"ATI Maternal Newborn Proctored Exam 2024/2025:
100 Verified Q&A with Evidence-Based Rationales"
## Antepartum & Prenatal Care (Questions 1–15)
**1. A nurse is teaching a client during the first prenatal visit. Which instruction should the
nurse include?**
A. "A fetal stethoscope can first detect your baby's heart rate at 22 weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A Doppler device can detect your baby's heart rate at 12 weeks."
D. "You will first feel the baby move at about 8 weeks."
**Answer: C.** A Doppler device can detect fetal heart tones as early as 10–12 weeks of
gestation. A fetal stethoscope detects FHT at 20 weeks, ultrasound can determine sex at 16–20
weeks, and quickening (fetal movement) is first felt at 16–20 weeks .
---
**2. A nurse is teaching a client who is at 12 weeks of gestation about expected physiological
changes. Which statement by the client indicates understanding?**
A. "I should expect my blood pressure to increase significantly."
B. "I may notice my gums bleeding when I brush my teeth."
C. "My hemoglobin level will increase during pregnancy."
D. "I will have less vaginal discharge than before pregnancy."
,**Answer: B.** Gingival hyperemia and bleeding are common due to increased estrogen and
blood flow to mucous membranes. Blood pressure typically decreases slightly in the second
trimester, hemoglobin decreases due to hemodilution, and vaginal discharge (leukorrhea)
increases .
---
**3. A nurse is teaching a client at 10 weeks of gestation about nutrition. Which statement
indicates understanding?**
A. "I should increase my protein intake to 60 grams each day."
B. "I should drink 2 liters of water each day."
C. "I should increase my overall daily caloric intake by 300 calories."
D. "I should increase my folic acid intake to 600 mcg daily."
**Answer: D.** Folic acid intake should increase to 600 mcg daily to prevent neural tube
defects. Protein should increase to 71 g/day in the second and third trimesters, water intake
should be 3 L/day, and caloric increase is 340 cal (second trimester) and 452 cal (third trimester)
.
---
**4. A nurse is providing education to a client at 8 weeks of gestation who does not like milk.
Which food should the nurse recommend as a good source of calcium?**
A. Dark green leafy vegetables
B. Deep red or orange vegetables
,C. White breads and rice
D. Meat, poultry, and fish
**Answer: A.** Dark green leafy vegetables are excellent non-dairy sources of calcium. Deep
red/orange vegetables provide vitamin A, white breads/rice provide carbohydrates, and meats
provide protein and iron .
---
**5. A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of
pregnancy. Which findings should the nurse include? (Select all that apply.)**
A. Breast tenderness
B. Urinary frequency
C. Epistaxis
D. Dysuria
E. Epigastric pain
**Answer: A, B, C.** Breast tenderness, urinary frequency, and epistaxis (nosebleeds) are
common discomforts of early pregnancy. Dysuria indicates UTI and epigastric pain may indicate
preeclampsia or gallbladder issues—both require investigation .
---
**6. A nurse is caring for a client at 12 weeks of gestation who reports nausea and vomiting.
Which intervention should the nurse recommend?**
A. Eat small, frequent meals throughout the day
, B. Increase intake of spicy foods
C. Consume large meals at bedtime
D. Avoid all fluids until symptoms subside
**Answer: A.** Small, frequent meals prevent the stomach from becoming empty, which
exacerbates nausea. Spicy foods may worsen symptoms, large bedtime meals increase
discomfort, and fluid avoidance risks dehydration .
---
**7. A nurse is caring for a client who has hyperemesis gravidarum. Which nursing action is
appropriate?**
A. Encourage a diet high in fat
B. Monitor I&O, skin turgor, and weight
C. Administer oral fluids immediately
D. Encourage large meals three times daily
**Answer: B.** Nursing responsibilities for hyperemesis gravidarum include monitoring intake
and output, assessing skin turgor and mucous membranes, monitoring vital signs and weight,
and keeping the client NPO for 24–48 hours initially .
---
**8. A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which
statement indicates understanding?**
A. "I will eat foods that taste good instead of balancing my meals."
100 Verified Q&A with Evidence-Based Rationales"
## Antepartum & Prenatal Care (Questions 1–15)
**1. A nurse is teaching a client during the first prenatal visit. Which instruction should the
nurse include?**
A. "A fetal stethoscope can first detect your baby's heart rate at 22 weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A Doppler device can detect your baby's heart rate at 12 weeks."
D. "You will first feel the baby move at about 8 weeks."
**Answer: C.** A Doppler device can detect fetal heart tones as early as 10–12 weeks of
gestation. A fetal stethoscope detects FHT at 20 weeks, ultrasound can determine sex at 16–20
weeks, and quickening (fetal movement) is first felt at 16–20 weeks .
---
**2. A nurse is teaching a client who is at 12 weeks of gestation about expected physiological
changes. Which statement by the client indicates understanding?**
A. "I should expect my blood pressure to increase significantly."
B. "I may notice my gums bleeding when I brush my teeth."
C. "My hemoglobin level will increase during pregnancy."
D. "I will have less vaginal discharge than before pregnancy."
,**Answer: B.** Gingival hyperemia and bleeding are common due to increased estrogen and
blood flow to mucous membranes. Blood pressure typically decreases slightly in the second
trimester, hemoglobin decreases due to hemodilution, and vaginal discharge (leukorrhea)
increases .
---
**3. A nurse is teaching a client at 10 weeks of gestation about nutrition. Which statement
indicates understanding?**
A. "I should increase my protein intake to 60 grams each day."
B. "I should drink 2 liters of water each day."
C. "I should increase my overall daily caloric intake by 300 calories."
D. "I should increase my folic acid intake to 600 mcg daily."
**Answer: D.** Folic acid intake should increase to 600 mcg daily to prevent neural tube
defects. Protein should increase to 71 g/day in the second and third trimesters, water intake
should be 3 L/day, and caloric increase is 340 cal (second trimester) and 452 cal (third trimester)
.
---
**4. A nurse is providing education to a client at 8 weeks of gestation who does not like milk.
Which food should the nurse recommend as a good source of calcium?**
A. Dark green leafy vegetables
B. Deep red or orange vegetables
,C. White breads and rice
D. Meat, poultry, and fish
**Answer: A.** Dark green leafy vegetables are excellent non-dairy sources of calcium. Deep
red/orange vegetables provide vitamin A, white breads/rice provide carbohydrates, and meats
provide protein and iron .
---
**5. A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of
pregnancy. Which findings should the nurse include? (Select all that apply.)**
A. Breast tenderness
B. Urinary frequency
C. Epistaxis
D. Dysuria
E. Epigastric pain
**Answer: A, B, C.** Breast tenderness, urinary frequency, and epistaxis (nosebleeds) are
common discomforts of early pregnancy. Dysuria indicates UTI and epigastric pain may indicate
preeclampsia or gallbladder issues—both require investigation .
---
**6. A nurse is caring for a client at 12 weeks of gestation who reports nausea and vomiting.
Which intervention should the nurse recommend?**
A. Eat small, frequent meals throughout the day
, B. Increase intake of spicy foods
C. Consume large meals at bedtime
D. Avoid all fluids until symptoms subside
**Answer: A.** Small, frequent meals prevent the stomach from becoming empty, which
exacerbates nausea. Spicy foods may worsen symptoms, large bedtime meals increase
discomfort, and fluid avoidance risks dehydration .
---
**7. A nurse is caring for a client who has hyperemesis gravidarum. Which nursing action is
appropriate?**
A. Encourage a diet high in fat
B. Monitor I&O, skin turgor, and weight
C. Administer oral fluids immediately
D. Encourage large meals three times daily
**Answer: B.** Nursing responsibilities for hyperemesis gravidarum include monitoring intake
and output, assessing skin turgor and mucous membranes, monitoring vital signs and weight,
and keeping the client NPO for 24–48 hours initially .
---
**8. A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which
statement indicates understanding?**
A. "I will eat foods that taste good instead of balancing my meals."
