ATI RN Maternity & Newborn Assessment Exam
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
Q&A 2026|INSTANT DOWNLOAD PDF
1. Which finding confirms pregnancy during assessment?
A. Amenorrhea
B. Nausea
C. Breast tenderness
D. Visualization of fetus on ultrasound
Rationale: Definitive signs directly confirm pregnancy.
2. A pregnant client reports Chadwick’s sign. What does this
indicate?
A. Cervical dilation
B. Bluish discoloration of cervix
C. Uterine contractions
D. Increased fetal movement
Rationale: Chadwick’s sign results from increased vascularity.
3. Which hormone maintains pregnancy by sustaining the
uterine lining?
A. Estrogen
B. Oxytocin
,C. Prolactin
D. Progesterone
Rationale: Progesterone prevents uterine contractions.
4. Fundal height at 20 weeks gestation should be located:
A. At the symphysis pubis
B. Below the umbilicus
C. At the level of the umbilicus
D. Above the umbilicus
Rationale: Fundal height correlates with gestational age.
5. A priority assessment for a pregnant client with vaginal
bleeding is:
A. Pain level
B. Fetal movement
C. Maternal vital signs
D. Last menstrual period
Rationale: Hemodynamic stability is the priority.
6. Which position improves uteroplacental perfusion?
A. Supine
B. High Fowler’s
C. Trendelenburg
,D. Left lateral
Rationale: Prevents vena cava compression.
7. Which finding is expected during the first trimester?
A. Increased cardiac output
B. Nausea and vomiting
C. Braxton Hicks contractions
D. Quickening
Rationale: Morning sickness is common early.
8. The nurse explains quickening occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Rationale: Fetal movement is first felt mid-pregnancy.
9. Which test screens for neural tube defects?
A. NST
B. CVS
C. Maternal serum AFP
D. Amniocentesis
Rationale: AFP elevations indicate NTD risk.
, 10. A normal fetal heart rate is:
A. 90–110 bpm
B. 110–120 bpm
C. 110–160 bpm
D. 160–180 bpm
Rationale: This is the standard fetal range.
11. The purpose of Leopold maneuvers is to determine:
A. Gestational age
B. Fetal heart rate
C. Fetal position
D. Placental location
Rationale: Palpation identifies presentation and lie.
12. Which hormone causes uterine contractions during labor?
A. Estrogen
B. Progesterone
C. Prolactin
D. Oxytocin
Rationale: Oxytocin stimulates labor.
13. Which sign indicates the beginning of labor?
A. Braxton Hicks contractions
B. Cervical dilation and effacement
QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
Q&A 2026|INSTANT DOWNLOAD PDF
1. Which finding confirms pregnancy during assessment?
A. Amenorrhea
B. Nausea
C. Breast tenderness
D. Visualization of fetus on ultrasound
Rationale: Definitive signs directly confirm pregnancy.
2. A pregnant client reports Chadwick’s sign. What does this
indicate?
A. Cervical dilation
B. Bluish discoloration of cervix
C. Uterine contractions
D. Increased fetal movement
Rationale: Chadwick’s sign results from increased vascularity.
3. Which hormone maintains pregnancy by sustaining the
uterine lining?
A. Estrogen
B. Oxytocin
,C. Prolactin
D. Progesterone
Rationale: Progesterone prevents uterine contractions.
4. Fundal height at 20 weeks gestation should be located:
A. At the symphysis pubis
B. Below the umbilicus
C. At the level of the umbilicus
D. Above the umbilicus
Rationale: Fundal height correlates with gestational age.
5. A priority assessment for a pregnant client with vaginal
bleeding is:
A. Pain level
B. Fetal movement
C. Maternal vital signs
D. Last menstrual period
Rationale: Hemodynamic stability is the priority.
6. Which position improves uteroplacental perfusion?
A. Supine
B. High Fowler’s
C. Trendelenburg
,D. Left lateral
Rationale: Prevents vena cava compression.
7. Which finding is expected during the first trimester?
A. Increased cardiac output
B. Nausea and vomiting
C. Braxton Hicks contractions
D. Quickening
Rationale: Morning sickness is common early.
8. The nurse explains quickening occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Rationale: Fetal movement is first felt mid-pregnancy.
9. Which test screens for neural tube defects?
A. NST
B. CVS
C. Maternal serum AFP
D. Amniocentesis
Rationale: AFP elevations indicate NTD risk.
, 10. A normal fetal heart rate is:
A. 90–110 bpm
B. 110–120 bpm
C. 110–160 bpm
D. 160–180 bpm
Rationale: This is the standard fetal range.
11. The purpose of Leopold maneuvers is to determine:
A. Gestational age
B. Fetal heart rate
C. Fetal position
D. Placental location
Rationale: Palpation identifies presentation and lie.
12. Which hormone causes uterine contractions during labor?
A. Estrogen
B. Progesterone
C. Prolactin
D. Oxytocin
Rationale: Oxytocin stimulates labor.
13. Which sign indicates the beginning of labor?
A. Braxton Hicks contractions
B. Cervical dilation and effacement
