ATI Maternal
Newborn
Practice
Assessment A
Comprehensive 150-Question
Practice Exam well written
one year 2025 /2026
updated graded A+
,SECTION 1: ANTEPARTUM CARE – Prenatal Assessment & Screening
(Questions 1–30)
1. A nurse in a prenatal clinic is assessing a client at 10 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A) Frequent urination
B) Breast tenderness
C) Epigastric pain
D) Nausea upon awakening
Correct Answer: C) Epigastric pain
Rationale: Epigastric pain can be a sign of preeclampsia or other serious complications such as HELLP
syndrome and should be reported immediately. Frequent urination, breast tenderness, and nausea are
common discomforts of early pregnancy.
2. A nurse is providing teaching to a client who is at 8 weeks of gestation about folic acid
supplementation. Which of the following statements by the client indicates an understanding of
the teaching?
A) "Folic acid will help my baby's brain and spine develop properly."
B) "Folic acid prevents me from developing gestational diabetes."
C) "Folic acid will increase my breast milk production."
D) "Folic acid is only needed if I have a family history of birth defects."
,Correct Answer: A) "Folic acid will help my baby's brain and spine develop properly."
Rationale: Folic acid supplementation before conception and during early pregnancy helps prevent
neural tube defects such as spina bifida. It does not prevent gestational diabetes, increase milk
production, or require a family history to be indicated.
3. A nurse is reviewing laboratory results for a client at 32 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A) BUN 14 mg/dL
B) Platelet count 200,000/mm³
C) Hematocrit 30%
D) Creatinine 1.0 mg/dL
Correct Answer: C) Hematocrit 30%
Rationale: A hematocrit of 30% is below the expected reference range of greater than 33% for a
pregnant client and indicates anemia. The nurse should report this finding to the provider for further
evaluation and intervention.
4. A nurse is caring for a client who is Rh-negative and at 28 weeks of gestation. Which of the
following medications should the nurse anticipate administering?
A) Methylergonovine
B) Oxytocin
C) Rho(D) Immune Globulin
D) Calcium Gluconate
Correct Answer: C) Rho(D) Immune Globulin
Rationale: Rho(D) immune globulin (RhoGAM) is administered at 28 weeks of gestation and within 72
hours postpartum if the newborn is Rh-positive to prevent maternal antibody formation.
5. A nurse is assessing a client at 24 weeks of gestation who becomes dizzy and pale while lying
supine. Which of the following actions should the nurse take first?
, A) Place the client in Trendelenburg position
B) Turn the client onto her left side
C) Administer oxygen via face mask
D) Elevate the client's legs above her heart
Correct Answer: B) Turn the client onto her left side
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava, reducing cardiac output. Turning the client to the left side relieves the compression and restores
blood flow.
6. A nurse is performing Leopold maneuvers on a client at 38 weeks of gestation. The nurse
palpates a hard, round mass in the fundus and a soft, irregular mass above the symphysis pubis.
Which of the following fetal presentations does this indicate?
A) Cephalic (vertex) presentation
B) Breech presentation
C) Transverse lie
D) Shoulder presentation
Correct Answer: A) Cephalic (vertex) presentation
Rationale: A hard, round mass in the fundus indicates the fetal head, and a soft, irregular mass above
the symphysis indicates the fetal buttocks. This finding is consistent with a cephalic (vertex)
presentation.
7. 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 need to be in isolation after delivery."
B) "You should abstain from sexual intercourse throughout pregnancy."
C) "You should 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."
Newborn
Practice
Assessment A
Comprehensive 150-Question
Practice Exam well written
one year 2025 /2026
updated graded A+
,SECTION 1: ANTEPARTUM CARE – Prenatal Assessment & Screening
(Questions 1–30)
1. A nurse in a prenatal clinic is assessing a client at 10 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A) Frequent urination
B) Breast tenderness
C) Epigastric pain
D) Nausea upon awakening
Correct Answer: C) Epigastric pain
Rationale: Epigastric pain can be a sign of preeclampsia or other serious complications such as HELLP
syndrome and should be reported immediately. Frequent urination, breast tenderness, and nausea are
common discomforts of early pregnancy.
2. A nurse is providing teaching to a client who is at 8 weeks of gestation about folic acid
supplementation. Which of the following statements by the client indicates an understanding of
the teaching?
A) "Folic acid will help my baby's brain and spine develop properly."
B) "Folic acid prevents me from developing gestational diabetes."
C) "Folic acid will increase my breast milk production."
D) "Folic acid is only needed if I have a family history of birth defects."
,Correct Answer: A) "Folic acid will help my baby's brain and spine develop properly."
Rationale: Folic acid supplementation before conception and during early pregnancy helps prevent
neural tube defects such as spina bifida. It does not prevent gestational diabetes, increase milk
production, or require a family history to be indicated.
3. A nurse is reviewing laboratory results for a client at 32 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A) BUN 14 mg/dL
B) Platelet count 200,000/mm³
C) Hematocrit 30%
D) Creatinine 1.0 mg/dL
Correct Answer: C) Hematocrit 30%
Rationale: A hematocrit of 30% is below the expected reference range of greater than 33% for a
pregnant client and indicates anemia. The nurse should report this finding to the provider for further
evaluation and intervention.
4. A nurse is caring for a client who is Rh-negative and at 28 weeks of gestation. Which of the
following medications should the nurse anticipate administering?
A) Methylergonovine
B) Oxytocin
C) Rho(D) Immune Globulin
D) Calcium Gluconate
Correct Answer: C) Rho(D) Immune Globulin
Rationale: Rho(D) immune globulin (RhoGAM) is administered at 28 weeks of gestation and within 72
hours postpartum if the newborn is Rh-positive to prevent maternal antibody formation.
5. A nurse is assessing a client at 24 weeks of gestation who becomes dizzy and pale while lying
supine. Which of the following actions should the nurse take first?
, A) Place the client in Trendelenburg position
B) Turn the client onto her left side
C) Administer oxygen via face mask
D) Elevate the client's legs above her heart
Correct Answer: B) Turn the client onto her left side
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava, reducing cardiac output. Turning the client to the left side relieves the compression and restores
blood flow.
6. A nurse is performing Leopold maneuvers on a client at 38 weeks of gestation. The nurse
palpates a hard, round mass in the fundus and a soft, irregular mass above the symphysis pubis.
Which of the following fetal presentations does this indicate?
A) Cephalic (vertex) presentation
B) Breech presentation
C) Transverse lie
D) Shoulder presentation
Correct Answer: A) Cephalic (vertex) presentation
Rationale: A hard, round mass in the fundus indicates the fetal head, and a soft, irregular mass above
the symphysis indicates the fetal buttocks. This finding is consistent with a cephalic (vertex)
presentation.
7. 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 need to be in isolation after delivery."
B) "You should abstain from sexual intercourse throughout pregnancy."
C) "You should 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."
