ATI MATERNAL NEWBORN PROCTORED
EXAM (A, B and C) 2019 QUESTIONS
WITH ANSWERS
Section 1: Antepartum Care & Prenatal Assessment (Questions 1–20)
1. A nurse is assessing a client who is at 12 weeks of gestation. Which of the following findings
should the nurse report to the provider?
A. Uterine enlargement
B. Chadwick's sign
C. Fetal heart tones heard at the umbilicus
D. Breast tenderness
Correct Answer: C
Rationale: Fetal heart tones at 12 weeks are heard with a Doppler over the symphysis pubis,
not at the umbilicus. Hearing FHT at the umbilicus at 12 weeks is abnormal and may indicate
incorrect dating or a multiple gestation. Uterine enlargement, Chadwick's sign, and breast
tenderness are normal findings at 12 weeks.
2. A nurse is teaching a client who is at 8 weeks of gestation about nutrition. Which of the
following statements indicates understanding?
A. "I should increase my caloric intake by 600 calories per day."
B. "I need 400 mcg of folic acid daily."
C. "I should avoid all fish during pregnancy."
D. "I can continue my ketogenic diet."
Correct Answer: B
Rationale: Folic acid 400 mcg daily is recommended to prevent neural tube defects. Caloric
increase is only 340 kcal/day in the 2nd trimester and 452 kcal/day in the 3rd. Fish low in
mercury is encouraged. Ketogenic diets are not recommended during pregnancy.
,3. SATA: A nurse is assessing a client at 36 weeks of gestation. Which findings should the nurse
report? (Select all that apply.)
A. Blood pressure 148/96 mm Hg
B. 1+ proteinuria
C. Fetal heart rate 140/min
D. Severe headache unrelieved by acetaminophen
E. Blurred vision
Correct Answers: A, B, D, E
Rationale: These findings suggest preeclampsia with severe features. FHR of 140 is normal.
Hypertension, proteinuria, severe headache, and visual changes require immediate reporting.
4. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began on March 10. Using Naegele's rule, what is the EDD?
A. December 3
B. December 17
C. December 10
D. December 24
Correct Answer: B
Rationale: Naegele's rule: subtract 3 months, add 7 days, add 1 year. March 10 – 3 months =
December 10; +7 days = December 17.
5. A nurse is performing a fundal height measurement on a client at 24 weeks of gestation.
The nurse should expect the fundus to be located:
A. At the level of the umbilicus
B. 2 cm above the umbilicus
C. At the symphysis pubis
D. 2 cm below the umbilicus
Correct Answer: B
Rationale: At 20–22 weeks, the fundus is at the umbilicus. After 22 weeks, fundal height in
cm correlates with weeks of gestation. At 24 weeks, the fundus should be approximately 2 cm
above the umbilicus (24 cm).
,6. A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and
vomiting. Which of the following instructions should the nurse provide?
A. "Drink fluids with meals."
B. "Eat small, frequent meals throughout the day."
C. "Avoid dry foods such as crackers."
D. "Lie down immediately after eating."
Correct Answer: B
Rationale: Small, frequent meals help manage nausea. Fluids should be consumed between
meals, not with them. Dry foods like crackers are helpful. Lying down after eating can worsen
nausea.
7. A nurse is reviewing laboratory results for a client at 28 weeks of gestation. Which of the
following findings should the nurse report?
A. Hemoglobin 11.5 g/dL
B. Platelet count 150,000/mm³
C. 1-hour glucose tolerance test 155 mg/dL
D. WBC 10,000/mm³
Correct Answer: C
Rationale: A 1-hour glucose tolerance test result >140 mg/dL is abnormal and requires
further testing (3-hour GTT). Hemoglobin 11.5, platelets 150,000, and WBC 10,000 are within
normal limits for pregnancy.
8. A nurse is teaching a client about fetal movement counting (kick counts). Which instruction
should the nurse include?
A. "Count fetal movements for 2 hours daily."
B. "You should feel at least 10 movements in 2 hours."
C. "Decreased fetal movement is normal in the third trimester."
D. "Count movements only after meals."
Correct Answer: B
, Rationale: Kick counts: 10 movements in 2 hours is reassuring. If fewer than 10 movements
in 2 hours, the client should contact the provider. Decreased fetal movement is never normal.
9. A nurse is assessing a client at 32 weeks of gestation who reports heartburn. Which of the
following should the nurse recommend?
A. "Lie down after eating."
B. "Avoid spicy and fatty foods."
C. "Drink large amounts of fluids with meals."
D. "Take sodium bicarbonate for relief."
Correct Answer: B
Rationale: Avoiding spicy and fatty foods reduces heartburn. Lying down after eating
worsens symptoms. Large fluid volumes with meals increase stomach distention. Sodium
bicarbonate can cause fluid retention and is not recommended.
10. SATA: A nurse is teaching a client about warning signs during pregnancy that require
immediate attention. Which of the following should the nurse include? (Select all that apply.)
A. Vaginal bleeding
B. Severe abdominal pain
C. Mild ankle edema
D. Visual disturbances
E. Decreased fetal movement
Correct Answers: A, B, D, E
Rationale: Vaginal bleeding, severe abdominal pain, visual disturbances, and decreased
fetal movement are warning signs. Mild ankle edema is a common, normal finding in pregnancy.
11. A nurse is performing a prenatal assessment on a client at 16 weeks of gestation. Which of
the following findings indicates a potential complication?
A. Fetal heart rate 150/min
B. Fundal height at the umbilicus
C. Maternal weight gain of 1 kg (2.2 lb) since conception
D. Uterine size consistent with 16 weeks
EXAM (A, B and C) 2019 QUESTIONS
WITH ANSWERS
Section 1: Antepartum Care & Prenatal Assessment (Questions 1–20)
1. A nurse is assessing a client who is at 12 weeks of gestation. Which of the following findings
should the nurse report to the provider?
A. Uterine enlargement
B. Chadwick's sign
C. Fetal heart tones heard at the umbilicus
D. Breast tenderness
Correct Answer: C
Rationale: Fetal heart tones at 12 weeks are heard with a Doppler over the symphysis pubis,
not at the umbilicus. Hearing FHT at the umbilicus at 12 weeks is abnormal and may indicate
incorrect dating or a multiple gestation. Uterine enlargement, Chadwick's sign, and breast
tenderness are normal findings at 12 weeks.
2. A nurse is teaching a client who is at 8 weeks of gestation about nutrition. Which of the
following statements indicates understanding?
A. "I should increase my caloric intake by 600 calories per day."
B. "I need 400 mcg of folic acid daily."
C. "I should avoid all fish during pregnancy."
D. "I can continue my ketogenic diet."
Correct Answer: B
Rationale: Folic acid 400 mcg daily is recommended to prevent neural tube defects. Caloric
increase is only 340 kcal/day in the 2nd trimester and 452 kcal/day in the 3rd. Fish low in
mercury is encouraged. Ketogenic diets are not recommended during pregnancy.
,3. SATA: A nurse is assessing a client at 36 weeks of gestation. Which findings should the nurse
report? (Select all that apply.)
A. Blood pressure 148/96 mm Hg
B. 1+ proteinuria
C. Fetal heart rate 140/min
D. Severe headache unrelieved by acetaminophen
E. Blurred vision
Correct Answers: A, B, D, E
Rationale: These findings suggest preeclampsia with severe features. FHR of 140 is normal.
Hypertension, proteinuria, severe headache, and visual changes require immediate reporting.
4. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began on March 10. Using Naegele's rule, what is the EDD?
A. December 3
B. December 17
C. December 10
D. December 24
Correct Answer: B
Rationale: Naegele's rule: subtract 3 months, add 7 days, add 1 year. March 10 – 3 months =
December 10; +7 days = December 17.
5. A nurse is performing a fundal height measurement on a client at 24 weeks of gestation.
The nurse should expect the fundus to be located:
A. At the level of the umbilicus
B. 2 cm above the umbilicus
C. At the symphysis pubis
D. 2 cm below the umbilicus
Correct Answer: B
Rationale: At 20–22 weeks, the fundus is at the umbilicus. After 22 weeks, fundal height in
cm correlates with weeks of gestation. At 24 weeks, the fundus should be approximately 2 cm
above the umbilicus (24 cm).
,6. A nurse is caring for a client who is at 10 weeks of gestation and reports nausea and
vomiting. Which of the following instructions should the nurse provide?
A. "Drink fluids with meals."
B. "Eat small, frequent meals throughout the day."
C. "Avoid dry foods such as crackers."
D. "Lie down immediately after eating."
Correct Answer: B
Rationale: Small, frequent meals help manage nausea. Fluids should be consumed between
meals, not with them. Dry foods like crackers are helpful. Lying down after eating can worsen
nausea.
7. A nurse is reviewing laboratory results for a client at 28 weeks of gestation. Which of the
following findings should the nurse report?
A. Hemoglobin 11.5 g/dL
B. Platelet count 150,000/mm³
C. 1-hour glucose tolerance test 155 mg/dL
D. WBC 10,000/mm³
Correct Answer: C
Rationale: A 1-hour glucose tolerance test result >140 mg/dL is abnormal and requires
further testing (3-hour GTT). Hemoglobin 11.5, platelets 150,000, and WBC 10,000 are within
normal limits for pregnancy.
8. A nurse is teaching a client about fetal movement counting (kick counts). Which instruction
should the nurse include?
A. "Count fetal movements for 2 hours daily."
B. "You should feel at least 10 movements in 2 hours."
C. "Decreased fetal movement is normal in the third trimester."
D. "Count movements only after meals."
Correct Answer: B
, Rationale: Kick counts: 10 movements in 2 hours is reassuring. If fewer than 10 movements
in 2 hours, the client should contact the provider. Decreased fetal movement is never normal.
9. A nurse is assessing a client at 32 weeks of gestation who reports heartburn. Which of the
following should the nurse recommend?
A. "Lie down after eating."
B. "Avoid spicy and fatty foods."
C. "Drink large amounts of fluids with meals."
D. "Take sodium bicarbonate for relief."
Correct Answer: B
Rationale: Avoiding spicy and fatty foods reduces heartburn. Lying down after eating
worsens symptoms. Large fluid volumes with meals increase stomach distention. Sodium
bicarbonate can cause fluid retention and is not recommended.
10. SATA: A nurse is teaching a client about warning signs during pregnancy that require
immediate attention. Which of the following should the nurse include? (Select all that apply.)
A. Vaginal bleeding
B. Severe abdominal pain
C. Mild ankle edema
D. Visual disturbances
E. Decreased fetal movement
Correct Answers: A, B, D, E
Rationale: Vaginal bleeding, severe abdominal pain, visual disturbances, and decreased
fetal movement are warning signs. Mild ankle edema is a common, normal finding in pregnancy.
11. A nurse is performing a prenatal assessment on a client at 16 weeks of gestation. Which of
the following findings indicates a potential complication?
A. Fetal heart rate 150/min
B. Fundal height at the umbilicus
C. Maternal weight gain of 1 kg (2.2 lb) since conception
D. Uterine size consistent with 16 weeks
