ATI RN Maternal Newborn 2026 Exam
Prep: 100 Original Practice Questions with
☑VERIFIED ANSWERSs and Rationales
Covering Antepartum, Intrapartum,
Postpartum, Newborn, and High-Risk
Nursing Care
Maternal Newborn Practice Questions
(Original, Educator-Style)
Antepartum Care (Q1–20)
1. A client at 10 weeks' gestation reports
nausea and vomiting. Which instruction
should the nurse provide?
A) Eat three large meals daily
B) Eat dry crackers before rising
C) Drink fluids only with meals
D) Skip breakfast to reduce nausea
,☑VERIFIED ANSWERS: B
Rationale: Dry carbohydrates before rising
reduce morning nausea. Small frequent
meals and separating fluids from solids also
help.
2. Which finding indicates a positive sign of
pregnancy?
A) Amenorrhea
B) Breast tenderness
C) Fetal heart tones heard by Doppler
D) Nausea
☑VERIFIED ANSWERS: C
Rationale: Fetal heart tones are a positive
(diagnostic) sign. Amenorrhea, breast
changes, and nausea are presumptive signs.
3. A client's last menstrual period began
March 10. Using Naegele's rule, what is the
,estimated date of birth?
A) December 10
B) December 17
C) December 3
D) December 24
☑VERIFIED ANSWERS: B
Rationale: Subtract 3 months (March →
December), add 7 days (10 + 7 = 17), add 1
year.
4. Which laboratory value should the nurse
report immediately in a pregnant client?
A) Hemoglobin 11.5 g/dL
B) Platelets 60,000/mm³
C) WBC 11,000/mm³
D) Hematocrit 34%
☑VERIFIED ANSWERS: B
Rationale: Platelets below 100,000 indicate
, thrombocytopenia and risk for hemorrhage;
60,000 is critically low.
5. A client at 34 weeks reports painless,
bright red vaginal bleeding. What should
the nurse do first?
A) Perform a vaginal exam
B) Assess fetal heart tones and maternal
vital signs
C) Ambulate the client
D) Administer oxytocin
☑VERIFIED ANSWERS: B
Rationale: Painless bright red bleeding
suggests placenta previa. No vaginal exam.
Assess maternal/fetal status first.
6. Which client is at highest risk for ectopic
pregnancy?
A) A client with a history of pelvic
Prep: 100 Original Practice Questions with
☑VERIFIED ANSWERSs and Rationales
Covering Antepartum, Intrapartum,
Postpartum, Newborn, and High-Risk
Nursing Care
Maternal Newborn Practice Questions
(Original, Educator-Style)
Antepartum Care (Q1–20)
1. A client at 10 weeks' gestation reports
nausea and vomiting. Which instruction
should the nurse provide?
A) Eat three large meals daily
B) Eat dry crackers before rising
C) Drink fluids only with meals
D) Skip breakfast to reduce nausea
,☑VERIFIED ANSWERS: B
Rationale: Dry carbohydrates before rising
reduce morning nausea. Small frequent
meals and separating fluids from solids also
help.
2. Which finding indicates a positive sign of
pregnancy?
A) Amenorrhea
B) Breast tenderness
C) Fetal heart tones heard by Doppler
D) Nausea
☑VERIFIED ANSWERS: C
Rationale: Fetal heart tones are a positive
(diagnostic) sign. Amenorrhea, breast
changes, and nausea are presumptive signs.
3. A client's last menstrual period began
March 10. Using Naegele's rule, what is the
,estimated date of birth?
A) December 10
B) December 17
C) December 3
D) December 24
☑VERIFIED ANSWERS: B
Rationale: Subtract 3 months (March →
December), add 7 days (10 + 7 = 17), add 1
year.
4. Which laboratory value should the nurse
report immediately in a pregnant client?
A) Hemoglobin 11.5 g/dL
B) Platelets 60,000/mm³
C) WBC 11,000/mm³
D) Hematocrit 34%
☑VERIFIED ANSWERS: B
Rationale: Platelets below 100,000 indicate
, thrombocytopenia and risk for hemorrhage;
60,000 is critically low.
5. A client at 34 weeks reports painless,
bright red vaginal bleeding. What should
the nurse do first?
A) Perform a vaginal exam
B) Assess fetal heart tones and maternal
vital signs
C) Ambulate the client
D) Administer oxytocin
☑VERIFIED ANSWERS: B
Rationale: Painless bright red bleeding
suggests placenta previa. No vaginal exam.
Assess maternal/fetal status first.
6. Which client is at highest risk for ectopic
pregnancy?
A) A client with a history of pelvic
