LATEST MATERNITY ATI PROCTORED PREP EXAM 2026 –
COMPLETE STUDY GUIDE| 300 PRACTICE QUESTIONS
WITH VERIFIED ANSWERS & DETAILED RATIONALES
(BRAND NEW!!)
PART 1 – ANTEPARTUM CARE: Prenatal Assessment & Early Complications
Questions 1–60
Question 1
A nurse is teaching a client at 10 weeks gestation about fetal development.
Which statement by the client indicates understanding?
A) "My baby's heart started beating last week."
B) "The fetal heart tones can be heard with a Doppler at my next visit."
C) "My baby is now the size of a grapefruit."
D) "I should feel the baby move by the end of this month."
Answer: B
Rationale: Fetal heart tones are audible by Doppler at 10–12 weeks. The heart
begins beating at 5–6 weeks, quickening is felt at 16–20 weeks, and at 10
weeks the fetus is about the size of a prune, not a grapefruit.
Question 2
Using Nagele’s rule, calculate the EDD for a client whose LMP began on June 21.
A) March 28
B) April 11
C) June 21
D) July 14
Answer: A
Rationale: Subtract 3 months from June 21 → March 21; add 7 days → March 28.
Question 3
A nurse is teaching at 8 weeks gestation about warning signs to report.
Which should be included?
A) Nausea on awakening
1
,B) Blurred or double vision
C) Increased white vaginal discharge
D) Leg cramps
Answer: B
Rationale: Blurred vision may indicate preeclampsia/hypertension and must be
reported. Nausea, leukorrhea, and leg cramps are common discomforts.
Question 4
Which finding is a POSITIVE sign of pregnancy?
A) Palpable fetal movement
B) Amenorrhea
C) Chadwick’s sign
D) Positive urine hCG
Answer: A
Rationale: Positive signs are those directly attributable to the fetus – fetal
heart tones, fetal movement felt by examiner, and ultrasound visualization.
Amenorrhea, Chadwick’s sign, and positive hCG are probable signs.
Question 5
A nurse is teaching a client with HIV at 12 weeks gestation. Which statement
is appropriate?
A) "You will be in isolation after delivery."
B) "You should abstain from sexual intercourse throughout pregnancy."
C) "You should breastfeed your newborn to provide passive immunity."
D) "You will need IV zidovudine during labor."
Answer: D
Rationale: IV zidovudine (AZT) during labor reduces perinatal transmission.
Isolation is not required; sexual abstinence is not mandatory but safer sex
is advised; breastfeeding is contraindicated because HIV can be transmitted
through breast milk.
Question 6
2
,A nurse is assessing a client at 16 weeks gestation. Which fundal height
finding is expected?
A) At the umbilicus
B) Midway between the symphysis pubis and umbilicus
C) At the xiphoid process
D) Not palpable above the symphysis
Answer: B
Rationale: At 16 weeks, the fundus is midway between the symphysis and the
umbilicus. At 20 weeks it reaches the umbilicus, and at 36 weeks it is near
the xiphoid.
Question 7
A client asks about the purpose of the rubella vaccine postpartum. Which
response is correct?
A) "It protects your baby from congenital rubella."
B) "It prevents you from getting rubella during future pregnancies."
C) "It is given to all pregnant women at 28 weeks."
D) "It is a live virus vaccine and should be given before discharge."
Answer: B
Rationale: Rubella vaccine is a live attenuated virus given postpartum to
prevent maternal infection in future pregnancies. It is NOT given during
pregnancy and does not directly protect the current baby.
Question 8
A nurse is performing a prenatal risk assessment. Which factor is a
contraindication for vaginal delivery?
A) Previous cesarean section
B) Complete placenta previa
C) Gestational diabetes
D) Age 40 years
Answer: B
Rationale: Complete placenta previa obstructs the cervical os; vaginal
delivery would cause massive hemorrhage. Previous C‑section, diabetes, and
3
, advanced maternal age are not absolute contraindications.
Question 9
A client at 14 weeks reports frequent heartburn. Which suggestion should
the nurse provide?
A) Lie flat after meals
B) Drink fluids with meals
C) Eat small, frequent meals
D) Increase spicy foods
Answer: C
Rationale: Small, frequent meals reduce gastric distention and reflux.
Lying flat worsens reflux; fluids with meals distend the stomach; spicy foods
may exacerbate.
Question 10
A nurse is reviewing lab values for a client at 10 weeks. Which finding
requires further evaluation?
A) Hemoglobin 11.0 g/dL
B) WBC 12,000/mm³
C) Platelets 80,000/mm³
D) Serum iron 60 mcg/dL
Answer: C
Rationale: Normal platelet count is 150,000–400,000/mm³. 80,000 is
thrombocytopenia and warrants investigation. Mild anemia (Hb ~11), elevated
WBC (normal in pregnancy up to 15,000), and iron 60 (low but common) are
less urgent.
Question 11
A nurse is providing education about folic acid supplementation. What is the
recommended daily dose for a woman of childbearing age?
A) 0.4 mg
B) 1.0 mg
C) 4.0 mg
4
COMPLETE STUDY GUIDE| 300 PRACTICE QUESTIONS
WITH VERIFIED ANSWERS & DETAILED RATIONALES
(BRAND NEW!!)
PART 1 – ANTEPARTUM CARE: Prenatal Assessment & Early Complications
Questions 1–60
Question 1
A nurse is teaching a client at 10 weeks gestation about fetal development.
Which statement by the client indicates understanding?
A) "My baby's heart started beating last week."
B) "The fetal heart tones can be heard with a Doppler at my next visit."
C) "My baby is now the size of a grapefruit."
D) "I should feel the baby move by the end of this month."
Answer: B
Rationale: Fetal heart tones are audible by Doppler at 10–12 weeks. The heart
begins beating at 5–6 weeks, quickening is felt at 16–20 weeks, and at 10
weeks the fetus is about the size of a prune, not a grapefruit.
Question 2
Using Nagele’s rule, calculate the EDD for a client whose LMP began on June 21.
A) March 28
B) April 11
C) June 21
D) July 14
Answer: A
Rationale: Subtract 3 months from June 21 → March 21; add 7 days → March 28.
Question 3
A nurse is teaching at 8 weeks gestation about warning signs to report.
Which should be included?
A) Nausea on awakening
1
,B) Blurred or double vision
C) Increased white vaginal discharge
D) Leg cramps
Answer: B
Rationale: Blurred vision may indicate preeclampsia/hypertension and must be
reported. Nausea, leukorrhea, and leg cramps are common discomforts.
Question 4
Which finding is a POSITIVE sign of pregnancy?
A) Palpable fetal movement
B) Amenorrhea
C) Chadwick’s sign
D) Positive urine hCG
Answer: A
Rationale: Positive signs are those directly attributable to the fetus – fetal
heart tones, fetal movement felt by examiner, and ultrasound visualization.
Amenorrhea, Chadwick’s sign, and positive hCG are probable signs.
Question 5
A nurse is teaching a client with HIV at 12 weeks gestation. Which statement
is appropriate?
A) "You will be in isolation after delivery."
B) "You should abstain from sexual intercourse throughout pregnancy."
C) "You should breastfeed your newborn to provide passive immunity."
D) "You will need IV zidovudine during labor."
Answer: D
Rationale: IV zidovudine (AZT) during labor reduces perinatal transmission.
Isolation is not required; sexual abstinence is not mandatory but safer sex
is advised; breastfeeding is contraindicated because HIV can be transmitted
through breast milk.
Question 6
2
,A nurse is assessing a client at 16 weeks gestation. Which fundal height
finding is expected?
A) At the umbilicus
B) Midway between the symphysis pubis and umbilicus
C) At the xiphoid process
D) Not palpable above the symphysis
Answer: B
Rationale: At 16 weeks, the fundus is midway between the symphysis and the
umbilicus. At 20 weeks it reaches the umbilicus, and at 36 weeks it is near
the xiphoid.
Question 7
A client asks about the purpose of the rubella vaccine postpartum. Which
response is correct?
A) "It protects your baby from congenital rubella."
B) "It prevents you from getting rubella during future pregnancies."
C) "It is given to all pregnant women at 28 weeks."
D) "It is a live virus vaccine and should be given before discharge."
Answer: B
Rationale: Rubella vaccine is a live attenuated virus given postpartum to
prevent maternal infection in future pregnancies. It is NOT given during
pregnancy and does not directly protect the current baby.
Question 8
A nurse is performing a prenatal risk assessment. Which factor is a
contraindication for vaginal delivery?
A) Previous cesarean section
B) Complete placenta previa
C) Gestational diabetes
D) Age 40 years
Answer: B
Rationale: Complete placenta previa obstructs the cervical os; vaginal
delivery would cause massive hemorrhage. Previous C‑section, diabetes, and
3
, advanced maternal age are not absolute contraindications.
Question 9
A client at 14 weeks reports frequent heartburn. Which suggestion should
the nurse provide?
A) Lie flat after meals
B) Drink fluids with meals
C) Eat small, frequent meals
D) Increase spicy foods
Answer: C
Rationale: Small, frequent meals reduce gastric distention and reflux.
Lying flat worsens reflux; fluids with meals distend the stomach; spicy foods
may exacerbate.
Question 10
A nurse is reviewing lab values for a client at 10 weeks. Which finding
requires further evaluation?
A) Hemoglobin 11.0 g/dL
B) WBC 12,000/mm³
C) Platelets 80,000/mm³
D) Serum iron 60 mcg/dL
Answer: C
Rationale: Normal platelet count is 150,000–400,000/mm³. 80,000 is
thrombocytopenia and warrants investigation. Mild anemia (Hb ~11), elevated
WBC (normal in pregnancy up to 15,000), and iron 60 (low but common) are
less urgent.
Question 11
A nurse is providing education about folic acid supplementation. What is the
recommended daily dose for a woman of childbearing age?
A) 0.4 mg
B) 1.0 mg
C) 4.0 mg
4
