ATI NGN Maternal Newborn
Comprehensive Examination:
Advanced Clinical Judgment
and Evidence-Based Practice
Assessment for Nursing
Professionals well written
one year 2025 /2026
updated graded A+
,Target Audience: Nursing students, graduate nurses, and practicing registered nurses preparing for
ATI Maternal Newborn Proctored Examination and Next Generation NCLEX (NGN) licensure.
Difficulty Level: Advanced/Hard – questions emphasize clinical judgment, prioritization, cue
recognition, hypothesis generation, and application of evidence-based practice across the antepartum,
intrapartum, postpartum, and neonatal continuum.
Exam Structure: 150 multiple-choice questions with single best answer. Each question includes a
detailed clinical rationale explaining correct and incorrect options.
SECTION I: ANTEPARTUM NURSING CARE (Questions 1-40)
Prenatal Assessment and Normal Pregnancy
1. A nurse is performing a prenatal assessment on a client at 16 weeks gestation. Which
findingshould the nurse report to the provider immediately?
A) Fundal height measurement of 16 cm
B) Presence of quickening reported by the client
C) Blood pressure of 148/94 mmHg
D) Fetal heart rate of 150 beats/min
- detailed answer 100 % correct :-C
Rationale: A blood pressure of 148/94 mmHg is elevated and may indicate gestational hypertension
or preeclampsia, which requires immediate provider notification. Fundal height of 16 cm at 16 weeks is
expected (fundal height in cm corresponds to weeks gestation ±2 cm). Quickening (fetal movement)
typically begins at 16-20 weeks and is a normal finding. Fetal heart rate of 110-160 beats/min is within
expected range.
2. A nurse is teaching a prenatal class about warning signs during pregnancy. Which
symptomshould the nurse instruct clients to report to their provider immediately?
, A) Mild ankle edema in the evening
B) Intermittent Braxton-Hicks contractions
C) Epigastric pain or persistent headache
D) Nasal congestion and epistaxis
- detailed answer 100 % correct :-C
Rationale: Epigastric pain and persistent headache are warning signs of severe preeclampsia and
impending eclampsia. Mild ankle edema, intermittent Braxton-Hicks contractions, and nasal
congestion are common discomforts of pregnancy and do not require immediate provider
notification.
3. A nurse is assessing a client at 24 weeks gestation who becomes dizzy and pale while
lyingsupine. Which action 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 heart level
- detailed answer 100 % correct :-B
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava, reducing venous return and cardiac output. Turning the client to the left lateral position relieves
compression and restores venous return. This is the priority intervention before other measures.
4. A nurse is calculating the estimated date of birth using Naegele's rule for a client whose
lastmenstrual period began on May 10. Which date should the nurse document?
A) February 3
B) February 17
C) March 3
D) March 17
- detailed answer 100 % correct :-B
, Rationale: Naegele's rule: Subtract 3 months from the first day of the last menstrual period and add 7
days. May 10 minus 3 months = February 10, plus 7 days = February 17.
5. A nurse is auscultating fetal heart tones at 12 weeks gestation. Where should the nurse
place theDoppler device?
A) Midline 2-3 cm above the symphysis pubis
B) At the level of the umbilicus
C) In the right upper quadrant of the abdomen
D) At the xiphoid process
- detailed answer 100 % correct :-A
Rationale: At 12 weeks gestation, the uterus is just above the symphysis pubis. The fetal heart is best
auscultated midline, 2-3 cm above the symphysis pubis. As gestation progresses, the fundal height
increases and the Doppler placement location changes accordingly.
6. A nurse is providing education about prenatal vitamins. Which statement by the client
indicatesunderstanding of teaching?
A) "I can take my prenatal vitamin with my morning coffee."
B) "I should take my prenatal vitamin on an empty stomach for best absorption."
C) "I need to take folic acid to prevent neural tube defects."
D) "I only need to take prenatal vitamins during the first trimester."
- detailed answer 100 % correct :-C
Rationale: Folic acid supplementation (400-800 mcg daily) is essential before and during early
pregnancy to prevent neural tube defects. Prenatal vitamins should be taken with food to minimize
nausea, not on an empty stomach. They should be continued throughout pregnancy and postpartum
if breastfeeding.
7. A nurse is assessing a primigravida at 38 weeks gestation. Leopold maneuvers reveal a
hard,round mass in the fundus and a soft, irregular mass above the symphysis pubis. What is
the fetal presentation?
A) Cephalic (vertex)
Comprehensive Examination:
Advanced Clinical Judgment
and Evidence-Based Practice
Assessment for Nursing
Professionals well written
one year 2025 /2026
updated graded A+
,Target Audience: Nursing students, graduate nurses, and practicing registered nurses preparing for
ATI Maternal Newborn Proctored Examination and Next Generation NCLEX (NGN) licensure.
Difficulty Level: Advanced/Hard – questions emphasize clinical judgment, prioritization, cue
recognition, hypothesis generation, and application of evidence-based practice across the antepartum,
intrapartum, postpartum, and neonatal continuum.
Exam Structure: 150 multiple-choice questions with single best answer. Each question includes a
detailed clinical rationale explaining correct and incorrect options.
SECTION I: ANTEPARTUM NURSING CARE (Questions 1-40)
Prenatal Assessment and Normal Pregnancy
1. A nurse is performing a prenatal assessment on a client at 16 weeks gestation. Which
findingshould the nurse report to the provider immediately?
A) Fundal height measurement of 16 cm
B) Presence of quickening reported by the client
C) Blood pressure of 148/94 mmHg
D) Fetal heart rate of 150 beats/min
- detailed answer 100 % correct :-C
Rationale: A blood pressure of 148/94 mmHg is elevated and may indicate gestational hypertension
or preeclampsia, which requires immediate provider notification. Fundal height of 16 cm at 16 weeks is
expected (fundal height in cm corresponds to weeks gestation ±2 cm). Quickening (fetal movement)
typically begins at 16-20 weeks and is a normal finding. Fetal heart rate of 110-160 beats/min is within
expected range.
2. A nurse is teaching a prenatal class about warning signs during pregnancy. Which
symptomshould the nurse instruct clients to report to their provider immediately?
, A) Mild ankle edema in the evening
B) Intermittent Braxton-Hicks contractions
C) Epigastric pain or persistent headache
D) Nasal congestion and epistaxis
- detailed answer 100 % correct :-C
Rationale: Epigastric pain and persistent headache are warning signs of severe preeclampsia and
impending eclampsia. Mild ankle edema, intermittent Braxton-Hicks contractions, and nasal
congestion are common discomforts of pregnancy and do not require immediate provider
notification.
3. A nurse is assessing a client at 24 weeks gestation who becomes dizzy and pale while
lyingsupine. Which action 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 heart level
- detailed answer 100 % correct :-B
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava, reducing venous return and cardiac output. Turning the client to the left lateral position relieves
compression and restores venous return. This is the priority intervention before other measures.
4. A nurse is calculating the estimated date of birth using Naegele's rule for a client whose
lastmenstrual period began on May 10. Which date should the nurse document?
A) February 3
B) February 17
C) March 3
D) March 17
- detailed answer 100 % correct :-B
, Rationale: Naegele's rule: Subtract 3 months from the first day of the last menstrual period and add 7
days. May 10 minus 3 months = February 10, plus 7 days = February 17.
5. A nurse is auscultating fetal heart tones at 12 weeks gestation. Where should the nurse
place theDoppler device?
A) Midline 2-3 cm above the symphysis pubis
B) At the level of the umbilicus
C) In the right upper quadrant of the abdomen
D) At the xiphoid process
- detailed answer 100 % correct :-A
Rationale: At 12 weeks gestation, the uterus is just above the symphysis pubis. The fetal heart is best
auscultated midline, 2-3 cm above the symphysis pubis. As gestation progresses, the fundal height
increases and the Doppler placement location changes accordingly.
6. A nurse is providing education about prenatal vitamins. Which statement by the client
indicatesunderstanding of teaching?
A) "I can take my prenatal vitamin with my morning coffee."
B) "I should take my prenatal vitamin on an empty stomach for best absorption."
C) "I need to take folic acid to prevent neural tube defects."
D) "I only need to take prenatal vitamins during the first trimester."
- detailed answer 100 % correct :-C
Rationale: Folic acid supplementation (400-800 mcg daily) is essential before and during early
pregnancy to prevent neural tube defects. Prenatal vitamins should be taken with food to minimize
nausea, not on an empty stomach. They should be continued throughout pregnancy and postpartum
if breastfeeding.
7. A nurse is assessing a primigravida at 38 weeks gestation. Leopold maneuvers reveal a
hard,round mass in the fundus and a soft, irregular mass above the symphysis pubis. What is
the fetal presentation?
A) Cephalic (vertex)
