ATI Maternal
Newborn Practice
Assessment A well
written one year
2025 /2026
updated graded A+
Version 2.0 - Comprehensive 150-Question
Practice Exam
,SECTION 1: ANTEPARTUM CARE – Prenatal Assessment & Screening
(Questions 1–30)
1. A nurse in a prenatal clinic is reviewing the medical record of a client who is at 14 weeks of
gestation. Which of the following findings should the nurse identify as a contraindication for
amniocentesis?
A) Maternal age 38 years
B) Previous child with Down syndrome
C) Rh-negative blood type
D) Active vaginal infection
- detailed answer 100% correct :-D) Active vaginal infection
Rationale: Active vaginal infection is a contraindication for amniocentesis due to the risk of
introducing infection into the amniotic cavity. Advanced maternal age, previous child with
chromosomal abnormalities, and Rh-negative status are indications for the procedure.
2. A nurse is providing teaching to a client who is at 16 weeks of gestation about the maternal
serum alpha-fetoprotein (MSAFP) screening. Which of the following statements by the client
indicates an understanding of the teaching?
A) "This test will determine the baby's gender."
B) "This test screens for neural tube defects."
C) "This test will diagnose gestational diabetes."
D) "This test determines the baby's lung maturity."
- detailed answer 100% correct :-B) "This test screens for neural tube defects."
,Rationale: MSAFP screening is performed between 15-20 weeks to screen for neural tube defects such
as spina bifida and anencephaly. It does not determine gender, diagnose gestational diabetes, or
assess lung maturity.
3. A nurse is assessing a client who is at 18 weeks of gestation. Which of the following findings
should the nurse report to the provider as a potential sign of gestational trophoblastic disease
(molar pregnancy)?
A) Fundal height 20 cm
B) Blood pressure 110/70 mm Hg
C) Fetal heart rate 150/min
D) Weight gain 2 lb in 2 weeks
- detailed answer 100% correct :-A) Fundal height 20 cm
Rationale: A fundal height that is greater than expected for gestational age (18 weeks fundal height
should be approximately 18 cm ± 2 cm) may indicate a molar pregnancy, multiple gestation, or
polyhydramnios.
4. A nurse is caring for a client who is at 26 weeks of gestation and has been diagnosed with
iron deficiency anemia. Which of the following findings should the nurse expect?
A) Hemoglobin 10.2 g/dL
B) Hematocrit 40%
C) Serum ferritin 50 ng/mL
D) Red blood cell count 4.5 million/mm³
- detailed answer 100% correct :-A) Hemoglobin 10.2 g/dL
Rationale: During pregnancy, hemoglobin below 11 g/dL in the first and third trimesters and below
10.5 g/dL in the second trimester indicates anemia. A hemoglobin of 10.2 g/dL at 26 weeks is below
normal.
, 5. A nurse is providing teaching to a client who is at 8 weeks of gestation about the importance
of rubella immunity. Which of the following statements by the client indicates an understanding
of the teaching?
A) "I received the rubella vaccine before I got pregnant."
B) "I will receive the rubella vaccine during my third trimester."
C) "I will receive the rubella vaccine after my baby is born."
D) "Rubella immunity is not important during pregnancy."
- detailed answer 100% correct :-C) "I will receive the rubella vaccine after my baby is born."
Rationale: Rubella vaccine is a live attenuated vaccine and is contraindicated during pregnancy. If a
client is rubella non-immune, the vaccine is administered postpartum before discharge.
6. A nurse is assessing a client who is at 22 weeks of gestation and reports lower abdominal
cramping and back pain. The cervix is 2 cm dilated and 50% effaced. Which of the following
conditions should the nurse suspect?
A) Preterm labor
B) Placenta previa
C) Braxton-Hicks contractions
D) Round ligament pain
- detailed answer 100% correct :-A) Preterm labor
Rationale: Preterm labor is diagnosed by cervical dilation and effacement before 37 weeks of
gestation, accompanied by regular uterine contractions. Cervical changes confirm the diagnosis.
7. A nurse is reviewing the laboratory results of a client who is at 12 weeks of gestation. Which
of the following findings should the nurse report to the provider?
A) White blood cell count 12,000/mm³
B) Blood glucose 95 mg/dL
C) Urinalysis positive for glucose
D) Rubella titer 1:8
Newborn Practice
Assessment A well
written one year
2025 /2026
updated graded A+
Version 2.0 - Comprehensive 150-Question
Practice Exam
,SECTION 1: ANTEPARTUM CARE – Prenatal Assessment & Screening
(Questions 1–30)
1. A nurse in a prenatal clinic is reviewing the medical record of a client who is at 14 weeks of
gestation. Which of the following findings should the nurse identify as a contraindication for
amniocentesis?
A) Maternal age 38 years
B) Previous child with Down syndrome
C) Rh-negative blood type
D) Active vaginal infection
- detailed answer 100% correct :-D) Active vaginal infection
Rationale: Active vaginal infection is a contraindication for amniocentesis due to the risk of
introducing infection into the amniotic cavity. Advanced maternal age, previous child with
chromosomal abnormalities, and Rh-negative status are indications for the procedure.
2. A nurse is providing teaching to a client who is at 16 weeks of gestation about the maternal
serum alpha-fetoprotein (MSAFP) screening. Which of the following statements by the client
indicates an understanding of the teaching?
A) "This test will determine the baby's gender."
B) "This test screens for neural tube defects."
C) "This test will diagnose gestational diabetes."
D) "This test determines the baby's lung maturity."
- detailed answer 100% correct :-B) "This test screens for neural tube defects."
,Rationale: MSAFP screening is performed between 15-20 weeks to screen for neural tube defects such
as spina bifida and anencephaly. It does not determine gender, diagnose gestational diabetes, or
assess lung maturity.
3. A nurse is assessing a client who is at 18 weeks of gestation. Which of the following findings
should the nurse report to the provider as a potential sign of gestational trophoblastic disease
(molar pregnancy)?
A) Fundal height 20 cm
B) Blood pressure 110/70 mm Hg
C) Fetal heart rate 150/min
D) Weight gain 2 lb in 2 weeks
- detailed answer 100% correct :-A) Fundal height 20 cm
Rationale: A fundal height that is greater than expected for gestational age (18 weeks fundal height
should be approximately 18 cm ± 2 cm) may indicate a molar pregnancy, multiple gestation, or
polyhydramnios.
4. A nurse is caring for a client who is at 26 weeks of gestation and has been diagnosed with
iron deficiency anemia. Which of the following findings should the nurse expect?
A) Hemoglobin 10.2 g/dL
B) Hematocrit 40%
C) Serum ferritin 50 ng/mL
D) Red blood cell count 4.5 million/mm³
- detailed answer 100% correct :-A) Hemoglobin 10.2 g/dL
Rationale: During pregnancy, hemoglobin below 11 g/dL in the first and third trimesters and below
10.5 g/dL in the second trimester indicates anemia. A hemoglobin of 10.2 g/dL at 26 weeks is below
normal.
, 5. A nurse is providing teaching to a client who is at 8 weeks of gestation about the importance
of rubella immunity. Which of the following statements by the client indicates an understanding
of the teaching?
A) "I received the rubella vaccine before I got pregnant."
B) "I will receive the rubella vaccine during my third trimester."
C) "I will receive the rubella vaccine after my baby is born."
D) "Rubella immunity is not important during pregnancy."
- detailed answer 100% correct :-C) "I will receive the rubella vaccine after my baby is born."
Rationale: Rubella vaccine is a live attenuated vaccine and is contraindicated during pregnancy. If a
client is rubella non-immune, the vaccine is administered postpartum before discharge.
6. A nurse is assessing a client who is at 22 weeks of gestation and reports lower abdominal
cramping and back pain. The cervix is 2 cm dilated and 50% effaced. Which of the following
conditions should the nurse suspect?
A) Preterm labor
B) Placenta previa
C) Braxton-Hicks contractions
D) Round ligament pain
- detailed answer 100% correct :-A) Preterm labor
Rationale: Preterm labor is diagnosed by cervical dilation and effacement before 37 weeks of
gestation, accompanied by regular uterine contractions. Cervical changes confirm the diagnosis.
7. A nurse is reviewing the laboratory results of a client who is at 12 weeks of gestation. Which
of the following findings should the nurse report to the provider?
A) White blood cell count 12,000/mm³
B) Blood glucose 95 mg/dL
C) Urinalysis positive for glucose
D) Rubella titer 1:8
