,ATI Maternal-Newborn Assessment - PN Exam Questions And
Answers 2026/2027
1.** A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation. Which of the following statements should the nurse include about
folic acid supplementation?
A) "It prevents maternal anemia."
B) "It prevents neural tube defects in the fetus."
C) "It reduces the risk of gestational diabetes."
D) "It promotes fetal lung development."
**Correct Answer:** B) "It prevents neural tube defects in the fetus."
**Rationale:** Folic acid supplementation (400-800 mcg/day) during early
pregnancy significantly reduces the risk of neural tube defects such as spina
bifida and anencephaly. The neural tube closes by 28 days of gestation, often
before the client knows they are pregnant.
**2.** A nurse is reinforcing teaching with a client who is at 12 weeks of
gestation about danger signs during pregnancy. Which of the following
findings should the nurse instruct the client to report to the provider?
A) Mild ankle edema
B) Frequent urination
C) Blurred vision
D) Breast tenderness
**Correct Answer:** C) Blurred vision
,**Rationale:** Blurred vision may indicate preeclampsia and should be
reported immediately. Mild ankle edema, frequent urination, and breast
tenderness are expected discomforts of pregnancy.
**3.** A nurse is calculating a client's estimated date of delivery using
Naegele's rule. The client's last menstrual period began on May 10. What is
the estimated due date?
A) February 3
B) February 17
C) February 24
D) March 3
**Correct Answer:** B) February 17
**Rationale:** Naegele's rule: subtract 3 months from the first day of the last
menstrual period and add 7 days. May 10 → February 10 + 7 days =
February 17.
**4.** A nurse is reviewing laboratory results for a client at 12 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
A) Hemoglobin 11.2 g/dL
B) White blood cell count 12,000/mm³
C) Platelet count 140,000/mm³
D) Hematocrit 34%
**Correct Answer:** C) Platelet count 140,000/mm³
, **Rationale:** Platelet count below 150,000/mm³ may indicate
thrombocytopenia and should be reported. Mild anemia (Hgb 10.5-11.5 g/dL)
is common in pregnancy due to hemodilution. WBC count of 12,000/mm³ is
within normal range for pregnancy.
**5.** A client at 28 weeks of gestation is scheduled for a glucose tolerance
test (GTT). Which instruction should the nurse provide for the initial
screening test?
A) "Fast for 8-12 hours before the test; nothing to eat or drink."
B) "Eat a high-carbohydrate meal 2 hours before the test."
C) "No special preparation is needed; you can eat and drink normally."
D) "Avoid sugar for 24 hours before the test."
**Correct Answer:** C) "No special preparation is needed; you can eat and
drink normally."
**Rationale:** The initial 1-hour glucose screening test does not require
fasting. If the initial screen is abnormal (≥135-140 mg/dL), a 3-hour fasting
glucose tolerance test is performed, which does require 8-12 hours of fasting.
**6.** A nurse is assessing a client at 16 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A) Mild ankle edema
B) Frequent urination
C) Epigastric pain
D) Breast tenderness
Answers 2026/2027
1.** A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation. Which of the following statements should the nurse include about
folic acid supplementation?
A) "It prevents maternal anemia."
B) "It prevents neural tube defects in the fetus."
C) "It reduces the risk of gestational diabetes."
D) "It promotes fetal lung development."
**Correct Answer:** B) "It prevents neural tube defects in the fetus."
**Rationale:** Folic acid supplementation (400-800 mcg/day) during early
pregnancy significantly reduces the risk of neural tube defects such as spina
bifida and anencephaly. The neural tube closes by 28 days of gestation, often
before the client knows they are pregnant.
**2.** A nurse is reinforcing teaching with a client who is at 12 weeks of
gestation about danger signs during pregnancy. Which of the following
findings should the nurse instruct the client to report to the provider?
A) Mild ankle edema
B) Frequent urination
C) Blurred vision
D) Breast tenderness
**Correct Answer:** C) Blurred vision
,**Rationale:** Blurred vision may indicate preeclampsia and should be
reported immediately. Mild ankle edema, frequent urination, and breast
tenderness are expected discomforts of pregnancy.
**3.** A nurse is calculating a client's estimated date of delivery using
Naegele's rule. The client's last menstrual period began on May 10. What is
the estimated due date?
A) February 3
B) February 17
C) February 24
D) March 3
**Correct Answer:** B) February 17
**Rationale:** Naegele's rule: subtract 3 months from the first day of the last
menstrual period and add 7 days. May 10 → February 10 + 7 days =
February 17.
**4.** A nurse is reviewing laboratory results for a client at 12 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
A) Hemoglobin 11.2 g/dL
B) White blood cell count 12,000/mm³
C) Platelet count 140,000/mm³
D) Hematocrit 34%
**Correct Answer:** C) Platelet count 140,000/mm³
, **Rationale:** Platelet count below 150,000/mm³ may indicate
thrombocytopenia and should be reported. Mild anemia (Hgb 10.5-11.5 g/dL)
is common in pregnancy due to hemodilution. WBC count of 12,000/mm³ is
within normal range for pregnancy.
**5.** A client at 28 weeks of gestation is scheduled for a glucose tolerance
test (GTT). Which instruction should the nurse provide for the initial
screening test?
A) "Fast for 8-12 hours before the test; nothing to eat or drink."
B) "Eat a high-carbohydrate meal 2 hours before the test."
C) "No special preparation is needed; you can eat and drink normally."
D) "Avoid sugar for 24 hours before the test."
**Correct Answer:** C) "No special preparation is needed; you can eat and
drink normally."
**Rationale:** The initial 1-hour glucose screening test does not require
fasting. If the initial screen is abnormal (≥135-140 mg/dL), a 3-hour fasting
glucose tolerance test is performed, which does require 8-12 hours of fasting.
**6.** A nurse is assessing a client at 16 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A) Mild ankle edema
B) Frequent urination
C) Epigastric pain
D) Breast tenderness
