ATI Maternal Newborn Proctored Exam – Complete Practice Test Bank
150+ Questions with Answers and Detailed Rationales EXAM GAURANTEED
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QUESTIONS 2026 CARRICULUM BASSED VERRIFIED TEST INSTANT PDF
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1. A nurse is teaching a client who is at 8 weeks of gestation about manifestations to report to the
provider during pregnancy. Which of the following information should the nurse include in the
teaching?
A. Nausea upon awakening
B. Blurred or double vision
C. Increase in white vaginal discharge
D. Leg cramps when sleeping
Correct Answer: B) Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia, a serious complication of pregnancy
that requires immediate intervention. Nausea upon awakening is a common first-trimester
discomfort. Increased white vaginal discharge (leukorrhea) is normal during pregnancy. Leg cramps
are common in later pregnancy.
2. A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the following
statements should the nurse include in the teaching?
A. "You will be in isolation after delivery."
B. "Abstain from sexual intercourse throughout pregnancy."
C. "Breastfeed your newborn to provide passive immunity."
D. "You should continue to take zidovudine throughout the pregnancy."
Correct Answer: D) "You should continue to take zidovudine throughout the pregnancy."
,Rationale: Taking antiviral medication daily decreases the risk of transmission of HIV to the newborn.
Isolation is not required. Sexual activity can continue with precautions. HIV can be transmitted
through breast milk, so breastfeeding is not recommended.
3. A nurse is assessing a client who is at 36 weeks of gestation. Which finding should the nurse report
to the provider?
A. Blood pressure 110/70 mm Hg
B. 1+ protein in urine
C. Weight gain of 0.5 kg (1.1 lb) in one week
D. Mild ankle edema
Correct Answer: B) 1+ protein in urine
Rationale: Proteinuria (≥1+) in the third trimester can indicate preeclampsia and should be evaluated.
Mild ankle edema and weight gain of 0.5 kg/week are expected in the third trimester.
4. A nurse is teaching a client who is at 28 weeks gestation about nutrition. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should take 400 mcg of folic acid each day."
B. "I need to take extra iron to prevent anemia."
C. "I should stop taking prenatal vitamins after the first trimester."
D. "Prenatal vitamins are optional if I eat well."
Correct Answer: B) "I need to take extra iron to prevent anemia."
Rationale: Prenatal vitamins contain iron to prevent anemia, folic acid to prevent neural tube defects,
and other essential nutrients. They should be taken throughout pregnancy, not just in the first
trimester. The recommended folic acid intake during pregnancy is 600 mcg daily.
,5. A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of
magnesium sulfate IV. Which of the following findings indicates magnesium sulfate toxicity?
A. Respiratory rate of 10/min
B. Urine output of 40 mL/hr
C. Patellar reflexes present
D. Blood pressure 140/90 mm Hg
Correct Answer: A) Respiratory rate of 10/min
Rationale: Respiratory depression (≤12/min) is a sign of magnesium sulfate toxicity. Other signs
include decreased deep tendon reflexes and oliguria (urine output <30 mL/hr). The antidote for
magnesium sulfate toxicity is calcium gluconate.
6. A nurse is caring for a client who is at 34 weeks of gestation and reports severe headache, visual
changes, and epigastric pain. What is the priority nursing action?
A. Reassure the client these are normal symptoms
B. Encourage oral fluids
C. Assess blood pressure
D. Prepare for a glucose tolerance test
Correct Answer: C) Assess blood pressure
Rationale: These symptoms suggest preeclampsia with severe features. Blood pressure assessment is
the immediate priority to determine severity and guide further intervention.
7. A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the nurse
expect?
A. Renal agenesis
, B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A) Renal agenesis
Rationale: Oligohydramnios (decreased amniotic fluid) is associated with fetal renal anomalies,
including renal agenesis, because adequate fetal urine production is necessary for amniotic fluid
volume. Neurological and cardiac anomalies are more commonly associated with polyhydramnios.
8. A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger
indications to report to her provider. Which of the following manifestations indicates the client
understands the teaching?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Headaches
Correct Answer: C) Shortness of breath
Rationale: Shortness of breath can indicate a pulmonary embolism, which is a serious complication of
oral contraceptive use and should be reported immediately. Reduced menstrual flow and breast
tenderness are expected side effects.
9. A nurse in an obstetrical clinic is reinforcing teaching with a client about using an IUD for
contraception. Which statement by the client indicates an understanding of the information?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed."
150+ Questions with Answers and Detailed Rationales EXAM GAURANTEED
PASS WITH 100+
QUESTIONS 2026 CARRICULUM BASSED VERRIFIED TEST INSTANT PDF
DOWNLOAD
1. A nurse is teaching a client who is at 8 weeks of gestation about manifestations to report to the
provider during pregnancy. Which of the following information should the nurse include in the
teaching?
A. Nausea upon awakening
B. Blurred or double vision
C. Increase in white vaginal discharge
D. Leg cramps when sleeping
Correct Answer: B) Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia, a serious complication of pregnancy
that requires immediate intervention. Nausea upon awakening is a common first-trimester
discomfort. Increased white vaginal discharge (leukorrhea) is normal during pregnancy. Leg cramps
are common in later pregnancy.
2. A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the following
statements should the nurse include in the teaching?
A. "You will be in isolation after delivery."
B. "Abstain from sexual intercourse throughout pregnancy."
C. "Breastfeed your newborn to provide passive immunity."
D. "You should continue to take zidovudine throughout the pregnancy."
Correct Answer: D) "You should continue to take zidovudine throughout the pregnancy."
,Rationale: Taking antiviral medication daily decreases the risk of transmission of HIV to the newborn.
Isolation is not required. Sexual activity can continue with precautions. HIV can be transmitted
through breast milk, so breastfeeding is not recommended.
3. A nurse is assessing a client who is at 36 weeks of gestation. Which finding should the nurse report
to the provider?
A. Blood pressure 110/70 mm Hg
B. 1+ protein in urine
C. Weight gain of 0.5 kg (1.1 lb) in one week
D. Mild ankle edema
Correct Answer: B) 1+ protein in urine
Rationale: Proteinuria (≥1+) in the third trimester can indicate preeclampsia and should be evaluated.
Mild ankle edema and weight gain of 0.5 kg/week are expected in the third trimester.
4. A nurse is teaching a client who is at 28 weeks gestation about nutrition. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I should take 400 mcg of folic acid each day."
B. "I need to take extra iron to prevent anemia."
C. "I should stop taking prenatal vitamins after the first trimester."
D. "Prenatal vitamins are optional if I eat well."
Correct Answer: B) "I need to take extra iron to prevent anemia."
Rationale: Prenatal vitamins contain iron to prevent anemia, folic acid to prevent neural tube defects,
and other essential nutrients. They should be taken throughout pregnancy, not just in the first
trimester. The recommended folic acid intake during pregnancy is 600 mcg daily.
,5. A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of
magnesium sulfate IV. Which of the following findings indicates magnesium sulfate toxicity?
A. Respiratory rate of 10/min
B. Urine output of 40 mL/hr
C. Patellar reflexes present
D. Blood pressure 140/90 mm Hg
Correct Answer: A) Respiratory rate of 10/min
Rationale: Respiratory depression (≤12/min) is a sign of magnesium sulfate toxicity. Other signs
include decreased deep tendon reflexes and oliguria (urine output <30 mL/hr). The antidote for
magnesium sulfate toxicity is calcium gluconate.
6. A nurse is caring for a client who is at 34 weeks of gestation and reports severe headache, visual
changes, and epigastric pain. What is the priority nursing action?
A. Reassure the client these are normal symptoms
B. Encourage oral fluids
C. Assess blood pressure
D. Prepare for a glucose tolerance test
Correct Answer: C) Assess blood pressure
Rationale: These symptoms suggest preeclampsia with severe features. Blood pressure assessment is
the immediate priority to determine severity and guide further intervention.
7. A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the nurse
expect?
A. Renal agenesis
, B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A) Renal agenesis
Rationale: Oligohydramnios (decreased amniotic fluid) is associated with fetal renal anomalies,
including renal agenesis, because adequate fetal urine production is necessary for amniotic fluid
volume. Neurological and cardiac anomalies are more commonly associated with polyhydramnios.
8. A nurse is reinforcing teaching with a client who is taking an oral contraceptive about danger
indications to report to her provider. Which of the following manifestations indicates the client
understands the teaching?
A. Reduced menstrual flow
B. Breast tenderness
C. Shortness of breath
D. Headaches
Correct Answer: C) Shortness of breath
Rationale: Shortness of breath can indicate a pulmonary embolism, which is a serious complication of
oral contraceptive use and should be reported immediately. Reduced menstrual flow and breast
tenderness are expected side effects.
9. A nurse in an obstetrical clinic is reinforcing teaching with a client about using an IUD for
contraception. Which statement by the client indicates an understanding of the information?
A. "An IUD should be replaced annually during a pelvic exam."
B. "I cannot get an IUD until after I've had a child."
C. "I should plan on regaining fertility 5 months after the IUD is removed."
