ATI Maternal Newborn Proctored Exam
Study Guide 2026 | Questions & Rationales
Complete testbank -questions with verified answers &
detailed rationale
,Next Generation NCLEX (NGN) Style | Updated for Current ATI Blueprint | A+ Graded
QUESTION 1
A nurse is assessing a client at 18 weeks of gestation. The client asks
about amniocentesis for genetic screening. Which statement by the
nurse is correct?
A) “Amniocentesis is typically performed between 10-12 weeks.”
B) “Amniocentesis carries a risk of miscarriage of less than 1%.”
C) “This test can be performed at any time during the pregnancy.”
D) “Amniocentesis only screens for neural tube defects.”
CORRECT ANSWER: B) “Amniocentesis carries a risk of
miscarriage of less than 1%.”
RATIONALE: Amniocentesis is typically performed between 15-20
weeks and carries a miscarriage risk of approximately 0.1-0.3% (less
than 1%). It tests for chromosomal abnormalities and neural tube defects
(A).
QUESTION 2
A nurse is caring for a client at 26 weeks of gestation who is diagnosed
with gestational hypertension. Which finding is most concerning?
A) Blood pressure 148/92 mmHg
B) Proteinuria 1+
C) Platelet count 90,000/mm³
D) Mild ankle edema
,CORRECT ANSWER: C) Platelet count 90,000/mm³
RATIONALE: Platelet count <100,000/mm³ indicates HELLP
syndrome, a severe complication of pre-eclampsia requiring immediate
intervention. While BP 148/92 and proteinuria are concerning, low
platelets indicate multi-organ involvement and are most urgent.
QUESTION 3
A nurse is teaching a client at 16 weeks of gestation about nutritional
needs during pregnancy. Which statement indicates the need for
further teaching?
A) “I need to increase my iron intake during pregnancy.”
B) “I should take 600 mcg of folic acid daily.”
C) “I can continue to eat deli meats without heating them.”
D) “I should limit caffeine to 200 mg per day.”
CORRECT ANSWER: C) “I can continue to eat deli meats without
heating them.”
RATIONALE: Deli meats should be heated to steaming (165°F) to
prevent listeriosis, a foodborne illness that can cause miscarriage or
preterm labor (A).
QUESTION 4
A nurse is assessing a client at 40 weeks of gestation in active labor. The
client's cervix is 7 cm dilated, 100% effaced, and the fetus is at 0 station.
The nurse notes late decelerations on the fetal monitor. Which action
should the nurse take first?
, A) Administer oxygen at 10 L/min via face mask
B) Position the client on her left side
C) Increase the rate of IV fluids
D) Notify the provider
CORRECT ANSWER: B) Position the client on her left side
RATIONALE: For late decelerations, the priority is maternal position
change to the left side to improve uterine perfusion and fetal
oxygenation. Oxygen and IV fluids are secondary interventions (A).
QUESTION 5
A nurse is caring for a postpartum client who is Rh-negative and has
given birth to an Rh-positive newborn. The client asks why she is
receiving Rho(D) immune globulin. Which response by the nurse is
correct?
A) “This medication prevents you from developing antibodies against
your baby’s blood type.”
B) “This medication treats the baby’s hemolytic disease.”
C) “This medication increases your red blood cell production.”
D) “This medication prevents postpartum hemorrhage.”
CORRECT ANSWER: A) “This medication prevents you from
developing antibodies against your baby’s blood type.”
RATIONALE: Rho(D) immune globulin prevents Rh-negative mothers
from developing antibodies against Rh-positive fetal red blood cells,
protecting future pregnancies from hemolytic disease of the newborn
(A).
Study Guide 2026 | Questions & Rationales
Complete testbank -questions with verified answers &
detailed rationale
,Next Generation NCLEX (NGN) Style | Updated for Current ATI Blueprint | A+ Graded
QUESTION 1
A nurse is assessing a client at 18 weeks of gestation. The client asks
about amniocentesis for genetic screening. Which statement by the
nurse is correct?
A) “Amniocentesis is typically performed between 10-12 weeks.”
B) “Amniocentesis carries a risk of miscarriage of less than 1%.”
C) “This test can be performed at any time during the pregnancy.”
D) “Amniocentesis only screens for neural tube defects.”
CORRECT ANSWER: B) “Amniocentesis carries a risk of
miscarriage of less than 1%.”
RATIONALE: Amniocentesis is typically performed between 15-20
weeks and carries a miscarriage risk of approximately 0.1-0.3% (less
than 1%). It tests for chromosomal abnormalities and neural tube defects
(A).
QUESTION 2
A nurse is caring for a client at 26 weeks of gestation who is diagnosed
with gestational hypertension. Which finding is most concerning?
A) Blood pressure 148/92 mmHg
B) Proteinuria 1+
C) Platelet count 90,000/mm³
D) Mild ankle edema
,CORRECT ANSWER: C) Platelet count 90,000/mm³
RATIONALE: Platelet count <100,000/mm³ indicates HELLP
syndrome, a severe complication of pre-eclampsia requiring immediate
intervention. While BP 148/92 and proteinuria are concerning, low
platelets indicate multi-organ involvement and are most urgent.
QUESTION 3
A nurse is teaching a client at 16 weeks of gestation about nutritional
needs during pregnancy. Which statement indicates the need for
further teaching?
A) “I need to increase my iron intake during pregnancy.”
B) “I should take 600 mcg of folic acid daily.”
C) “I can continue to eat deli meats without heating them.”
D) “I should limit caffeine to 200 mg per day.”
CORRECT ANSWER: C) “I can continue to eat deli meats without
heating them.”
RATIONALE: Deli meats should be heated to steaming (165°F) to
prevent listeriosis, a foodborne illness that can cause miscarriage or
preterm labor (A).
QUESTION 4
A nurse is assessing a client at 40 weeks of gestation in active labor. The
client's cervix is 7 cm dilated, 100% effaced, and the fetus is at 0 station.
The nurse notes late decelerations on the fetal monitor. Which action
should the nurse take first?
, A) Administer oxygen at 10 L/min via face mask
B) Position the client on her left side
C) Increase the rate of IV fluids
D) Notify the provider
CORRECT ANSWER: B) Position the client on her left side
RATIONALE: For late decelerations, the priority is maternal position
change to the left side to improve uterine perfusion and fetal
oxygenation. Oxygen and IV fluids are secondary interventions (A).
QUESTION 5
A nurse is caring for a postpartum client who is Rh-negative and has
given birth to an Rh-positive newborn. The client asks why she is
receiving Rho(D) immune globulin. Which response by the nurse is
correct?
A) “This medication prevents you from developing antibodies against
your baby’s blood type.”
B) “This medication treats the baby’s hemolytic disease.”
C) “This medication increases your red blood cell production.”
D) “This medication prevents postpartum hemorrhage.”
CORRECT ANSWER: A) “This medication prevents you from
developing antibodies against your baby’s blood type.”
RATIONALE: Rho(D) immune globulin prevents Rh-negative mothers
from developing antibodies against Rh-positive fetal red blood cells,
protecting future pregnancies from hemolytic disease of the newborn
(A).
