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ATI Maternal-Newborn Practice Exam (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED 2026
ANTEPARTUM (1–20)
1. A client at 28 weeks gestation reports swelling of the face and hands. The nurse should
first:
A. Check vital signs
B. Assess for proteinuria
C. Encourage rest
D. Recommend increased fluid intake
Answer: B
Rationale: Facial edema with hypertension may indicate preeclampsia; proteinuria assessment
is priority.
2. A pregnant client has a BP of 150/95 and 3+ proteinuria. This is most consistent with:
A. Gestational hypertension
B. Preeclampsia
C. Eclampsia
D. Chronic hypertension
Answer: B
Rationale: BP ≥140/90 with proteinuria after 20 weeks indicates preeclampsia.
3. Which maternal position optimizes uteroplacental perfusion?
A. Supine
B. Left lateral
C. Right lateral
D. Trendelenburg
Answer: B
Rationale: Left lateral position reduces compression of the inferior vena cava and improves
blood flow.
2026 2027 GRADED A+
,2|Page
4. A client at 32 weeks gestation has regular contractions but no cervical change. The nurse
suspects:
A. Preterm labor
B. Braxton Hicks contractions
C. True labor
D. Placenta previa
Answer: B
Rationale: Braxton Hicks are irregular, painless, and do not cause cervical change.
5. A client with gestational diabetes has a fasting glucose of 100 mg/dL. The nurse
recognizes this as:
A. Normal
B. Hypoglycemia
C. Hyperglycemia
D. Critical
Answer: A
Rationale: Fasting glucose <95–100 mg/dL is generally within target range for gestational
diabetes.
6. The nurse is teaching a client about fetal kick counts. Which statement is correct?
A. “Count movements once a week.”
B. “Notify your provider if <10 movements in 2 hours.”
C. “Kick counts are optional.”
D. “Count movements while sleeping only.”
Answer: B
Rationale: Fetal movement counting helps identify fetal compromise; <10 in 2 hours requires
evaluation.
7. A client at 20 weeks gestation presents with painless bright red vaginal bleeding. Priority
assessment:
A. Fundal height
B. Fetal heart rate
C. Abdominal pain
D. Placenta location via ultrasound
Answer: D
Rationale: Bright red, painless bleeding may indicate placenta previa; ultrasound confirms
placenta location.
2026 2027 GRADED A+
,3|Page
8. A client at 36 weeks reports severe RUQ pain, headache, and visual changes. Which lab
is most important?
A. Hemoglobin
B. Platelets and liver function tests
C. Urine glucose
D. Amniotic fluid index
Answer: B
Rationale: These are signs of severe preeclampsia/HELLP syndrome; check platelets and
LFTs.
9. Which vaccine is recommended during pregnancy to prevent neonatal pertussis?
A. MMR
B. Tdap
C. Varicella
D. Influenza
Answer: B
Rationale: Tdap is recommended between 27–36 weeks to confer passive immunity to
newborn.
10. A client reports nausea, vomiting, and epigastric pain at 34 weeks. Which lab should
the nurse anticipate?
A. Bilirubin
B. AST/ALT
C. Amylase
D. WBC
Answer: B
Rationale: Epigastric pain in late pregnancy may indicate HELLP syndrome; check liver
enzymes.
11. A 26-week gestation client has a urine dip showing 2+ protein. The nurse should:
A. Notify provider for possible preeclampsia
B. Reassess at next visit
C. Encourage hydration only
D. Discharge home
Answer: A
Rationale: Proteinuria after 20 weeks may indicate preeclampsia; prompt provider notification
is required.
2026 2027 GRADED A+
, 4|Page
12. The recommended daily iron intake during pregnancy is:
A. 15 mg
B. 27 mg
C. 30 mg
D. 50 mg
Answer: B
Rationale: 27 mg/day is standard for pregnancy to prevent anemia.
13. A client’s fundal height at 28 weeks is 20 cm. The nurse suspects:
A. Normal growth
B. IUGR or oligohydramnios
C. Polyhydramnios
D. Preterm labor
Answer: B
Rationale: Fundal height 2–3 cm off expected may indicate IUGR or oligohydramnios.
14. Which is a warning sign of preterm labor?
A. Braxton Hicks contractions
B. Vaginal bleeding and pelvic pressure
C. Fetal movement
D. Backache once a month
Answer: B
Rationale: Regular contractions, bleeding, pelvic pressure before 37 weeks suggest preterm
labor.
15. A client with hyperemesis gravidarum is at risk for:
A. Hypokalemia
B. Hypercalcemia
C. Hypernatremia
D. Hyperglycemia
Answer: A
Rationale: Persistent vomiting leads to electrolyte imbalances, including low potassium.
16. Rh-negative mother with Rh-positive fetus should receive:
A. MMR vaccine
B. Rho(D) immune globulin at 28 weeks
C. Tdap vaccine
D. No intervention
2026 2027 GRADED A+
ATI Maternal-Newborn Practice Exam (NEW UPDATED VERSION) LATEST ACTUAL
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED 2026
ANTEPARTUM (1–20)
1. A client at 28 weeks gestation reports swelling of the face and hands. The nurse should
first:
A. Check vital signs
B. Assess for proteinuria
C. Encourage rest
D. Recommend increased fluid intake
Answer: B
Rationale: Facial edema with hypertension may indicate preeclampsia; proteinuria assessment
is priority.
2. A pregnant client has a BP of 150/95 and 3+ proteinuria. This is most consistent with:
A. Gestational hypertension
B. Preeclampsia
C. Eclampsia
D. Chronic hypertension
Answer: B
Rationale: BP ≥140/90 with proteinuria after 20 weeks indicates preeclampsia.
3. Which maternal position optimizes uteroplacental perfusion?
A. Supine
B. Left lateral
C. Right lateral
D. Trendelenburg
Answer: B
Rationale: Left lateral position reduces compression of the inferior vena cava and improves
blood flow.
2026 2027 GRADED A+
,2|Page
4. A client at 32 weeks gestation has regular contractions but no cervical change. The nurse
suspects:
A. Preterm labor
B. Braxton Hicks contractions
C. True labor
D. Placenta previa
Answer: B
Rationale: Braxton Hicks are irregular, painless, and do not cause cervical change.
5. A client with gestational diabetes has a fasting glucose of 100 mg/dL. The nurse
recognizes this as:
A. Normal
B. Hypoglycemia
C. Hyperglycemia
D. Critical
Answer: A
Rationale: Fasting glucose <95–100 mg/dL is generally within target range for gestational
diabetes.
6. The nurse is teaching a client about fetal kick counts. Which statement is correct?
A. “Count movements once a week.”
B. “Notify your provider if <10 movements in 2 hours.”
C. “Kick counts are optional.”
D. “Count movements while sleeping only.”
Answer: B
Rationale: Fetal movement counting helps identify fetal compromise; <10 in 2 hours requires
evaluation.
7. A client at 20 weeks gestation presents with painless bright red vaginal bleeding. Priority
assessment:
A. Fundal height
B. Fetal heart rate
C. Abdominal pain
D. Placenta location via ultrasound
Answer: D
Rationale: Bright red, painless bleeding may indicate placenta previa; ultrasound confirms
placenta location.
2026 2027 GRADED A+
,3|Page
8. A client at 36 weeks reports severe RUQ pain, headache, and visual changes. Which lab
is most important?
A. Hemoglobin
B. Platelets and liver function tests
C. Urine glucose
D. Amniotic fluid index
Answer: B
Rationale: These are signs of severe preeclampsia/HELLP syndrome; check platelets and
LFTs.
9. Which vaccine is recommended during pregnancy to prevent neonatal pertussis?
A. MMR
B. Tdap
C. Varicella
D. Influenza
Answer: B
Rationale: Tdap is recommended between 27–36 weeks to confer passive immunity to
newborn.
10. A client reports nausea, vomiting, and epigastric pain at 34 weeks. Which lab should
the nurse anticipate?
A. Bilirubin
B. AST/ALT
C. Amylase
D. WBC
Answer: B
Rationale: Epigastric pain in late pregnancy may indicate HELLP syndrome; check liver
enzymes.
11. A 26-week gestation client has a urine dip showing 2+ protein. The nurse should:
A. Notify provider for possible preeclampsia
B. Reassess at next visit
C. Encourage hydration only
D. Discharge home
Answer: A
Rationale: Proteinuria after 20 weeks may indicate preeclampsia; prompt provider notification
is required.
2026 2027 GRADED A+
, 4|Page
12. The recommended daily iron intake during pregnancy is:
A. 15 mg
B. 27 mg
C. 30 mg
D. 50 mg
Answer: B
Rationale: 27 mg/day is standard for pregnancy to prevent anemia.
13. A client’s fundal height at 28 weeks is 20 cm. The nurse suspects:
A. Normal growth
B. IUGR or oligohydramnios
C. Polyhydramnios
D. Preterm labor
Answer: B
Rationale: Fundal height 2–3 cm off expected may indicate IUGR or oligohydramnios.
14. Which is a warning sign of preterm labor?
A. Braxton Hicks contractions
B. Vaginal bleeding and pelvic pressure
C. Fetal movement
D. Backache once a month
Answer: B
Rationale: Regular contractions, bleeding, pelvic pressure before 37 weeks suggest preterm
labor.
15. A client with hyperemesis gravidarum is at risk for:
A. Hypokalemia
B. Hypercalcemia
C. Hypernatremia
D. Hyperglycemia
Answer: A
Rationale: Persistent vomiting leads to electrolyte imbalances, including low potassium.
16. Rh-negative mother with Rh-positive fetus should receive:
A. MMR vaccine
B. Rho(D) immune globulin at 28 weeks
C. Tdap vaccine
D. No intervention
2026 2027 GRADED A+
