ATI MATERNAL NEWBORN PROCTORED RN EXAM NEWEST EXAM
PREPARATION WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT (Questions 1–80)
Question 1
A nurse is calculating a due date using Naegele's rule for a client whose last
menstrual period began on May 10. Which date is correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B) February 17
Rationale: Naegele's rule: subtract 3 months, add 7 days. May 10 → February 10 +
7 days = February 17.
Question 2
Which finding is a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer: C) Fetal heartbeat on Doppler
Rationale: Positive signs confirm pregnancy (fetal heart tones, ultrasound
visualization, fetal movement felt by examiner). Amenorrhea, Chadwick's sign,
and nausea are probable/presumptive signs.
Question 3
A nurse teaches a client about folic acid. Which statement indicates
understanding?
1
,A) "It prevents iron deficiency anemia."
B) "It reduces risk of neural tube defects."
C) "It is only needed in the third trimester."
D) "It is found mainly in dairy products."
Answer: B) "It reduces risk of neural tube defects."
Rationale: Folic acid (400-800 mcg daily) in early pregnancy prevents neural
tube defects like spina bifida.
Question 4
A nurse is assessing a client at 10 weeks gestation. Which finding is a presumptive
sign of pregnancy?
A) Positive pregnancy test
B) Ballottement
C) Goodell's sign
D) Breast tenderness
Answer: D) Breast tenderness
Rationale: Presumptive signs are subjective (breast tenderness, nausea,
amenorrhea). Probable signs are objective (Goodell's, ballottement, positive
hCG).
Positive signs confirm pregnancy (fetal heart, movement).
Question 5
A client at 35 weeks with preeclampsia reports a headache and visual changes.
Which action should the nurse take first?
A) Administer prescribed magnesium sulfate
B) Check deep tendon reflexes
C) Notify the provider
D) Measure blood pressure
Answer: D) Measure blood pressure
Rationale: Headache and visual changes indicate worsening preeclampsia. Assess
BP first to confirm hypertension; then notify provider and prepare for seizure
2
,prophylaxis (magnesium sulfate).
Question 6
The nurse is reviewing prenatal laboratory results. Which finding requires
immediate follow-up?
A) Rubella titer 1:8
B) Hemoglobin 11.2 g/dL
C) Blood type O negative
D) Glucose 140 mg/dL 1-hour glucose tolerance test
Answer: A) Rubella titer 1:8
Rationale: Rubella titer <1:10 indicates non-immunity. Client should receive
MMR postpartum. Blood type O negative needs RhoGAM; hemoglobin 11.2 is
normal
for pregnancy; glucose 140 is borderline but not emergent.
Question 7
A nurse is providing education on danger signs during pregnancy. Which symptom
should the client report immediately?
A) Nausea in the morning
B) Swelling of the ankles at the end of the day
C) Vaginal bleeding
D) Heartburn after meals
Answer: C) Vaginal bleeding
Rationale: Vaginal bleeding can indicate abortion, ectopic pregnancy, or
placental abruption. Requires immediate evaluation. Mild nausea, ankle edema,
and heartburn are common discomforts.
Question 8
The nurse is calculating the estimated gestational age for a client with an
irregular menstrual cycle. Which method is most accurate?
3
, A) Naegele's rule
B) McDonald's rule (fundal height)
C) First-trimester ultrasound
D) Maternal perception of fetal movement
Answer: C) First-trimester ultrasound
Rationale: Ultrasound in the first trimester provides the most accurate dating,
especially with irregular cycles. Fundal height is less accurate; fetal movement
is subjective.
Question 9
A client at 16 weeks gestation asks about quickening. What should the nurse
explain?
A) It is the first fetal movement felt by the mother, usually between 16-20 weeks
B) It is a sign of fetal distress
C) It indicates the baby is in a breech position
D) It is caused by uterine contractions
Answer: A) It is the first fetal movement felt by the mother, usually between
16-20 weeks
Rationale: Quickening is the maternal perception of fetal movement. Multiparas
may feel it earlier (~16 weeks), primigravidas later (~20 weeks).
Question 10
A client at 28 weeks gestation has a positive glucose screening test (1-hour GTT)
of 160 mg/dL. The nurse anticipates which next step?
A) Diagnose gestational diabetes
B) Schedule a 3-hour oral glucose tolerance test
C) Recommend dietary changes and exercise
D) Repeat the 1-hour test in 2 weeks
Answer: B) Schedule a 3-hour oral glucose tolerance test
Rationale: A 1-hour glucose challenge >140 mg/dL indicates need for a 3-hour
4
PREPARATION WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT (Questions 1–80)
Question 1
A nurse is calculating a due date using Naegele's rule for a client whose last
menstrual period began on May 10. Which date is correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B) February 17
Rationale: Naegele's rule: subtract 3 months, add 7 days. May 10 → February 10 +
7 days = February 17.
Question 2
Which finding is a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer: C) Fetal heartbeat on Doppler
Rationale: Positive signs confirm pregnancy (fetal heart tones, ultrasound
visualization, fetal movement felt by examiner). Amenorrhea, Chadwick's sign,
and nausea are probable/presumptive signs.
Question 3
A nurse teaches a client about folic acid. Which statement indicates
understanding?
1
,A) "It prevents iron deficiency anemia."
B) "It reduces risk of neural tube defects."
C) "It is only needed in the third trimester."
D) "It is found mainly in dairy products."
Answer: B) "It reduces risk of neural tube defects."
Rationale: Folic acid (400-800 mcg daily) in early pregnancy prevents neural
tube defects like spina bifida.
Question 4
A nurse is assessing a client at 10 weeks gestation. Which finding is a presumptive
sign of pregnancy?
A) Positive pregnancy test
B) Ballottement
C) Goodell's sign
D) Breast tenderness
Answer: D) Breast tenderness
Rationale: Presumptive signs are subjective (breast tenderness, nausea,
amenorrhea). Probable signs are objective (Goodell's, ballottement, positive
hCG).
Positive signs confirm pregnancy (fetal heart, movement).
Question 5
A client at 35 weeks with preeclampsia reports a headache and visual changes.
Which action should the nurse take first?
A) Administer prescribed magnesium sulfate
B) Check deep tendon reflexes
C) Notify the provider
D) Measure blood pressure
Answer: D) Measure blood pressure
Rationale: Headache and visual changes indicate worsening preeclampsia. Assess
BP first to confirm hypertension; then notify provider and prepare for seizure
2
,prophylaxis (magnesium sulfate).
Question 6
The nurse is reviewing prenatal laboratory results. Which finding requires
immediate follow-up?
A) Rubella titer 1:8
B) Hemoglobin 11.2 g/dL
C) Blood type O negative
D) Glucose 140 mg/dL 1-hour glucose tolerance test
Answer: A) Rubella titer 1:8
Rationale: Rubella titer <1:10 indicates non-immunity. Client should receive
MMR postpartum. Blood type O negative needs RhoGAM; hemoglobin 11.2 is
normal
for pregnancy; glucose 140 is borderline but not emergent.
Question 7
A nurse is providing education on danger signs during pregnancy. Which symptom
should the client report immediately?
A) Nausea in the morning
B) Swelling of the ankles at the end of the day
C) Vaginal bleeding
D) Heartburn after meals
Answer: C) Vaginal bleeding
Rationale: Vaginal bleeding can indicate abortion, ectopic pregnancy, or
placental abruption. Requires immediate evaluation. Mild nausea, ankle edema,
and heartburn are common discomforts.
Question 8
The nurse is calculating the estimated gestational age for a client with an
irregular menstrual cycle. Which method is most accurate?
3
, A) Naegele's rule
B) McDonald's rule (fundal height)
C) First-trimester ultrasound
D) Maternal perception of fetal movement
Answer: C) First-trimester ultrasound
Rationale: Ultrasound in the first trimester provides the most accurate dating,
especially with irregular cycles. Fundal height is less accurate; fetal movement
is subjective.
Question 9
A client at 16 weeks gestation asks about quickening. What should the nurse
explain?
A) It is the first fetal movement felt by the mother, usually between 16-20 weeks
B) It is a sign of fetal distress
C) It indicates the baby is in a breech position
D) It is caused by uterine contractions
Answer: A) It is the first fetal movement felt by the mother, usually between
16-20 weeks
Rationale: Quickening is the maternal perception of fetal movement. Multiparas
may feel it earlier (~16 weeks), primigravidas later (~20 weeks).
Question 10
A client at 28 weeks gestation has a positive glucose screening test (1-hour GTT)
of 160 mg/dL. The nurse anticipates which next step?
A) Diagnose gestational diabetes
B) Schedule a 3-hour oral glucose tolerance test
C) Recommend dietary changes and exercise
D) Repeat the 1-hour test in 2 weeks
Answer: B) Schedule a 3-hour oral glucose tolerance test
Rationale: A 1-hour glucose challenge >140 mg/dL indicates need for a 3-hour
4
