ATI PN Maternity Proctored Actual Exam Study Guide | 2026
Practical Nursing Prep
1. A nurse is teaching a pregnant client about presumptive signs of pregnancy.
Which is a presumptive sign?
A. Positive hCG test
B. Fetal heart tones
C. Amenorrhea
D. Ultrasound visualization
Correct Answer: C
Rationale: Amenorrhea is a subjective, presumptive sign reported by the client. hCG and fetal
heart tones are positive signs.
2. Which laboratory value confirms pregnancy?
A. Palpable fetal movement
B. Serum hCG
C. Chadwick’s sign
D. Quickening
Correct Answer: B
Rationale: Detection of hCG in blood or urine is a positive sign of pregnancy.
3. A client at 28 weeks gestation receives Rho(D) immune globulin. Why?
A. Prevent infection
B. Prevent preterm labor
C. Prevent Rh sensitization
D. Increase hemoglobin
Correct Answer: C
Rationale: Rho(D) immune globulin prevents Rh-negative mothers from forming antibodies
against Rh-positive fetal blood.
4. Which finding indicates preeclampsia?
,A. BP 110/70
B. 1+ proteinuria
C. BP 160/100
D. Mild ankle edema
Correct Answer: C
Rationale: Severe hypertension is a hallmark of preeclampsia.
5. A pregnant client has severe epigastric pain and headache. What should the
nurse do first?
A. Give acetaminophen
B. Check BP
C. Document findings
D. Encourage fluids
Correct Answer: B
Rationale: These are warning signs of severe preeclampsia; BP assessment is priority.
6. Which client is at highest risk for gestational diabetes?
A. Age 18
B. BMI 32
C. Primigravida
D. Rh negative
Correct Answer: B
Rationale: Obesity significantly increases the risk of gestational diabetes.
7. Which teaching is appropriate for nausea in pregnancy?
A. Skip breakfast
B. Eat high-fat foods
C. Eat small frequent meals
D. Drink fluids with meals
Correct Answer: C
Rationale: Small, frequent meals reduce gastric irritation.
, 8. Which vaccine is recommended during pregnancy?
A. MMR
B. Varicella
C. Tdap
D. HPV
Correct Answer: C
Rationale: Tdap is recommended during each pregnancy to protect the newborn from pertussis.
9. A pregnant client reports vaginal bleeding and abdominal pain at 32 weeks.
What condition is suspected?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. PROM
Correct Answer: B
Rationale: Abruptio placentae presents with painful bleeding.
10. Placenta previa is best described as:
A. Placenta detaches early
B. Placenta covers cervical opening
C. Cord prolapse
D. Placenta infection
Correct Answer: B
Rationale: Placenta previa occurs when the placenta implants near or over the cervical os.
SECTION 2: INTRAPARTUM (LABOR & DELIVERY)
11. Which sign confirms the onset of true labor?
A. Backache
B. Regular contractions with cervical change
C. Bloody show
D. Braxton Hicks contractions
Practical Nursing Prep
1. A nurse is teaching a pregnant client about presumptive signs of pregnancy.
Which is a presumptive sign?
A. Positive hCG test
B. Fetal heart tones
C. Amenorrhea
D. Ultrasound visualization
Correct Answer: C
Rationale: Amenorrhea is a subjective, presumptive sign reported by the client. hCG and fetal
heart tones are positive signs.
2. Which laboratory value confirms pregnancy?
A. Palpable fetal movement
B. Serum hCG
C. Chadwick’s sign
D. Quickening
Correct Answer: B
Rationale: Detection of hCG in blood or urine is a positive sign of pregnancy.
3. A client at 28 weeks gestation receives Rho(D) immune globulin. Why?
A. Prevent infection
B. Prevent preterm labor
C. Prevent Rh sensitization
D. Increase hemoglobin
Correct Answer: C
Rationale: Rho(D) immune globulin prevents Rh-negative mothers from forming antibodies
against Rh-positive fetal blood.
4. Which finding indicates preeclampsia?
,A. BP 110/70
B. 1+ proteinuria
C. BP 160/100
D. Mild ankle edema
Correct Answer: C
Rationale: Severe hypertension is a hallmark of preeclampsia.
5. A pregnant client has severe epigastric pain and headache. What should the
nurse do first?
A. Give acetaminophen
B. Check BP
C. Document findings
D. Encourage fluids
Correct Answer: B
Rationale: These are warning signs of severe preeclampsia; BP assessment is priority.
6. Which client is at highest risk for gestational diabetes?
A. Age 18
B. BMI 32
C. Primigravida
D. Rh negative
Correct Answer: B
Rationale: Obesity significantly increases the risk of gestational diabetes.
7. Which teaching is appropriate for nausea in pregnancy?
A. Skip breakfast
B. Eat high-fat foods
C. Eat small frequent meals
D. Drink fluids with meals
Correct Answer: C
Rationale: Small, frequent meals reduce gastric irritation.
, 8. Which vaccine is recommended during pregnancy?
A. MMR
B. Varicella
C. Tdap
D. HPV
Correct Answer: C
Rationale: Tdap is recommended during each pregnancy to protect the newborn from pertussis.
9. A pregnant client reports vaginal bleeding and abdominal pain at 32 weeks.
What condition is suspected?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. PROM
Correct Answer: B
Rationale: Abruptio placentae presents with painful bleeding.
10. Placenta previa is best described as:
A. Placenta detaches early
B. Placenta covers cervical opening
C. Cord prolapse
D. Placenta infection
Correct Answer: B
Rationale: Placenta previa occurs when the placenta implants near or over the cervical os.
SECTION 2: INTRAPARTUM (LABOR & DELIVERY)
11. Which sign confirms the onset of true labor?
A. Backache
B. Regular contractions with cervical change
C. Bloody show
D. Braxton Hicks contractions
