ATI RN Maternal Newborn Proctored Exam 200
Practice Questions with Answers & Detailed
Rationales
Table of Contents
Section Content Area Questions
I Antepartum Care & Normal Pregnancy 1–45
II Antepartum Complications & High-Risk Pregnancy 46–70
III Intrapartum Care & Labor Complications 71–110
IV Postpartum Care & Complications 111–145
V Newborn Care & Assessment 146–175
VI Newborn Complications & High-Risk Newborn 176–200
Section I: Antepartum Care & Normal Pregnancy
(Questions 1–45)
1. A nurse is assessing a client at 8 weeks of pregnancy. Which finding should
the nurse expect?
A. Decreased urinary frequency
B. Increased urinary frequency
C. Absent breast tenderness
D. Decreased cardiac output
Correct Answer: B
,Rationale: Increased urinary frequency is common during early pregnancy because
of hormonal changes and increased renal blood flow .
2. A nurse is teaching a client who is planning pregnancy about folic acid.
Which statement should the nurse make?
A. "Folic acid helps prevent neural tube defects."
B. "Folic acid prevents all congenital abnormalities."
C. "Folic acid prevents gestational hypertension."
D. "Folic acid prevents postpartum hemorrhage."
Correct Answer: A
Rationale: Adequate folic acid before conception and during early pregnancy
decreases the risk of neural tube defects . Folic acid is crucial for neural tube
development, especially in the first trimester. It should be continued throughout
pregnancy .
3. A nurse is assessing a client at 20 weeks of gestation. Where should the nurse
expect the fundus to be?
A. At the symphysis pubis
B. At the umbilicus
C. At the xiphoid process
D. Below the symphysis pubis
Correct Answer: B
Rationale: At approximately 20 weeks, the uterine fundus is normally at the level of
the umbilicus .
4. A client who is pregnant for the first time asks when fetal movement is
usually first felt. Which response is appropriate?
A. "Around 6 weeks."
B. "Around 10 weeks."
,C. "Around 18 to 20 weeks."
D. "Around 30 weeks."
Correct Answer: C
Rationale: A client experiencing a first pregnancy commonly perceives fetal
movement (quickening) between 18 and 20 weeks .
5. 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
Correct Answer: A
Rationale: 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.
6. A nurse is teaching a client who is at 8 weeks of gestation about nausea and
vomiting. Which instruction 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
Correct Answer: C
Rationale: Eating dry crackers or toast before rising in the morning can help alleviate
nausea and vomiting associated with pregnancy .
, 7. A nurse is assessing a client at 12 weeks of gestation. Which of the following
findings should the nurse report to the provider?
A. Heart rate 90 beats/min
B. Hemoglobin 10.5 g/dL
C. Blood pressure 140/90 mm Hg
D. Respiratory rate 18/min
Correct Answer: C
Rationale: A blood pressure of 140/90 mm Hg at 12 weeks may indicate chronic
hypertension or an early sign of preeclampsia and should be reported. Heart rate of
90, hemoglobin of 10.5, and respiratory rate of 18 are expected findings in
pregnancy.
8. A nurse is providing teaching to a client at 10 weeks of gestation about the
importance of folic acid. Which statement by the client indicates
understanding?
A. "Folic acid helps prevent neural tube defects."
B. "Folic acid is only needed in the third trimester."
C. "I can stop folic acid after the first trimester."
D. "Folic acid prevents postpartum hemorrhage."
Correct Answer: A
Rationale: Folic acid is crucial for neural tube development, especially in the first
trimester. It should be continued throughout pregnancy. Iron, not folic acid, helps
prevent postpartum hemorrhage .
9. A nurse is assessing a client at 28 weeks of gestation. Which fundal height
measurement is within expected range?
A. 20 cm
B. 28 cm
C. 36 cm
D. 40 cm
Correct Answer: B
Practice Questions with Answers & Detailed
Rationales
Table of Contents
Section Content Area Questions
I Antepartum Care & Normal Pregnancy 1–45
II Antepartum Complications & High-Risk Pregnancy 46–70
III Intrapartum Care & Labor Complications 71–110
IV Postpartum Care & Complications 111–145
V Newborn Care & Assessment 146–175
VI Newborn Complications & High-Risk Newborn 176–200
Section I: Antepartum Care & Normal Pregnancy
(Questions 1–45)
1. A nurse is assessing a client at 8 weeks of pregnancy. Which finding should
the nurse expect?
A. Decreased urinary frequency
B. Increased urinary frequency
C. Absent breast tenderness
D. Decreased cardiac output
Correct Answer: B
,Rationale: Increased urinary frequency is common during early pregnancy because
of hormonal changes and increased renal blood flow .
2. A nurse is teaching a client who is planning pregnancy about folic acid.
Which statement should the nurse make?
A. "Folic acid helps prevent neural tube defects."
B. "Folic acid prevents all congenital abnormalities."
C. "Folic acid prevents gestational hypertension."
D. "Folic acid prevents postpartum hemorrhage."
Correct Answer: A
Rationale: Adequate folic acid before conception and during early pregnancy
decreases the risk of neural tube defects . Folic acid is crucial for neural tube
development, especially in the first trimester. It should be continued throughout
pregnancy .
3. A nurse is assessing a client at 20 weeks of gestation. Where should the nurse
expect the fundus to be?
A. At the symphysis pubis
B. At the umbilicus
C. At the xiphoid process
D. Below the symphysis pubis
Correct Answer: B
Rationale: At approximately 20 weeks, the uterine fundus is normally at the level of
the umbilicus .
4. A client who is pregnant for the first time asks when fetal movement is
usually first felt. Which response is appropriate?
A. "Around 6 weeks."
B. "Around 10 weeks."
,C. "Around 18 to 20 weeks."
D. "Around 30 weeks."
Correct Answer: C
Rationale: A client experiencing a first pregnancy commonly perceives fetal
movement (quickening) between 18 and 20 weeks .
5. 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
Correct Answer: A
Rationale: 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.
6. A nurse is teaching a client who is at 8 weeks of gestation about nausea and
vomiting. Which instruction 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
Correct Answer: C
Rationale: Eating dry crackers or toast before rising in the morning can help alleviate
nausea and vomiting associated with pregnancy .
, 7. A nurse is assessing a client at 12 weeks of gestation. Which of the following
findings should the nurse report to the provider?
A. Heart rate 90 beats/min
B. Hemoglobin 10.5 g/dL
C. Blood pressure 140/90 mm Hg
D. Respiratory rate 18/min
Correct Answer: C
Rationale: A blood pressure of 140/90 mm Hg at 12 weeks may indicate chronic
hypertension or an early sign of preeclampsia and should be reported. Heart rate of
90, hemoglobin of 10.5, and respiratory rate of 18 are expected findings in
pregnancy.
8. A nurse is providing teaching to a client at 10 weeks of gestation about the
importance of folic acid. Which statement by the client indicates
understanding?
A. "Folic acid helps prevent neural tube defects."
B. "Folic acid is only needed in the third trimester."
C. "I can stop folic acid after the first trimester."
D. "Folic acid prevents postpartum hemorrhage."
Correct Answer: A
Rationale: Folic acid is crucial for neural tube development, especially in the first
trimester. It should be continued throughout pregnancy. Iron, not folic acid, helps
prevent postpartum hemorrhage .
9. A nurse is assessing a client at 28 weeks of gestation. Which fundal height
measurement is within expected range?
A. 20 cm
B. 28 cm
C. 36 cm
D. 40 cm
Correct Answer: B
