ATI Nursing Care of the Childbearing
Family Practice Exam 2026 | 100
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A nurse is assessing a client who is in the first trimester of pregnancy.
Which finding should the nurse expect?
A. Quickening
B. Urinary frequency
C. Dependent edema
D. Braxton Hicks contractions
Answer: Urinary frequency
Rationale: Increased urinary frequency is a common finding during the first
trimester due to hormonal changes and increased uterine pressure on the
bladder.
2. A nurse is teaching a client about folic acid supplementation before and
during pregnancy. Which complication does folic acid help prevent?
A. Cleft palate
B. Neural tube defects
,C. Gestational diabetes
D. Placental abruption
Answer: Neural tube defects
Rationale: Adequate folic acid intake before conception and during early
pregnancy reduces the risk of fetal neural tube defects such as spina bifida.
3. A nurse is calculating the estimated date of delivery using Nägele's rule. The
client's last menstrual period began on March 10. What is the estimated
date of delivery?
A. December 3
B. December 10
C. December 17
D. January 17
Answer: December 17
Rationale: Nägele's rule adds 7 days to the first day of the last menstrual period,
subtracts 3 months, and adds 1 year. March 10 becomes December 17.
4. A nurse is teaching a pregnant client about manifestations that require
immediate reporting. Which finding should the nurse identify as requiring
prompt evaluation?
A. Mild nausea
B. Increased breast tenderness
C. Vaginal bleeding
D. Urinary frequency
Answer: Vaginal bleeding
Rationale: Vaginal bleeding during pregnancy can indicate complications such
as miscarriage, placenta previa, or placental abruption and requires evaluation.
5. A client at 20 weeks of gestation asks when fetal movement is usually first
felt. Which response should the nurse provide?
,A. 6 to 8 weeks
B. 10 to 12 weeks
C. 16 to 20 weeks
D. 28 to 32 weeks
Answer: 16 to 20 weeks
Rationale: Quickening, or the mother's perception of fetal movement, is
commonly felt between 16 and 20 weeks of gestation, particularly in a first
pregnancy.
6. A nurse is assessing a pregnant client. Which finding is a positive sign of
pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick's sign
D. Fetal heart sounds detected by Doppler
Answer: Fetal heart sounds detected by Doppler
Rationale: Positive signs of pregnancy are findings that can be attributed only to
the fetus, such as fetal heart activity, fetal movement palpated by an examiner,
and visualization of the fetus.
7. A nurse is teaching a pregnant client about foods that are good sources of
iron. Which food should the nurse recommend?
A. White rice
B. Applesauce
C. Lean red meat
D. Cottage cheese
Answer: Lean red meat
Rationale: Lean red meat is a good source of heme iron, which is readily
absorbed and helps support increased maternal and fetal blood production
during pregnancy.
, 8. A client asks why iron supplements are prescribed during pregnancy. Which
response should the nurse give?
A. "They prevent nausea."
B. "They prevent hypertension."
C. "They help prevent iron-deficiency anemia."
D. "They prevent gestational diabetes."
Answer: They help prevent iron-deficiency anemia.
Rationale: Pregnancy increases iron requirements because of expanded
maternal blood volume and fetal needs. Iron supplementation helps prevent
iron-deficiency anemia.
9. A nurse is providing prenatal teaching. Which instruction regarding alcohol
consumption should the nurse provide?
A. Limit alcohol to weekends.
B. One drink daily is acceptable.
C. Alcohol is safe after the first trimester.
D. Avoid alcohol throughout pregnancy.
Answer: Avoid alcohol throughout pregnancy.
Rationale: No known safe amount of alcohol exists during pregnancy. Alcohol
exposure can cause fetal alcohol spectrum disorders and other adverse fetal
outcomes.
10.A nurse is caring for a client at 32 weeks of gestation who has supine
hypotension. Which position should the nurse recommend?
A. Supine
B. Prone
C. Left lateral
D. High-Fowler's
Answer: Left lateral
Family Practice Exam 2026 | 100
Questions & Answers with Detailed
Rationales | Complete Exam Prep &
Study Guide
1. A nurse is assessing a client who is in the first trimester of pregnancy.
Which finding should the nurse expect?
A. Quickening
B. Urinary frequency
C. Dependent edema
D. Braxton Hicks contractions
Answer: Urinary frequency
Rationale: Increased urinary frequency is a common finding during the first
trimester due to hormonal changes and increased uterine pressure on the
bladder.
2. A nurse is teaching a client about folic acid supplementation before and
during pregnancy. Which complication does folic acid help prevent?
A. Cleft palate
B. Neural tube defects
,C. Gestational diabetes
D. Placental abruption
Answer: Neural tube defects
Rationale: Adequate folic acid intake before conception and during early
pregnancy reduces the risk of fetal neural tube defects such as spina bifida.
3. A nurse is calculating the estimated date of delivery using Nägele's rule. The
client's last menstrual period began on March 10. What is the estimated
date of delivery?
A. December 3
B. December 10
C. December 17
D. January 17
Answer: December 17
Rationale: Nägele's rule adds 7 days to the first day of the last menstrual period,
subtracts 3 months, and adds 1 year. March 10 becomes December 17.
4. A nurse is teaching a pregnant client about manifestations that require
immediate reporting. Which finding should the nurse identify as requiring
prompt evaluation?
A. Mild nausea
B. Increased breast tenderness
C. Vaginal bleeding
D. Urinary frequency
Answer: Vaginal bleeding
Rationale: Vaginal bleeding during pregnancy can indicate complications such
as miscarriage, placenta previa, or placental abruption and requires evaluation.
5. A client at 20 weeks of gestation asks when fetal movement is usually first
felt. Which response should the nurse provide?
,A. 6 to 8 weeks
B. 10 to 12 weeks
C. 16 to 20 weeks
D. 28 to 32 weeks
Answer: 16 to 20 weeks
Rationale: Quickening, or the mother's perception of fetal movement, is
commonly felt between 16 and 20 weeks of gestation, particularly in a first
pregnancy.
6. A nurse is assessing a pregnant client. Which finding is a positive sign of
pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick's sign
D. Fetal heart sounds detected by Doppler
Answer: Fetal heart sounds detected by Doppler
Rationale: Positive signs of pregnancy are findings that can be attributed only to
the fetus, such as fetal heart activity, fetal movement palpated by an examiner,
and visualization of the fetus.
7. A nurse is teaching a pregnant client about foods that are good sources of
iron. Which food should the nurse recommend?
A. White rice
B. Applesauce
C. Lean red meat
D. Cottage cheese
Answer: Lean red meat
Rationale: Lean red meat is a good source of heme iron, which is readily
absorbed and helps support increased maternal and fetal blood production
during pregnancy.
, 8. A client asks why iron supplements are prescribed during pregnancy. Which
response should the nurse give?
A. "They prevent nausea."
B. "They prevent hypertension."
C. "They help prevent iron-deficiency anemia."
D. "They prevent gestational diabetes."
Answer: They help prevent iron-deficiency anemia.
Rationale: Pregnancy increases iron requirements because of expanded
maternal blood volume and fetal needs. Iron supplementation helps prevent
iron-deficiency anemia.
9. A nurse is providing prenatal teaching. Which instruction regarding alcohol
consumption should the nurse provide?
A. Limit alcohol to weekends.
B. One drink daily is acceptable.
C. Alcohol is safe after the first trimester.
D. Avoid alcohol throughout pregnancy.
Answer: Avoid alcohol throughout pregnancy.
Rationale: No known safe amount of alcohol exists during pregnancy. Alcohol
exposure can cause fetal alcohol spectrum disorders and other adverse fetal
outcomes.
10.A nurse is caring for a client at 32 weeks of gestation who has supine
hypotension. Which position should the nurse recommend?
A. Supine
B. Prone
C. Left lateral
D. High-Fowler's
Answer: Left lateral
