ATI PN MATERNAL NEWBORN FINAL - CHAMBERLAIN
OBJECTIVE ASSESSMENT - EXAM
ATI PN Maternal Newborn Final Exam Chamberlain 2026/2027
Chamberlain College of Nursing - Practical Nursing
A+ Verified Edition: 2026/2027 Passing Score: 75%
COVER PAGE - 1
,ATI PN Maternal Newborn Final Exam Chamberlain 2026/2027 Page 2
SECTIONS COVERED
1. Prenatal Care and Antepartum (12 questions)
2. Labor and Delivery (12 questions)
3. Postpartum Care (12 questions)
4. Newborn Assessment and Care (12 questions)
5. Complications and Family-Centered Care (12 questions)
EXAM INFORMATION
This examination assesses practical nursing knowledge in maternal-newborn care.
Content covers prenatal, intrapartum, postpartum, newborn, and complication management.
Passing score: 75%. Each question is worth 1 mark.
Select the single best answer based on current PN-level nursing standards.
1. Prenatal Care and Antepartum
Q1
A 28-year-old client at 12 weeks gestation attends her first prenatal visit. She reports mild nausea and asks about safe nutrition. The
practical nurse reinforces teaching about recommended weight gain and folic acid. What is the primary reason folic acid is
emphasized in early pregnancy?
A. It reduces the risk of neural tube defects in the developing fetus
B. It prevents gestational diabetes by improving insulin sensitivity
C. It decreases the likelihood of preterm labor in the third trimester
D. It promotes rapid maternal weight gain to support fetal growth
Correct Answer: A
Rationale:
Folic acid supplementation before and during early pregnancy significantly lowers the incidence of neural tube defects such as spina bifida. The
other options address unrelated conditions or incorrect physiologic effects.
Q2
A prenatal client at 24 weeks gestation has a blood pressure of 142/92 mm Hg on two occasions. The practical nurse notes mild
facial edema and protein of 1+ on urine dipstick. The nurse anticipates which diagnosis is being evaluated?
A. Preeclampsia
B. Chronic hypertension only
C. Gestational diabetes
D. Normal pregnancy-induced changes
Correct Answer: A
Rationale:
Elevated blood pressure after 20 weeks with proteinuria and edema suggests preeclampsia. Chronic hypertension alone lacks new proteinuria, and
the findings are not typical of gestational diabetes or normal pregnancy.
Q3
A client at 32 weeks gestation reports decreased fetal movement over the past 12 hours. The practical nurse instructs her to come
to the clinic for evaluation. Which assessment is the priority upon arrival?
A. Perform a nonstress test or assist with electronic fetal monitoring
B. Obtain a complete blood count and metabolic panel
C. Measure fundal height and compare to previous visits
D. Review the client's dietary intake for the past day
Correct Answer: A
Rationale:
Decreased fetal movement requires immediate assessment of fetal well-being with a nonstress test or continuous monitoring. Lab work and fundal
height are secondary; diet review does not address acute fetal status.
2026/2027 Official Exam ATI PN Maternal Newborn
, ATI PN Maternal Newborn Final Exam Chamberlain 2026/2027 Page 3
Q4
A pregnant client at 18 weeks asks the practical nurse about the purpose of the alpha-fetoprotein (AFP) screening test. The nurse
explains that the test primarily screens for which condition?
A. Neural tube defects and certain chromosomal abnormalities
B. Gestational diabetes and insulin resistance
C. Placenta previa and abnormal placental location
D. Rh incompatibility and antibody formation
Correct Answer: A
Rationale:
Maternal serum AFP is a screening tool for open neural tube defects and can indicate increased risk for chromosomal anomalies. It does not screen
for diabetes, placental location, or Rh status.
Q5
A client at 28 weeks gestation is diagnosed with gestational diabetes. The practical nurse reinforces teaching about blood glucose
monitoring and diet. Which statement by the client indicates correct understanding?
A. I will check my blood sugar before meals and one hour after eating
B. I only need to test my blood sugar if I feel dizzy or shaky
C. I can skip insulin if my fasting sugar is under 150 mg/dL
D. I should avoid all carbohydrates to keep my levels normal
Correct Answer: A
Rationale:
Standard monitoring for gestational diabetes includes preprandial and postprandial glucose checks. Testing only when symptomatic, arbitrary insulin
skipping, or complete carbohydrate avoidance are incorrect management strategies.
Q6
A prenatal client reports taking over-the-counter ibuprofen for headaches. The practical nurse provides teaching about medication
safety in pregnancy. Which statement is most accurate?
A. Nonsteroidal anti-inflammatory drugs should be avoided, especially in the third trimester
B. Ibuprofen is preferred over acetaminophen throughout pregnancy
C. All over-the-counter pain medications are safe after the first trimester
D. Ibuprofen can be used freely as long as the dose is under 400 mg
Correct Answer: A
Rationale:
NSAIDs are generally avoided in pregnancy, particularly late pregnancy, due to risks of premature ductus arteriosus closure and other fetal effects.
Acetaminophen is typically preferred when analgesia is needed.
Q7
A client at 36 weeks gestation has a fundal height measurement of 32 cm. The practical nurse recognizes this finding may indicate
which condition?
A. Intrauterine growth restriction or oligohydramnios
B. Polyhydramnios or multiple gestation
C. Normal variation for this gestational age
D. Macrosomia due to gestational diabetes
Correct Answer: A
Rationale:
Fundal height should approximate gestational age in centimeters after 20 weeks. A measurement 4 cm less than expected raises concern for growth
restriction or low amniotic fluid rather than excess fluid or macrosomia.
2026/2027 Official Exam ATI PN Maternal Newborn
OBJECTIVE ASSESSMENT - EXAM
ATI PN Maternal Newborn Final Exam Chamberlain 2026/2027
Chamberlain College of Nursing - Practical Nursing
A+ Verified Edition: 2026/2027 Passing Score: 75%
COVER PAGE - 1
,ATI PN Maternal Newborn Final Exam Chamberlain 2026/2027 Page 2
SECTIONS COVERED
1. Prenatal Care and Antepartum (12 questions)
2. Labor and Delivery (12 questions)
3. Postpartum Care (12 questions)
4. Newborn Assessment and Care (12 questions)
5. Complications and Family-Centered Care (12 questions)
EXAM INFORMATION
This examination assesses practical nursing knowledge in maternal-newborn care.
Content covers prenatal, intrapartum, postpartum, newborn, and complication management.
Passing score: 75%. Each question is worth 1 mark.
Select the single best answer based on current PN-level nursing standards.
1. Prenatal Care and Antepartum
Q1
A 28-year-old client at 12 weeks gestation attends her first prenatal visit. She reports mild nausea and asks about safe nutrition. The
practical nurse reinforces teaching about recommended weight gain and folic acid. What is the primary reason folic acid is
emphasized in early pregnancy?
A. It reduces the risk of neural tube defects in the developing fetus
B. It prevents gestational diabetes by improving insulin sensitivity
C. It decreases the likelihood of preterm labor in the third trimester
D. It promotes rapid maternal weight gain to support fetal growth
Correct Answer: A
Rationale:
Folic acid supplementation before and during early pregnancy significantly lowers the incidence of neural tube defects such as spina bifida. The
other options address unrelated conditions or incorrect physiologic effects.
Q2
A prenatal client at 24 weeks gestation has a blood pressure of 142/92 mm Hg on two occasions. The practical nurse notes mild
facial edema and protein of 1+ on urine dipstick. The nurse anticipates which diagnosis is being evaluated?
A. Preeclampsia
B. Chronic hypertension only
C. Gestational diabetes
D. Normal pregnancy-induced changes
Correct Answer: A
Rationale:
Elevated blood pressure after 20 weeks with proteinuria and edema suggests preeclampsia. Chronic hypertension alone lacks new proteinuria, and
the findings are not typical of gestational diabetes or normal pregnancy.
Q3
A client at 32 weeks gestation reports decreased fetal movement over the past 12 hours. The practical nurse instructs her to come
to the clinic for evaluation. Which assessment is the priority upon arrival?
A. Perform a nonstress test or assist with electronic fetal monitoring
B. Obtain a complete blood count and metabolic panel
C. Measure fundal height and compare to previous visits
D. Review the client's dietary intake for the past day
Correct Answer: A
Rationale:
Decreased fetal movement requires immediate assessment of fetal well-being with a nonstress test or continuous monitoring. Lab work and fundal
height are secondary; diet review does not address acute fetal status.
2026/2027 Official Exam ATI PN Maternal Newborn
, ATI PN Maternal Newborn Final Exam Chamberlain 2026/2027 Page 3
Q4
A pregnant client at 18 weeks asks the practical nurse about the purpose of the alpha-fetoprotein (AFP) screening test. The nurse
explains that the test primarily screens for which condition?
A. Neural tube defects and certain chromosomal abnormalities
B. Gestational diabetes and insulin resistance
C. Placenta previa and abnormal placental location
D. Rh incompatibility and antibody formation
Correct Answer: A
Rationale:
Maternal serum AFP is a screening tool for open neural tube defects and can indicate increased risk for chromosomal anomalies. It does not screen
for diabetes, placental location, or Rh status.
Q5
A client at 28 weeks gestation is diagnosed with gestational diabetes. The practical nurse reinforces teaching about blood glucose
monitoring and diet. Which statement by the client indicates correct understanding?
A. I will check my blood sugar before meals and one hour after eating
B. I only need to test my blood sugar if I feel dizzy or shaky
C. I can skip insulin if my fasting sugar is under 150 mg/dL
D. I should avoid all carbohydrates to keep my levels normal
Correct Answer: A
Rationale:
Standard monitoring for gestational diabetes includes preprandial and postprandial glucose checks. Testing only when symptomatic, arbitrary insulin
skipping, or complete carbohydrate avoidance are incorrect management strategies.
Q6
A prenatal client reports taking over-the-counter ibuprofen for headaches. The practical nurse provides teaching about medication
safety in pregnancy. Which statement is most accurate?
A. Nonsteroidal anti-inflammatory drugs should be avoided, especially in the third trimester
B. Ibuprofen is preferred over acetaminophen throughout pregnancy
C. All over-the-counter pain medications are safe after the first trimester
D. Ibuprofen can be used freely as long as the dose is under 400 mg
Correct Answer: A
Rationale:
NSAIDs are generally avoided in pregnancy, particularly late pregnancy, due to risks of premature ductus arteriosus closure and other fetal effects.
Acetaminophen is typically preferred when analgesia is needed.
Q7
A client at 36 weeks gestation has a fundal height measurement of 32 cm. The practical nurse recognizes this finding may indicate
which condition?
A. Intrauterine growth restriction or oligohydramnios
B. Polyhydramnios or multiple gestation
C. Normal variation for this gestational age
D. Macrosomia due to gestational diabetes
Correct Answer: A
Rationale:
Fundal height should approximate gestational age in centimeters after 20 weeks. A measurement 4 cm less than expected raises concern for growth
restriction or low amniotic fluid rather than excess fluid or macrosomia.
2026/2027 Official Exam ATI PN Maternal Newborn
