ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026 |
200+ VERIFIED QUESTIONS & DETAILED RATIONALES |
LATEST NGN-STYLE TEST BANK | COMPREHENSIVE REVIEW FOR
NURSING STUDENTS | GRADED A+ | GUARANTEED PASS
SECTION 1: ANTEPARTUM CARE – PRENATAL ASSESSMENT AND PHYSIOLOGICAL
CHANGES (Questions 1–40)
1. A nurse is providing education to a client who is 8 weeks pregnant. The client
asks about the expected weight gain during pregnancy. What is the
recommended weight gain for a client with a normal pre-pregnancy BMI (18.5–
24.9)?
A. 15–25 lb (6.8–11.3 kg)
B. 25–35 lb (11.3–15.9 kg)
C. 28–40 lb (12.7–18.1 kg)
D. 11–20 lb (5.0–9.1 kg)
Valid answer: B
Rationale: The recommended weight gain for a client with a normal BMI is 25–35
lb. Underweight clients (BMI <18.5) should gain 28–40 lb, overweight clients (BMI
25–29.9) should gain 15–25 lb, and obese clients (BMI ≥30) should gain 11–20 lb.
Proper weight gain supports fetal growth and reduces complications.
2. A nurse is assessing a client at 12 weeks gestation. Which physiological
change of pregnancy is expected?
A. Decreased respiratory rate
B. Decreased cardiac output
C. Increased blood volume
D. Decreased glomerular filtration rate
,Valid answer: C
Rationale: Blood volume increases by approximately 40–50% during pregnancy,
peaking at 32–34 weeks. This increase supports fetal perfusion and prepares for
blood loss at delivery. Respiratory rate may increase slightly, cardiac output
increases, and glomerular filtration rate increases.
3. A nurse is teaching a client about folic acid supplementation during
pregnancy. Which amount is recommended daily?
A. 200 mcg
B. 400 mcg
C. 600 mcg
D. 1000 mcg
Valid answer: C
Rationale: The recommended daily folic acid intake during pregnancy is 600 mcg.
Folic acid is crucial for preventing neural tube defects. Women should begin
supplementation before conception and continue through the first trimester.
4. A nurse is assessing a client who is 14 weeks pregnant. Which presumptive
sign of pregnancy is the client most likely to report?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Goodell's sign
Valid answer: C
Rationale: Amenorrhea (absence of menstruation) is a presumptive sign of
pregnancy. Presumptive signs are subjective and can be caused by other
conditions. Positive pregnancy test is a probable sign, fetal heart tones are a
positive sign, and Goodell's sign (softening of the cervix) is a probable sign.
, 3
5. A nurse is reviewing laboratory results for a client at 24 weeks gestation.
Which finding is within expected parameters?
A. Hemoglobin 10.0 g/dL
B. Hematocrit 32%
C. Fasting blood glucose 85 mg/dL
D. Platelet count 120,000/mm³
Valid answer: C
Rationale: A fasting blood glucose of 85 mg/dL is within the expected range (<95
mg/dL) for pregnancy. Hemoglobin should be >11 g/dL in the first and third
trimesters and >10.5 g/dL in the second trimester. Hematocrit should be >33%.
Platelet count should be >150,000/mm³.
6. A nurse is auscultating fetal heart tones at a client's 20-week prenatal visit.
Where should the nurse place the Doppler ultrasound device?
A. Above the umbilicus
B. At the level of the umbilicus
C. Below the umbilicus in the midline
D. In the right upper quadrant
Valid answer: C
Rationale: At 20 weeks gestation, the fundus is at the level of the umbilicus, and
fetal heart tones are best auscultated below the umbilicus in the midline. As
pregnancy progresses, the location of fetal heart tones depends on fetal position.
, 7. A nurse is providing education about danger signs during pregnancy. Which
symptom should the nurse instruct the client to report immediately?
A. Nausea in the first trimester
B. Breast tenderness
C. Blurred vision
D. Frequent urination
Valid answer: C
Rationale: Blurred vision is a danger sign that may indicate preeclampsia, a
serious hypertensive disorder of pregnancy that requires immediate evaluation.
Nausea, breast tenderness, and frequent urination are expected discomforts of
pregnancy.
8. A nurse is calculating the estimated date of delivery (EDD) using Naegele's
rule for a client whose last menstrual period (LMP) was March 10. What is the
EDD?
A. December 3
B. December 17
C. January 3
D. January 17
Valid answer: B
Rationale: Naegele's rule: add 7 days to the first day of the LMP and subtract 3
months. March 10 + 7 days = March 17; subtract 3 months = December 17.
9. A nurse is assessing a client at 16 weeks gestation. Which finding should the
nurse recognize as an expected cardiovascular change?
A. Decreased pulse rate
B. Increased blood pressure
200+ VERIFIED QUESTIONS & DETAILED RATIONALES |
LATEST NGN-STYLE TEST BANK | COMPREHENSIVE REVIEW FOR
NURSING STUDENTS | GRADED A+ | GUARANTEED PASS
SECTION 1: ANTEPARTUM CARE – PRENATAL ASSESSMENT AND PHYSIOLOGICAL
CHANGES (Questions 1–40)
1. A nurse is providing education to a client who is 8 weeks pregnant. The client
asks about the expected weight gain during pregnancy. What is the
recommended weight gain for a client with a normal pre-pregnancy BMI (18.5–
24.9)?
A. 15–25 lb (6.8–11.3 kg)
B. 25–35 lb (11.3–15.9 kg)
C. 28–40 lb (12.7–18.1 kg)
D. 11–20 lb (5.0–9.1 kg)
Valid answer: B
Rationale: The recommended weight gain for a client with a normal BMI is 25–35
lb. Underweight clients (BMI <18.5) should gain 28–40 lb, overweight clients (BMI
25–29.9) should gain 15–25 lb, and obese clients (BMI ≥30) should gain 11–20 lb.
Proper weight gain supports fetal growth and reduces complications.
2. A nurse is assessing a client at 12 weeks gestation. Which physiological
change of pregnancy is expected?
A. Decreased respiratory rate
B. Decreased cardiac output
C. Increased blood volume
D. Decreased glomerular filtration rate
,Valid answer: C
Rationale: Blood volume increases by approximately 40–50% during pregnancy,
peaking at 32–34 weeks. This increase supports fetal perfusion and prepares for
blood loss at delivery. Respiratory rate may increase slightly, cardiac output
increases, and glomerular filtration rate increases.
3. A nurse is teaching a client about folic acid supplementation during
pregnancy. Which amount is recommended daily?
A. 200 mcg
B. 400 mcg
C. 600 mcg
D. 1000 mcg
Valid answer: C
Rationale: The recommended daily folic acid intake during pregnancy is 600 mcg.
Folic acid is crucial for preventing neural tube defects. Women should begin
supplementation before conception and continue through the first trimester.
4. A nurse is assessing a client who is 14 weeks pregnant. Which presumptive
sign of pregnancy is the client most likely to report?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Goodell's sign
Valid answer: C
Rationale: Amenorrhea (absence of menstruation) is a presumptive sign of
pregnancy. Presumptive signs are subjective and can be caused by other
conditions. Positive pregnancy test is a probable sign, fetal heart tones are a
positive sign, and Goodell's sign (softening of the cervix) is a probable sign.
, 3
5. A nurse is reviewing laboratory results for a client at 24 weeks gestation.
Which finding is within expected parameters?
A. Hemoglobin 10.0 g/dL
B. Hematocrit 32%
C. Fasting blood glucose 85 mg/dL
D. Platelet count 120,000/mm³
Valid answer: C
Rationale: A fasting blood glucose of 85 mg/dL is within the expected range (<95
mg/dL) for pregnancy. Hemoglobin should be >11 g/dL in the first and third
trimesters and >10.5 g/dL in the second trimester. Hematocrit should be >33%.
Platelet count should be >150,000/mm³.
6. A nurse is auscultating fetal heart tones at a client's 20-week prenatal visit.
Where should the nurse place the Doppler ultrasound device?
A. Above the umbilicus
B. At the level of the umbilicus
C. Below the umbilicus in the midline
D. In the right upper quadrant
Valid answer: C
Rationale: At 20 weeks gestation, the fundus is at the level of the umbilicus, and
fetal heart tones are best auscultated below the umbilicus in the midline. As
pregnancy progresses, the location of fetal heart tones depends on fetal position.
, 7. A nurse is providing education about danger signs during pregnancy. Which
symptom should the nurse instruct the client to report immediately?
A. Nausea in the first trimester
B. Breast tenderness
C. Blurred vision
D. Frequent urination
Valid answer: C
Rationale: Blurred vision is a danger sign that may indicate preeclampsia, a
serious hypertensive disorder of pregnancy that requires immediate evaluation.
Nausea, breast tenderness, and frequent urination are expected discomforts of
pregnancy.
8. A nurse is calculating the estimated date of delivery (EDD) using Naegele's
rule for a client whose last menstrual period (LMP) was March 10. What is the
EDD?
A. December 3
B. December 17
C. January 3
D. January 17
Valid answer: B
Rationale: Naegele's rule: add 7 days to the first day of the LMP and subtract 3
months. March 10 + 7 days = March 17; subtract 3 months = December 17.
9. A nurse is assessing a client at 16 weeks gestation. Which finding should the
nurse recognize as an expected cardiovascular change?
A. Decreased pulse rate
B. Increased blood pressure
