ATI PROCTORED MATERNAL NEWBORN EXAM 2026/2027
QUESTION BANK FULL REVISED HIGH YIELD PRACTICE
QUESTIONS AND CORRECT VERIFIED SOLUTIONS WITH
DETAILED RATIONALES (RELIABLE ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |ALL YOU
NEED FOR A GUARANTEED SUCCESS A+ |JUST
RELEASED
1. A nurse is calculating the estimated date of birth using Naegele's
rule for a client whose last menstrual cycle began on June 21. Which
of the following is the estimated date of delivery in the next year?
A) March 14
B) March 28
C) March 28 (This option may be listed twice in some versions;
ensure you select the March 28 option)
D) April 14
Correct Answer: B) March 28
Rationale: Naegele's rule calculates the estimated date of delivery
(EDD) by subtracting 3 months from the first day of the last
menstrual period (LMP) and adding 7 days. For an LMP of June 21,
subtracting 3 months gives March 21. Adding 7 days results in
March 28 of the following year .
,2. A nurse is providing teaching for a client at 7 weeks of gestation
who is experiencing nausea and vomiting. Which of the following
client statements indicates an understanding of the teaching?
A) "I should have a small snack before bedtime."
B) "I should drink fluids with my meals."
C) "I should lie down immediately after eating."
D) "I should avoid eating crackers before getting out of bed."
Correct Answer: A) "I should have a small snack before bedtime."
Rationale: To manage nausea and vomiting in early pregnancy
(hyperemesis gravidarum), the client should eat small, frequent
meals and have a small snack before bedtime to prevent an empty
stomach, which can exacerbate nausea. Drinking fluids with meals
can lead to early satiety. Lying down after eating can delay gastric
emptying .
3. A nurse is reviewing the laboratory results for a client who is at 10
weeks of gestation. Which of the following laboratory findings
should the nurse report to the provider?
A) Hemoglobin 10 g/dL
,B) WBC count 15,000/mm³
C) RBC count 5.8 million/mm³
D) Hematocrit 34%
Correct Answer: A) Hemoglobin 10 g/dL
Rationale: A hemoglobin level of 10 g/dL is below the expected
reference range of >11 g/dL for a pregnant client, indicating anemia,
which should be reported. WBC counts up to 15,000/mm³ are
normal in pregnancy due to physiological leukocytosis. Hematocrit
of 34% is within normal limits .
4. A nurse is assessing a client who is at 34 weeks of gestation and
has a cardiac disorder. The nurse should notify the provider about
which of the following assessment findings?
A) The client reports occasional palpitations
B) The client reports a frequent cough
C) The client has +1 ankle edema
D) The client's heart rate is 90/min
Correct Answer: B) The client reports a frequent cough
, Rationale: A frequent cough in a client with cardiac disease may
indicate pulmonary congestion or heart failure, requiring immediate
provider notification. Occasional palpitations, mild ankle edema,
and a heart rate of 90/min can be normal findings in pregnancy due
to increased blood volume and cardiac output .
5. A nurse is providing teaching for a client who is pregnant and has
type 1 diabetes mellitus. Which of the following statements should
the nurse include in the teaching?
A) "Your insulin needs will decrease during the first trimester."
B) "You should avoid exercise during pregnancy."
C) "Your target blood glucose should be less than 200 mg/dL."
D) "You will not need insulin after delivery."
Correct Answer: A) "Your insulin needs will decrease during the first
trimester."
Rationale: Insulin needs often decrease during the first trimester due
to increased insulin sensitivity and possible nausea/vomiting. Insulin
needs typically increase during the second and third trimesters due to
insulin resistance from placental hormones. Exercise is encouraged
unless contraindicated .
QUESTION BANK FULL REVISED HIGH YIELD PRACTICE
QUESTIONS AND CORRECT VERIFIED SOLUTIONS WITH
DETAILED RATIONALES (RELIABLE ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |ALL YOU
NEED FOR A GUARANTEED SUCCESS A+ |JUST
RELEASED
1. A nurse is calculating the estimated date of birth using Naegele's
rule for a client whose last menstrual cycle began on June 21. Which
of the following is the estimated date of delivery in the next year?
A) March 14
B) March 28
C) March 28 (This option may be listed twice in some versions;
ensure you select the March 28 option)
D) April 14
Correct Answer: B) March 28
Rationale: Naegele's rule calculates the estimated date of delivery
(EDD) by subtracting 3 months from the first day of the last
menstrual period (LMP) and adding 7 days. For an LMP of June 21,
subtracting 3 months gives March 21. Adding 7 days results in
March 28 of the following year .
,2. A nurse is providing teaching for a client at 7 weeks of gestation
who is experiencing nausea and vomiting. Which of the following
client statements indicates an understanding of the teaching?
A) "I should have a small snack before bedtime."
B) "I should drink fluids with my meals."
C) "I should lie down immediately after eating."
D) "I should avoid eating crackers before getting out of bed."
Correct Answer: A) "I should have a small snack before bedtime."
Rationale: To manage nausea and vomiting in early pregnancy
(hyperemesis gravidarum), the client should eat small, frequent
meals and have a small snack before bedtime to prevent an empty
stomach, which can exacerbate nausea. Drinking fluids with meals
can lead to early satiety. Lying down after eating can delay gastric
emptying .
3. A nurse is reviewing the laboratory results for a client who is at 10
weeks of gestation. Which of the following laboratory findings
should the nurse report to the provider?
A) Hemoglobin 10 g/dL
,B) WBC count 15,000/mm³
C) RBC count 5.8 million/mm³
D) Hematocrit 34%
Correct Answer: A) Hemoglobin 10 g/dL
Rationale: A hemoglobin level of 10 g/dL is below the expected
reference range of >11 g/dL for a pregnant client, indicating anemia,
which should be reported. WBC counts up to 15,000/mm³ are
normal in pregnancy due to physiological leukocytosis. Hematocrit
of 34% is within normal limits .
4. A nurse is assessing a client who is at 34 weeks of gestation and
has a cardiac disorder. The nurse should notify the provider about
which of the following assessment findings?
A) The client reports occasional palpitations
B) The client reports a frequent cough
C) The client has +1 ankle edema
D) The client's heart rate is 90/min
Correct Answer: B) The client reports a frequent cough
, Rationale: A frequent cough in a client with cardiac disease may
indicate pulmonary congestion or heart failure, requiring immediate
provider notification. Occasional palpitations, mild ankle edema,
and a heart rate of 90/min can be normal findings in pregnancy due
to increased blood volume and cardiac output .
5. A nurse is providing teaching for a client who is pregnant and has
type 1 diabetes mellitus. Which of the following statements should
the nurse include in the teaching?
A) "Your insulin needs will decrease during the first trimester."
B) "You should avoid exercise during pregnancy."
C) "Your target blood glucose should be less than 200 mg/dL."
D) "You will not need insulin after delivery."
Correct Answer: A) "Your insulin needs will decrease during the first
trimester."
Rationale: Insulin needs often decrease during the first trimester due
to increased insulin sensitivity and possible nausea/vomiting. Insulin
needs typically increase during the second and third trimesters due to
insulin resistance from placental hormones. Exercise is encouraged
unless contraindicated .
