ATI Maternity Practice Test A Questions and
Answers A+ Grade | ATI Nursing | 2026/2027
Comprehensive Practice Exam Study Guide
Questions 1–200 with rationales| 100% Pass
Guaranteed | Graded A+
1. A nurse is caring for a client who is at 38 weeks of gestation and reports
no fetal movement for 24 hours. Which of the following actions should
the nurse take first?
A. Perform a nonstress test
B. Auscultate for a fetal heart rate
C. Prepare the client for an ultrasound
D. Notify the provider
ANS: B
Explanation: The priority action is to auscultate for a fetal heart rate to
determine fetal viability. If no FHR is detected, the nurse should immediately
notify the provider and prepare for further evaluation. The nonstress test (A)
and ultrasound (C) are important but follow the initial assessment. Notification
(D) should occur after confirming the absence of FHR .
2. A nurse is assessing a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider?
1
,A. Hemoglobin 11 g/dL
B. Fetal heart rate 150/min
C. Epigastric pain
D. Urinary frequency
ANS: C
Explanation: Epigastric pain in the third trimester is a warning sign of
preeclampsia and HELLP syndrome and should be reported immediately.
Hemoglobin 11 g/dL (A) is within normal limits for pregnancy. FHR 150/min (B)
is normal. Urinary frequency (D) is a common discomfort of pregnancy .
3. A nurse is teaching a client who is at 12 weeks of gestation about
expected physiological changes. Which of the following should the nurse
include?
A. "You may experience a decrease in vaginal discharge."
B. "You may notice your gums bleed when you brush your teeth."
C. "Your blood pressure will increase slightly."
D. "Your heart rate will decrease."
ANS: B
Explanation: Gingivitis and gum bleeding are common during pregnancy due to
increased vascularity and hormonal changes. Vaginal discharge typically
increases (A). Blood pressure typically decreases slightly (C). Heart rate increases
by 10-20 beats/min (D) .
2
, 4. A nurse is assessing a client who is at 20 weeks of gestation. The client
asks when she should expect to feel fetal movement. The nurse should
respond that quickening is typically felt at which of the following times?
A. 12 to 14 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 28 to 32 weeks
ANS: B
Explanation: Quickening (first perception of fetal movement) is typically felt
between 16 and 20 weeks of gestation in primigravida clients and slightly earlier
in multigravida clients .
5. A nurse is providing teaching to a client at 10 weeks of gestation about
nutrition. Which of the following statements indicates understanding?
A. "I should increase my folic acid intake to 600 mcg daily."
B. "I should limit my calcium intake to 500 mg daily."
C. "I should increase my iron intake to 15 mg daily."
D. "I should decrease my protein intake."
ANS: A
Explanation: Folic acid requirements increase to 600 mcg daily during
pregnancy to prevent neural tube defects. Calcium needs increase to 1,000-
1,300 mg daily (B is incorrect). Iron needs increase to 27 mg daily (C is incorrect).
Protein needs increase, not decrease (D is incorrect) .
3
, 6. A nurse is assessing a client in the first trimester who reports nausea and
vomiting. Which of the following recommendations should the nurse
make?
A. Drink fluids with meals
B. Eat small, frequent meals
C. Avoid eating dry foods
D. Skip breakfast to avoid nausea
ANS: B
Explanation: Small, frequent meals help reduce nausea by preventing an
empty stomach. Drinking fluids with meals (A) can worsen nausea. Dry foods
like crackers (C) are often helpful. Skipping meals (D) worsens nausea .
7. A nurse is teaching a pregnant client about danger signs that require
immediate medical attention. Which of the following should the nurse
include?
A. Mild ankle edema
B. Occasional heartburn
C. Vaginal bleeding
D. Braxton Hicks contractions
ANS: C
Explanation: Vaginal bleeding at any point in pregnancy is a danger sign
4
Answers A+ Grade | ATI Nursing | 2026/2027
Comprehensive Practice Exam Study Guide
Questions 1–200 with rationales| 100% Pass
Guaranteed | Graded A+
1. A nurse is caring for a client who is at 38 weeks of gestation and reports
no fetal movement for 24 hours. Which of the following actions should
the nurse take first?
A. Perform a nonstress test
B. Auscultate for a fetal heart rate
C. Prepare the client for an ultrasound
D. Notify the provider
ANS: B
Explanation: The priority action is to auscultate for a fetal heart rate to
determine fetal viability. If no FHR is detected, the nurse should immediately
notify the provider and prepare for further evaluation. The nonstress test (A)
and ultrasound (C) are important but follow the initial assessment. Notification
(D) should occur after confirming the absence of FHR .
2. A nurse is assessing a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider?
1
,A. Hemoglobin 11 g/dL
B. Fetal heart rate 150/min
C. Epigastric pain
D. Urinary frequency
ANS: C
Explanation: Epigastric pain in the third trimester is a warning sign of
preeclampsia and HELLP syndrome and should be reported immediately.
Hemoglobin 11 g/dL (A) is within normal limits for pregnancy. FHR 150/min (B)
is normal. Urinary frequency (D) is a common discomfort of pregnancy .
3. A nurse is teaching a client who is at 12 weeks of gestation about
expected physiological changes. Which of the following should the nurse
include?
A. "You may experience a decrease in vaginal discharge."
B. "You may notice your gums bleed when you brush your teeth."
C. "Your blood pressure will increase slightly."
D. "Your heart rate will decrease."
ANS: B
Explanation: Gingivitis and gum bleeding are common during pregnancy due to
increased vascularity and hormonal changes. Vaginal discharge typically
increases (A). Blood pressure typically decreases slightly (C). Heart rate increases
by 10-20 beats/min (D) .
2
, 4. A nurse is assessing a client who is at 20 weeks of gestation. The client
asks when she should expect to feel fetal movement. The nurse should
respond that quickening is typically felt at which of the following times?
A. 12 to 14 weeks
B. 16 to 20 weeks
C. 24 to 28 weeks
D. 28 to 32 weeks
ANS: B
Explanation: Quickening (first perception of fetal movement) is typically felt
between 16 and 20 weeks of gestation in primigravida clients and slightly earlier
in multigravida clients .
5. A nurse is providing teaching to a client at 10 weeks of gestation about
nutrition. Which of the following statements indicates understanding?
A. "I should increase my folic acid intake to 600 mcg daily."
B. "I should limit my calcium intake to 500 mg daily."
C. "I should increase my iron intake to 15 mg daily."
D. "I should decrease my protein intake."
ANS: A
Explanation: Folic acid requirements increase to 600 mcg daily during
pregnancy to prevent neural tube defects. Calcium needs increase to 1,000-
1,300 mg daily (B is incorrect). Iron needs increase to 27 mg daily (C is incorrect).
Protein needs increase, not decrease (D is incorrect) .
3
, 6. A nurse is assessing a client in the first trimester who reports nausea and
vomiting. Which of the following recommendations should the nurse
make?
A. Drink fluids with meals
B. Eat small, frequent meals
C. Avoid eating dry foods
D. Skip breakfast to avoid nausea
ANS: B
Explanation: Small, frequent meals help reduce nausea by preventing an
empty stomach. Drinking fluids with meals (A) can worsen nausea. Dry foods
like crackers (C) are often helpful. Skipping meals (D) worsens nausea .
7. A nurse is teaching a pregnant client about danger signs that require
immediate medical attention. Which of the following should the nurse
include?
A. Mild ankle edema
B. Occasional heartburn
C. Vaginal bleeding
D. Braxton Hicks contractions
ANS: C
Explanation: Vaginal bleeding at any point in pregnancy is a danger sign
4
