Maternal Newborn ATI, Maternal
Newborn Proctor ATI questions and
answers 2026- 2027
Question 1: A nurse is caring for a client at 38 weeks' gestation who reports a
sudden gush of fluid from the vagina. Which of the following actions should the
nurse take first?
A. Prepare the client for an immediate cesarean birth
B. Assess the fetal heart rate and characteristics of the fluid
C. Obtain a urine specimen for culture
D. Administer oxytocin intravenously
Correct Answer: B. Assess the fetal heart rate and characteristics of the fluid
Rationale: When a client reports spontaneous rupture of membranes (SROM),
the priority nursing action is to assess fetal well-being by monitoring the fetal
heart rate and evaluating the fluid for color, amount, and odor. This helps detect
complications such as cord prolapse or meconium staining. Immediate cesarean
birth and oxytocin administration are not first-line actions without further
assessment. Obtaining a urine specimen is not the priority at this time.
Question 2: A nurse is teaching a client at 10 weeks' gestation about expected
physiological changes during pregnancy. Which of the following statements by the
client indicates understanding?
A. "I should expect my blood pressure to increase significantly."
B. "My heart rate will decrease as my pregnancy progresses."
C. "I may experience nasal stuffiness due to increased blood flow."
,D. "My hemoglobin level will rise above my pre-pregnancy level."
Correct Answer: C. "I may experience nasal stuffiness due to increased blood
flow."
Rationale: During pregnancy, increased estrogen levels and vascular
congestion cause nasal mucosa swelling, leading to nasal stuffiness and epistaxis.
Blood pressure typically remains stable or slightly decreases, heart rate increases,
and hemoglobin levels decrease due to hemodilution.
Question 3: A nurse is assessing a client at 32 weeks' gestation who reports
frequent headaches, visual disturbances, and swelling of her face and fingers.
Which of the following conditions should the nurse suspect?
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Placenta previa
Correct Answer: B. Preeclampsia
Rationale: Headaches, visual disturbances, and swelling of the face and
fingers are classic manifestations of preeclampsia, a hypertensive disorder of
pregnancy. Gestational diabetes typically presents with polyuria, polydipsia, and
polyphagia. Hyperemesis gravidarum involves severe nausea and vomiting.
Placenta previa presents with painless vaginal bleeding.
Question 4: A nurse is reviewing the medical record of a client at 36 weeks'
gestation. Which of the following findings should the nurse report to the
provider?
A. Fetal heart rate of 140/min
,B. Blood pressure of 150/95 mm Hg
C. Hemoglobin of 11.5 g/dL
D. Urinary frequency
Correct Answer: B. Blood pressure of 150/95 mm Hg
Rationale: A blood pressure of 150/95 mm Hg at 36 weeks' gestation is
elevated and may indicate gestational hypertension or preeclampsia, which
requires immediate evaluation. A fetal heart rate of 140/min is within the normal
range of 110–160/min. Hemoglobin of 11.5 g/dL is within normal limits for
pregnancy. Urinary frequency is a common and expected finding in late
pregnancy.
Question 5: A nurse is teaching a client who is at 12 weeks of gestation about
expected physiological changes. Which of the following statements 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."
Correct Answer: B. "I may notice my gums bleeding when I brush my teeth."
Rationale: Gingival hyperemia and bleeding are common during pregnancy
due to increased estrogen and blood flow to mucous membranes. Blood pressure
typically decreases slightly in the second trimester, hemoglobin levels decrease
due to hemodilution, and vaginal discharge (leukorrhea) increases during
pregnancy.
, Question 6: A nurse is caring for a client at 28 weeks' gestation who has been
diagnosed with gestational diabetes. Which of the following fetal complications
should the nurse monitor for?
A. Microsomia
B. Macrosomia
C. Oligohydramnios
D. Intrauterine growth restriction
Correct Answer: B. Macrosomia
Rationale: Gestational diabetes can lead to fetal macrosomia (birth weight
greater than 4,000 g) due to increased glucose transfer to the fetus, causing fetal
hyperinsulinemia and excessive growth. Microsomia, oligohydramnios, and
intrauterine growth restriction are not typical complications of gestational
diabetes.
Question 7: A nurse is assessing a client at 20 weeks' gestation who reports a
history of varicose veins. Which of the following recommendations should the
nurse include in the teaching plan?
A. "Cross your legs when sitting."
B. "Wear knee-high compression stockings."
C. "Stand for long periods of time."
D. "Avoid regular exercise."
Correct Answer: B. "Wear knee-high compression stockings."
Rationale: Compression stockings help improve venous return and reduce the
discomfort of varicose veins during pregnancy. Crossing legs, standing for
prolonged periods, and avoiding exercise can worsen venous stasis. Regular
walking is encouraged to promote circulation.
Newborn Proctor ATI questions and
answers 2026- 2027
Question 1: A nurse is caring for a client at 38 weeks' gestation who reports a
sudden gush of fluid from the vagina. Which of the following actions should the
nurse take first?
A. Prepare the client for an immediate cesarean birth
B. Assess the fetal heart rate and characteristics of the fluid
C. Obtain a urine specimen for culture
D. Administer oxytocin intravenously
Correct Answer: B. Assess the fetal heart rate and characteristics of the fluid
Rationale: When a client reports spontaneous rupture of membranes (SROM),
the priority nursing action is to assess fetal well-being by monitoring the fetal
heart rate and evaluating the fluid for color, amount, and odor. This helps detect
complications such as cord prolapse or meconium staining. Immediate cesarean
birth and oxytocin administration are not first-line actions without further
assessment. Obtaining a urine specimen is not the priority at this time.
Question 2: A nurse is teaching a client at 10 weeks' gestation about expected
physiological changes during pregnancy. Which of the following statements by the
client indicates understanding?
A. "I should expect my blood pressure to increase significantly."
B. "My heart rate will decrease as my pregnancy progresses."
C. "I may experience nasal stuffiness due to increased blood flow."
,D. "My hemoglobin level will rise above my pre-pregnancy level."
Correct Answer: C. "I may experience nasal stuffiness due to increased blood
flow."
Rationale: During pregnancy, increased estrogen levels and vascular
congestion cause nasal mucosa swelling, leading to nasal stuffiness and epistaxis.
Blood pressure typically remains stable or slightly decreases, heart rate increases,
and hemoglobin levels decrease due to hemodilution.
Question 3: A nurse is assessing a client at 32 weeks' gestation who reports
frequent headaches, visual disturbances, and swelling of her face and fingers.
Which of the following conditions should the nurse suspect?
A. Gestational diabetes
B. Preeclampsia
C. Hyperemesis gravidarum
D. Placenta previa
Correct Answer: B. Preeclampsia
Rationale: Headaches, visual disturbances, and swelling of the face and
fingers are classic manifestations of preeclampsia, a hypertensive disorder of
pregnancy. Gestational diabetes typically presents with polyuria, polydipsia, and
polyphagia. Hyperemesis gravidarum involves severe nausea and vomiting.
Placenta previa presents with painless vaginal bleeding.
Question 4: A nurse is reviewing the medical record of a client at 36 weeks'
gestation. Which of the following findings should the nurse report to the
provider?
A. Fetal heart rate of 140/min
,B. Blood pressure of 150/95 mm Hg
C. Hemoglobin of 11.5 g/dL
D. Urinary frequency
Correct Answer: B. Blood pressure of 150/95 mm Hg
Rationale: A blood pressure of 150/95 mm Hg at 36 weeks' gestation is
elevated and may indicate gestational hypertension or preeclampsia, which
requires immediate evaluation. A fetal heart rate of 140/min is within the normal
range of 110–160/min. Hemoglobin of 11.5 g/dL is within normal limits for
pregnancy. Urinary frequency is a common and expected finding in late
pregnancy.
Question 5: A nurse is teaching a client who is at 12 weeks of gestation about
expected physiological changes. Which of the following statements 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."
Correct Answer: B. "I may notice my gums bleeding when I brush my teeth."
Rationale: Gingival hyperemia and bleeding are common during pregnancy
due to increased estrogen and blood flow to mucous membranes. Blood pressure
typically decreases slightly in the second trimester, hemoglobin levels decrease
due to hemodilution, and vaginal discharge (leukorrhea) increases during
pregnancy.
, Question 6: A nurse is caring for a client at 28 weeks' gestation who has been
diagnosed with gestational diabetes. Which of the following fetal complications
should the nurse monitor for?
A. Microsomia
B. Macrosomia
C. Oligohydramnios
D. Intrauterine growth restriction
Correct Answer: B. Macrosomia
Rationale: Gestational diabetes can lead to fetal macrosomia (birth weight
greater than 4,000 g) due to increased glucose transfer to the fetus, causing fetal
hyperinsulinemia and excessive growth. Microsomia, oligohydramnios, and
intrauterine growth restriction are not typical complications of gestational
diabetes.
Question 7: A nurse is assessing a client at 20 weeks' gestation who reports a
history of varicose veins. Which of the following recommendations should the
nurse include in the teaching plan?
A. "Cross your legs when sitting."
B. "Wear knee-high compression stockings."
C. "Stand for long periods of time."
D. "Avoid regular exercise."
Correct Answer: B. "Wear knee-high compression stockings."
Rationale: Compression stockings help improve venous return and reduce the
discomfort of varicose veins during pregnancy. Crossing legs, standing for
prolonged periods, and avoiding exercise can worsen venous stasis. Regular
walking is encouraged to promote circulation.
