RN ATI Maternal Newborn Proctored Exam Retake
- 100+ Practice Questions With Rationales Update:
2023/2024 Edition | Next Generation NCLEX (NGN)
Style Included
SECTION 1: ANTEPARTUM CARE & PRENATAL
ASSESSMENT
Question 1
A nurse is calculating a client's estimated date of delivery
using Naegele's rule. The client's 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) February 17
Rationale: Naegele's rule requires subtracting 3 months and
adding 7 days to the first day of the last menstrual period.
May 10 → February 10 + 7 days = February 17 .
,Question 2
A nurse is teaching a client at 12 weeks gestation about
prenatal vitamins. Which statement indicates the client
understands the teaching?
A) "I should take my vitamin on an empty stomach"
B) "I need to take extra iron to prevent anemia"
C) "I should stop taking the vitamin after the first trimester"
D) "Prenatal vitamins are optional if I eat well"
Answer: B) "I need to take extra iron to prevent anemia"
Rationale: Prenatal vitamins contain iron to prevent anemia
and folic acid to prevent neural tube defects. They should be
taken throughout pregnancy. Taking on an empty stomach may
cause nausea .
Question 3
Which finding is considered a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer: C) Fetal heartbeat on Doppler
,Rationale: Positive signs confirm pregnancy and include fetal
heart tones, ultrasound visualization, and fetal movement felt
by the examiner. Amenorrhea, Chadwick's sign, and nausea are
presumptive or probable signs .
Question 4
A nurse is providing dietary teaching to a client who has
hyperemesis gravidarum. Which statement by the client
indicates an understanding of the teaching?
A) "I should eat to taste instead of trying to balance my
meals"
B) "I will avoid having a snack at bedtime"
C) "I will have 8 oz of hot tea with each meal"
D) "I should pair my sweets with a starch instead of eating
them alone"
Answer: A) "I should eat to taste instead of trying to
balance my meals"
Rationale: Clients with hyperemesis gravidarum should eat to
taste rather than forcing balanced meals to avoid triggering
nausea. Small, frequent meals are recommended .
Question 5
, A nurse at a prenatal clinic is assessing a group of clients.
Which client should the nurse see first?
A) A client at 11 weeks gestation reporting abdominal
cramping
B) A client at 20 weeks gestation reporting fetal movement
C) A client at 28 weeks gestation reporting mild ankle edema
D) A client at 35 weeks gestation reporting Braxton-Hicks
contractions
Answer: A) A client at 11 weeks gestation reporting
abdominal cramping
Rationale: Abdominal cramping at 11 weeks can indicate
ectopic pregnancy or spontaneous abortion. This is an urgent
finding requiring immediate provider notification .
Question 6
A nurse is teaching a client about folic acid supplementation
during pregnancy. Which statement 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) "It reduces the risk of neural tube defects"
- 100+ Practice Questions With Rationales Update:
2023/2024 Edition | Next Generation NCLEX (NGN)
Style Included
SECTION 1: ANTEPARTUM CARE & PRENATAL
ASSESSMENT
Question 1
A nurse is calculating a client's estimated date of delivery
using Naegele's rule. The client's 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) February 17
Rationale: Naegele's rule requires subtracting 3 months and
adding 7 days to the first day of the last menstrual period.
May 10 → February 10 + 7 days = February 17 .
,Question 2
A nurse is teaching a client at 12 weeks gestation about
prenatal vitamins. Which statement indicates the client
understands the teaching?
A) "I should take my vitamin on an empty stomach"
B) "I need to take extra iron to prevent anemia"
C) "I should stop taking the vitamin after the first trimester"
D) "Prenatal vitamins are optional if I eat well"
Answer: B) "I need to take extra iron to prevent anemia"
Rationale: Prenatal vitamins contain iron to prevent anemia
and folic acid to prevent neural tube defects. They should be
taken throughout pregnancy. Taking on an empty stomach may
cause nausea .
Question 3
Which finding is considered a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer: C) Fetal heartbeat on Doppler
,Rationale: Positive signs confirm pregnancy and include fetal
heart tones, ultrasound visualization, and fetal movement felt
by the examiner. Amenorrhea, Chadwick's sign, and nausea are
presumptive or probable signs .
Question 4
A nurse is providing dietary teaching to a client who has
hyperemesis gravidarum. Which statement by the client
indicates an understanding of the teaching?
A) "I should eat to taste instead of trying to balance my
meals"
B) "I will avoid having a snack at bedtime"
C) "I will have 8 oz of hot tea with each meal"
D) "I should pair my sweets with a starch instead of eating
them alone"
Answer: A) "I should eat to taste instead of trying to
balance my meals"
Rationale: Clients with hyperemesis gravidarum should eat to
taste rather than forcing balanced meals to avoid triggering
nausea. Small, frequent meals are recommended .
Question 5
, A nurse at a prenatal clinic is assessing a group of clients.
Which client should the nurse see first?
A) A client at 11 weeks gestation reporting abdominal
cramping
B) A client at 20 weeks gestation reporting fetal movement
C) A client at 28 weeks gestation reporting mild ankle edema
D) A client at 35 weeks gestation reporting Braxton-Hicks
contractions
Answer: A) A client at 11 weeks gestation reporting
abdominal cramping
Rationale: Abdominal cramping at 11 weeks can indicate
ectopic pregnancy or spontaneous abortion. This is an urgent
finding requiring immediate provider notification .
Question 6
A nurse is teaching a client about folic acid supplementation
during pregnancy. Which statement 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) "It reduces the risk of neural tube defects"
