,D) "It is found mainly in dairy products."
Answer B: "It reduces risk of neural tube defects."
Rationale: Folic acid (400-800 mcg daily) in early pregnancy prevents
neural tube defects like spina bifida.
4. A nurse is providing teaching to a client who is at 8 weeks
gestation about manifestations to report to the provider. What
information should the nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
Answer B: Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia or
gestational hypertension and should be reported immediately.
5. A nurse is teaching a client who is at 12 weeks gestation and has
HIV. Which statement should the nurse include?
A) "You will be in isolation after delivery."
, B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the
pregnancy."
Answer D: "You should continue to take zidovudine throughout the
pregnancy."
Rationale: Taking prescription antiviral medication every day
decreases the risk of transmission of HIV to the newborn.
6. A nurse is assessing a client at 11 weeks gestation who reports
abdominal cramping. Which action should the nurse take?
A) Schedule a routine follow-up appointment
B) Instruct the client to rest and drink fluids
C) Notify the provider immediately
D) Administer an anti-emetic
Answer C: Notify the provider immediately
Rationale: Abdominal cramping can indicate an ectopic pregnancy or
manifestations of spontaneous abortion. The nurse should request
that the provider see this client first.
AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES |
250 Q&A
Domain 1: Antepartum Care & Prenatal Assessment (Questions 1–
80)
1. A nurse is calculating a due date using Nägele's rule for a client
whose last menstrual period began on May 10. Which date is
correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer B: February 17
,Rationale: Nägele's rule: subtract 3 months, add 7 days. May 10 →
February 10 + 7 days = February 17.
2. Which finding is a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer C: Fetal heartbeat on Doppler
Rationale: Positive signs confirm pregnancy (fetal heart tones,
ultrasound visualization, fetal movement felt by examiner).
Amenorrhea, Chadwick's sign, and nausea are probable/presumptive
signs.
3. A nurse teaches a client about folic acid. Which statement
indicates understanding?
A) "It prevents iron deficiency anemia."
B) "It reduces risk of neural tube defects."
C) "It is only needed in the third trimester."
,D) "It is found mainly in dairy products."
Answer B: "It reduces risk of neural tube defects."
Rationale: Folic acid (400-800 mcg daily) in early pregnancy prevents
neural tube defects like spina bifida.
4. A nurse is providing teaching to a client who is at 8 weeks
gestation about manifestations to report to the provider. What
information should the nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
Answer B: Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia or
gestational hypertension and should be reported immediately.
5. A nurse is teaching a client who is at 12 weeks gestation and has
HIV. Which statement should the nurse include?
A) "You will be in isolation after delivery."
, B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the
pregnancy."
Answer D: "You should continue to take zidovudine throughout the
pregnancy."
Rationale: Taking prescription antiviral medication every day
decreases the risk of transmission of HIV to the newborn.
6. A nurse is assessing a client at 11 weeks gestation who reports
abdominal cramping. Which action should the nurse take?
A) Schedule a routine follow-up appointment
B) Instruct the client to rest and drink fluids
C) Notify the provider immediately
D) Administer an anti-emetic
Answer C: Notify the provider immediately
Rationale: Abdominal cramping can indicate an ectopic pregnancy or
manifestations of spontaneous abortion. The nurse should request
that the provider see this client first.
