ATI CAPSTONE MATERNAL NEWBORN ASSESSMENT
2026/2027 EDITION COMPLETE TEST BANK | 300 QUESTIONS |
VERIFIED ANSWERS | DETAILED RATIONALES
ALIGNED WITH ATI CONTENT MASTERY SERIES |
NEXT GENERATION NCLEX (NGN) STYLE GRADED A+ | UPDATED FOR
2026/2027
DOMAIN 1: ANTEPARTUM CARE
Prenatal Assessment & Screening
Question 1
A nurse is calculating a due date using Naegele's rule for a client whose last
menstrual period began on May 10. Which date is correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B
Rationale: Naegele's rule: subtract 3 months, add 7 days. May 10 → February 10 +
7 days = February 17. This rule assumes a 28-day menstrual cycle and
ovulation on day 14. If the client has irregular cycles, the due date may need
adjustment based on ultrasound findings.
Question 2
Which finding is considered a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea and vomiting
Answer: C
Rationale: Positive signs of pregnancy definitively confirm pregnancy. These
include fetal heart tones heard by Doppler or fetoscope (usually detectable at
10-12 weeks), ultrasound visualization of the fetus (5-6 weeks), and fetal
1
,movement felt by the examiner (20+ weeks). Amenorrhea, Chadwick's sign, and
nausea are presumptive or probable signs.
Question 3
A nurse teaches a client about folic acid supplementation. Which statement by
the client indicates understanding?
A) "It prevents iron deficiency anemia."
B) "It reduces the risk of neural tube defects."
C) "It is only needed in the third trimester."
D) "It is found mainly in dairy products."
Answer: B
Rationale: Folic acid (400-800 mcg daily) in early pregnancy (preconception
through first trimester) significantly reduces the risk of neural tube defects
such as spina bifida and anencephaly. Iron prevents anemia; folic acid is
found in leafy greens, fortified grains, and legumes. Supplementation should
begin before conception and continue throughout pregnancy.
Question 4
A nurse is reviewing laboratory results for a client at 10 weeks gestation.
Which finding should the nurse report to the provider?
A) Hemoglobin 11.5 g/dL
B) Hematocrit 35%
C) White blood cell count 14,000/mm³
D) Rubella titer 1:8
Answer: D
Rationale: Rubella titer of 1:8 indicates the client is not immune to rubella.
The client should receive the MMR vaccine postpartum (not during pregnancy,
as it is a live virus vaccine). Normal hemoglobin in pregnancy is 11-12.5 g/dL;
hematocrit 33-38%; WBC up to 15,000/mm³ is normal in pregnancy due to
physiologic leukocytosis.
Question 5
A client at 28 weeks gestation undergoes a 1-hour glucose tolerance test. Which
2
,result requires the nurse to notify the provider for further testing?
A) 120 mg/dL
B) 130 mg/dL
C) 140 mg/dL
D) 150 mg/dL
Answer: C
Rationale: A 1-hour glucose tolerance test result of 140 mg/dL or greater
indicates the need for a 3-hour glucose tolerance test to diagnose gestational
diabetes. Normal is less than 130-140 mg/dL depending on facility protocol.
Results of 120-130 mg/dL are within normal limits.
Question 6
A nurse is assessing a client at 20 weeks gestation. Which fundal height
measurement would the nurse expect?
A) 16 cm
B) 18 cm
C) 20 cm
D) 22 cm
Answer: C
Rationale: Fundal height in centimeters should correlate with gestational age
in weeks, plus or minus 2 cm from 18 to 32 weeks. At 20 weeks, expected
fundal height is 18-22 cm, with 20 cm being the exact measurement. A
significant discrepancy may indicate intrauterine growth restriction,
polyhydramnios, or multiple gestation.
Question 7
A nurse is providing education about prenatal screening. The client asks about
alpha-fetoprotein (AFP) testing. Which response by the nurse is correct?
A) "AFP testing detects the presence of certain chemicals in fetal DNA that
lead to anomaly."
B) "AFP testing is performed in the second trimester and screens for neural
tube defects."
C) "AFP testing is performed in the first trimester and the quad screen in the
3
, second trimester."
D) "AFP testing is used to determine the sex of the baby."
Answer: B
Rationale: Alpha-fetoprotein (AFP) is a protein produced by the fetal liver.
Maternal serum AFP screening is performed in the second trimester (typically
15-20 weeks) to screen for open neural tube defects (spina bifida, anencephaly)
and abdominal wall defects. Elevated AFP may also indicate multiple gestation
or incorrect dating.
Question 8
A nurse is assessing a client at 12 weeks gestation. Which finding would the
nurse expect?
A) Fetal heart rate audible by Doppler
B) Quickening felt by the mother
C) Fundal height at the umbilicus
D) Positive pregnancy test only
Answer: A
Rationale: Fetal heart rate is typically audible by Doppler at 10-12 weeks
gestation. Quickening (fetal movement felt by the mother) usually occurs at
18-20 weeks in primigravidas and 16-18 weeks in multigravidas. Fundal height
at the umbilicus occurs around 20-22 weeks.
Question 9
A nurse is assessing a client who is at 24 weeks gestation. Which finding
should the nurse identify as appropriate for this gestational age?
A) Fundal height at the umbilicus
B) Fetal movements felt by the mother
C) Positive pregnancy test
D) Nausea and vomiting
Answer: B
Rationale: By 24 weeks, mothers typically feel fetal movements (quickening
occurs between 18-24 weeks). Fundal height at the umbilicus is around 20-22
weeks. Pregnancy test is positive earlier. Nausea and vomiting typically
4
2026/2027 EDITION COMPLETE TEST BANK | 300 QUESTIONS |
VERIFIED ANSWERS | DETAILED RATIONALES
ALIGNED WITH ATI CONTENT MASTERY SERIES |
NEXT GENERATION NCLEX (NGN) STYLE GRADED A+ | UPDATED FOR
2026/2027
DOMAIN 1: ANTEPARTUM CARE
Prenatal Assessment & Screening
Question 1
A nurse is calculating a due date using Naegele's rule for a client whose last
menstrual period began on May 10. Which date is correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B
Rationale: Naegele's rule: subtract 3 months, add 7 days. May 10 → February 10 +
7 days = February 17. This rule assumes a 28-day menstrual cycle and
ovulation on day 14. If the client has irregular cycles, the due date may need
adjustment based on ultrasound findings.
Question 2
Which finding is considered a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea and vomiting
Answer: C
Rationale: Positive signs of pregnancy definitively confirm pregnancy. These
include fetal heart tones heard by Doppler or fetoscope (usually detectable at
10-12 weeks), ultrasound visualization of the fetus (5-6 weeks), and fetal
1
,movement felt by the examiner (20+ weeks). Amenorrhea, Chadwick's sign, and
nausea are presumptive or probable signs.
Question 3
A nurse teaches a client about folic acid supplementation. Which statement by
the client indicates understanding?
A) "It prevents iron deficiency anemia."
B) "It reduces the risk of neural tube defects."
C) "It is only needed in the third trimester."
D) "It is found mainly in dairy products."
Answer: B
Rationale: Folic acid (400-800 mcg daily) in early pregnancy (preconception
through first trimester) significantly reduces the risk of neural tube defects
such as spina bifida and anencephaly. Iron prevents anemia; folic acid is
found in leafy greens, fortified grains, and legumes. Supplementation should
begin before conception and continue throughout pregnancy.
Question 4
A nurse is reviewing laboratory results for a client at 10 weeks gestation.
Which finding should the nurse report to the provider?
A) Hemoglobin 11.5 g/dL
B) Hematocrit 35%
C) White blood cell count 14,000/mm³
D) Rubella titer 1:8
Answer: D
Rationale: Rubella titer of 1:8 indicates the client is not immune to rubella.
The client should receive the MMR vaccine postpartum (not during pregnancy,
as it is a live virus vaccine). Normal hemoglobin in pregnancy is 11-12.5 g/dL;
hematocrit 33-38%; WBC up to 15,000/mm³ is normal in pregnancy due to
physiologic leukocytosis.
Question 5
A client at 28 weeks gestation undergoes a 1-hour glucose tolerance test. Which
2
,result requires the nurse to notify the provider for further testing?
A) 120 mg/dL
B) 130 mg/dL
C) 140 mg/dL
D) 150 mg/dL
Answer: C
Rationale: A 1-hour glucose tolerance test result of 140 mg/dL or greater
indicates the need for a 3-hour glucose tolerance test to diagnose gestational
diabetes. Normal is less than 130-140 mg/dL depending on facility protocol.
Results of 120-130 mg/dL are within normal limits.
Question 6
A nurse is assessing a client at 20 weeks gestation. Which fundal height
measurement would the nurse expect?
A) 16 cm
B) 18 cm
C) 20 cm
D) 22 cm
Answer: C
Rationale: Fundal height in centimeters should correlate with gestational age
in weeks, plus or minus 2 cm from 18 to 32 weeks. At 20 weeks, expected
fundal height is 18-22 cm, with 20 cm being the exact measurement. A
significant discrepancy may indicate intrauterine growth restriction,
polyhydramnios, or multiple gestation.
Question 7
A nurse is providing education about prenatal screening. The client asks about
alpha-fetoprotein (AFP) testing. Which response by the nurse is correct?
A) "AFP testing detects the presence of certain chemicals in fetal DNA that
lead to anomaly."
B) "AFP testing is performed in the second trimester and screens for neural
tube defects."
C) "AFP testing is performed in the first trimester and the quad screen in the
3
, second trimester."
D) "AFP testing is used to determine the sex of the baby."
Answer: B
Rationale: Alpha-fetoprotein (AFP) is a protein produced by the fetal liver.
Maternal serum AFP screening is performed in the second trimester (typically
15-20 weeks) to screen for open neural tube defects (spina bifida, anencephaly)
and abdominal wall defects. Elevated AFP may also indicate multiple gestation
or incorrect dating.
Question 8
A nurse is assessing a client at 12 weeks gestation. Which finding would the
nurse expect?
A) Fetal heart rate audible by Doppler
B) Quickening felt by the mother
C) Fundal height at the umbilicus
D) Positive pregnancy test only
Answer: A
Rationale: Fetal heart rate is typically audible by Doppler at 10-12 weeks
gestation. Quickening (fetal movement felt by the mother) usually occurs at
18-20 weeks in primigravidas and 16-18 weeks in multigravidas. Fundal height
at the umbilicus occurs around 20-22 weeks.
Question 9
A nurse is assessing a client who is at 24 weeks gestation. Which finding
should the nurse identify as appropriate for this gestational age?
A) Fundal height at the umbilicus
B) Fetal movements felt by the mother
C) Positive pregnancy test
D) Nausea and vomiting
Answer: B
Rationale: By 24 weeks, mothers typically feel fetal movements (quickening
occurs between 18-24 weeks). Fundal height at the umbilicus is around 20-22
weeks. Pregnancy test is positive earlier. Nausea and vomiting typically
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