ATI Maternal Newborn Proctored Exam 2025/2026
Updated Version | NGN Clinical Judgment Questions,
Correct Answers & Expert Rationales for RN Students
1. A nurse is assessing a client at 12 weeks of gestation. Which of the following
fundal height findings should the nurse expect?
• A. 8 cm
• B. 10 cm
• C. 12 cm
• D. 14 cm
Correct Answer: C
Rationale: Fundal height in centimeters roughly correlates with weeks of
gestation from 12 to 36 weeks. At 12 weeks, the fundus is typically at the
symphysis pubis, which corresponds to approximately 12 cm.
2. A nurse is providing prenatal education to a client. Which of the following
should the nurse identify as a presumptive sign of pregnancy?
• A. Positive pregnancy test
• B. Fetal heart tones
• C. Amenorrhea
• D. Palpable fetal movements
Correct Answer: C
Rationale: Presumptive signs are subjective changes felt by the client (e.g.,
amenorrhea, nausea, breast tenderness). Positive pregnancy test, fetal heart
tones, and palpable fetal movements are probable or positive signs.
,3. A nurse is caring for a client who is at 36 weeks of gestation and has
gestational diabetes. Which of the following findings should the nurse report to
the provider?
• A. Fasting blood glucose of 90 mg/dL
• B. 1-hour postprandial glucose of 130 mg/dL
• C. 2-hour postprandial glucose of 140 mg/dL
• D. Hemoglobin A1c of 7.5%
Correct Answer: D
Rationale: A hemoglobin A1c of 7.5% indicates poor glycemic control over the
past 2-3 months. Expected values for gestational diabetes are fasting <95 mg/dL
and 1-hour postprandial <140 mg/dL. Option A (90 mg/dL) and B (130 mg/dL) are
within expected ranges. Option C (140 mg/dL) is borderline but not as concerning
as a high A1c.
4. A nurse is teaching a client about the signs of preterm labor. Which of the
following statements by the client indicates understanding?
• A. "I should report regular contractions that occur every 15 minutes."
• B. "I should report low back pain that comes and goes."
• C. "I should report a change in vaginal discharge."
• D. "I should report mild pelvic pressure."
Correct Answer: C
Rationale: A change in vaginal discharge (e.g., increased amount, blood-tinged, or
mucous) can indicate cervical changes and preterm labor. Regular contractions,
low back pain, and pelvic pressure are also signs, but a change in discharge is a
specific and important indicator to report.
5. A nurse is assessing a client at 20 weeks of gestation. Which of the following
findings should the nurse identify as abnormal?
, • A. Quickening
• B. Linea nigra
• C. Chloasma
• D. Pedal edema
Correct Answer: D
Rationale: Pedal edema is not a typical finding at 20 weeks; it is more common in
the third trimester. Quickening (fetal movements), linea nigra (dark line on the
abdomen), and chloasma (darkening of the face) are all expected findings during
pregnancy.
6. A nurse is administering Rho(D) immune globulin to a client who is Rh-
negative. The client asks about the purpose of this medication. Which of the
following responses should the nurse make?
• A. "It prevents your body from making antibodies against Rh-positive
blood."
• B. "It destroys any Rh-positive fetal cells that have entered your
circulation."
• C. "It treats anemia in the newborn."
• D. "It prevents you from becoming Rh-positive."
Correct Answer: A
Rationale: Rho(D) immune globulin is given to Rh-negative clients to prevent the
formation of antibodies against Rh-positive fetal blood cells. It does not destroy
cells, treat anemia, or change the client's blood type.
7. A nurse is teaching a client about nutrition during pregnancy. Which of the
following statements by the client indicates a need for further teaching?
• A. "I need to increase my calcium intake to 1,000 mg per day."
• B. "I need to increase my folic acid intake to 400 mcg per day."
, • C. "I need to increase my iron intake to 27 mg per day."
• D. "I need to increase my protein intake to 70 g per day."
Correct Answer: B
Rationale: The recommended daily folic acid intake during pregnancy is 600 mcg,
not 400 mcg. Calcium (1,000 mg), iron (27 mg), and protein (70 g) are all correct
recommendations.
8. A nurse is performing a Leopold's maneuvers on a client. Which of the
following is the purpose of the first maneuver?
• A. To determine the fetal lie and presentation
• B. To determine the fetal position
• C. To determine the fetal attitude
• D. To determine the fetal engagement
Correct Answer: A
Rationale: The first Leopold's maneuver (fundal palpation) determines the fetal
lie (longitudinal or transverse) and presentation (cephalic or breech). The second
maneuver determines fetal position, the third determines engagement, and the
fourth determines fetal attitude.
9. A nurse is assessing a client at 28 weeks of gestation. Which of the following
findings should the nurse report to the provider?
• A. Blood pressure of 120/80 mmHg
• B. Weight gain of 2 lb in 1 week
• C. Fundal height of 26 cm
• D. Fetal heart rate of 150/min
Correct Answer: C
Rationale: At 28 weeks, the expected fundal height is approximately 28 cm. A
Updated Version | NGN Clinical Judgment Questions,
Correct Answers & Expert Rationales for RN Students
1. A nurse is assessing a client at 12 weeks of gestation. Which of the following
fundal height findings should the nurse expect?
• A. 8 cm
• B. 10 cm
• C. 12 cm
• D. 14 cm
Correct Answer: C
Rationale: Fundal height in centimeters roughly correlates with weeks of
gestation from 12 to 36 weeks. At 12 weeks, the fundus is typically at the
symphysis pubis, which corresponds to approximately 12 cm.
2. A nurse is providing prenatal education to a client. Which of the following
should the nurse identify as a presumptive sign of pregnancy?
• A. Positive pregnancy test
• B. Fetal heart tones
• C. Amenorrhea
• D. Palpable fetal movements
Correct Answer: C
Rationale: Presumptive signs are subjective changes felt by the client (e.g.,
amenorrhea, nausea, breast tenderness). Positive pregnancy test, fetal heart
tones, and palpable fetal movements are probable or positive signs.
,3. A nurse is caring for a client who is at 36 weeks of gestation and has
gestational diabetes. Which of the following findings should the nurse report to
the provider?
• A. Fasting blood glucose of 90 mg/dL
• B. 1-hour postprandial glucose of 130 mg/dL
• C. 2-hour postprandial glucose of 140 mg/dL
• D. Hemoglobin A1c of 7.5%
Correct Answer: D
Rationale: A hemoglobin A1c of 7.5% indicates poor glycemic control over the
past 2-3 months. Expected values for gestational diabetes are fasting <95 mg/dL
and 1-hour postprandial <140 mg/dL. Option A (90 mg/dL) and B (130 mg/dL) are
within expected ranges. Option C (140 mg/dL) is borderline but not as concerning
as a high A1c.
4. A nurse is teaching a client about the signs of preterm labor. Which of the
following statements by the client indicates understanding?
• A. "I should report regular contractions that occur every 15 minutes."
• B. "I should report low back pain that comes and goes."
• C. "I should report a change in vaginal discharge."
• D. "I should report mild pelvic pressure."
Correct Answer: C
Rationale: A change in vaginal discharge (e.g., increased amount, blood-tinged, or
mucous) can indicate cervical changes and preterm labor. Regular contractions,
low back pain, and pelvic pressure are also signs, but a change in discharge is a
specific and important indicator to report.
5. A nurse is assessing a client at 20 weeks of gestation. Which of the following
findings should the nurse identify as abnormal?
, • A. Quickening
• B. Linea nigra
• C. Chloasma
• D. Pedal edema
Correct Answer: D
Rationale: Pedal edema is not a typical finding at 20 weeks; it is more common in
the third trimester. Quickening (fetal movements), linea nigra (dark line on the
abdomen), and chloasma (darkening of the face) are all expected findings during
pregnancy.
6. A nurse is administering Rho(D) immune globulin to a client who is Rh-
negative. The client asks about the purpose of this medication. Which of the
following responses should the nurse make?
• A. "It prevents your body from making antibodies against Rh-positive
blood."
• B. "It destroys any Rh-positive fetal cells that have entered your
circulation."
• C. "It treats anemia in the newborn."
• D. "It prevents you from becoming Rh-positive."
Correct Answer: A
Rationale: Rho(D) immune globulin is given to Rh-negative clients to prevent the
formation of antibodies against Rh-positive fetal blood cells. It does not destroy
cells, treat anemia, or change the client's blood type.
7. A nurse is teaching a client about nutrition during pregnancy. Which of the
following statements by the client indicates a need for further teaching?
• A. "I need to increase my calcium intake to 1,000 mg per day."
• B. "I need to increase my folic acid intake to 400 mcg per day."
, • C. "I need to increase my iron intake to 27 mg per day."
• D. "I need to increase my protein intake to 70 g per day."
Correct Answer: B
Rationale: The recommended daily folic acid intake during pregnancy is 600 mcg,
not 400 mcg. Calcium (1,000 mg), iron (27 mg), and protein (70 g) are all correct
recommendations.
8. A nurse is performing a Leopold's maneuvers on a client. Which of the
following is the purpose of the first maneuver?
• A. To determine the fetal lie and presentation
• B. To determine the fetal position
• C. To determine the fetal attitude
• D. To determine the fetal engagement
Correct Answer: A
Rationale: The first Leopold's maneuver (fundal palpation) determines the fetal
lie (longitudinal or transverse) and presentation (cephalic or breech). The second
maneuver determines fetal position, the third determines engagement, and the
fourth determines fetal attitude.
9. A nurse is assessing a client at 28 weeks of gestation. Which of the following
findings should the nurse report to the provider?
• A. Blood pressure of 120/80 mmHg
• B. Weight gain of 2 lb in 1 week
• C. Fundal height of 26 cm
• D. Fetal heart rate of 150/min
Correct Answer: C
Rationale: At 28 weeks, the expected fundal height is approximately 28 cm. A
