ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2022/2023 LATEST
SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT
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. Fetal heart tones heard with Doppler
C. Hyperemesis gravidarum with weight loss
D. Breast tenderness
Correct Answer: C
Rationale: Hyperemesis gravidarum with weight loss is abnormal and requires intervention.
Uterine enlargement, fetal heart tones at 12 weeks, and breast tenderness are expected
findings.
2. A nurse is teaching a prenatal client about folic acid supplementation. Which of the
following statements indicates understanding?
A. "I should take 400 mcg daily before and during early pregnancy."
B. "I only need folic acid after 20 weeks."
C. "Folic acid prevents gestational diabetes."
D. "I should stop folic acid once I feel fetal movement."
Correct Answer: A
Rationale: 400 mcg daily is recommended before conception and during early pregnancy to
prevent neural tube defects.
3. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began March 10. Using Naegele's rule, what is the EDD?
A. December 3
B. December 17
C. December 24
D. January 3
, Correct Answer: B
Rationale: Naegele's rule: subtract 3 months, add 7 days, add 1 year. March 10 + 7 days =
March 17; minus 3 months = December 17.
4. Which of the following are expected physiological changes during pregnancy? (Select all
that apply.)
A. Decreased cardiac output
B. Increased blood volume
C. Decreased glomerular filtration rate
D. Increased heart rate
E. Decreased hemoglobin concentration
Correct Answers: B, D, E
Rationale: Blood volume increases 40–50%, heart rate increases 10–15 bpm, and
hemodilution decreases hemoglobin. Cardiac output and GFR both increase.
5. A nurse is assessing a client at 36 weeks of gestation. Which finding indicates a need for
further evaluation?
A. Fundal height at 36 cm
B. Blood pressure 118/76
C. Visual disturbances and headache
D. Mild ankle edema
Correct Answer: C
Rationale: Visual disturbances and headache may indicate preeclampsia and require
immediate evaluation.
6. A nurse is teaching a client about the quad screen. At which gestational age is this test
typically performed?
A. 6–8 weeks
B. 15–22 weeks
C. 24–28 weeks
D. 32–36 weeks
, Correct Answer: B
Rationale: The quad screen (AFP, hCG, estriol, inhibin A) is performed at 15–22 weeks.
7. A client at 10 weeks of gestation reports nausea and vomiting. Which of the following
instructions should the nurse include?
A. "Eat three large meals daily."
B. "Drink fluids with meals."
C. "Eat dry crackers before rising."
D. "Avoid ginger tea."
Correct Answer: C
Rationale: Eating dry crackers before rising helps reduce morning nausea. Small frequent
meals and fluids between meals are recommended.
8. A nurse is performing a prenatal assessment. Which of the following is a positive sign of
pregnancy?
A. Amenorrhea
B. Nausea
C. Fetal heart tones detected by Doppler
D. Breast tenderness
Correct Answer: C
Rationale: Fetal heart tones are a positive (diagnostic) sign. Amenorrhea, nausea, and
breast tenderness are presumptive signs.
9. A nurse is teaching about gestational diabetes screening. When is the 1-hour glucose
challenge typically performed?
A. 8–12 weeks
B. 24–28 weeks
C. 32–34 weeks
D. 36–38 weeks
Correct Answer: B
Rationale: Routine screening for gestational diabetes occurs at 24–28 weeks.
, 10. A client at 28 weeks reports heartburn. Which instruction is appropriate?
A. "Lie down immediately after eating."
B. "Eat small, frequent meals and avoid spicy foods."
C. "Drink large amounts of water with meals."
D. "Take sodium bicarbonate daily."
Correct Answer: B
Rationale: Small frequent meals and avoiding spicy foods reduce heartburn. Lying down
after meals worsens symptoms; sodium bicarbonate can cause fluid retention.
11. A nurse is reviewing lab results for a pregnant client. Which finding should be reported?
A. Hemoglobin 11.5 g/dL
B. Platelets 250,000/mm³
C. Hemoglobin 8.5 g/dL
D. WBC 10,000/mm³
Correct Answer: C
Rationale: Hemoglobin below 10 g/dL indicates anemia and requires intervention. Other
values are within normal limits for pregnancy.
12. A nurse is assessing a client at 20 weeks of gestation. The client asks when she should
expect to feel fetal movement. The nurse should respond that quickening typically occurs at:
A. 12–14 weeks
B. 16–20 weeks
C. 24–28 weeks
D. 30–32 weeks
Correct Answer: B
Rationale: Quickening (first fetal movement) is typically felt at 16–20 weeks.
13. Which of the following are risk factors for preeclampsia? (Select all that apply.)
A. First pregnancy
B. Age over 35
EXAM 2022/2023 LATEST
SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT
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. Fetal heart tones heard with Doppler
C. Hyperemesis gravidarum with weight loss
D. Breast tenderness
Correct Answer: C
Rationale: Hyperemesis gravidarum with weight loss is abnormal and requires intervention.
Uterine enlargement, fetal heart tones at 12 weeks, and breast tenderness are expected
findings.
2. A nurse is teaching a prenatal client about folic acid supplementation. Which of the
following statements indicates understanding?
A. "I should take 400 mcg daily before and during early pregnancy."
B. "I only need folic acid after 20 weeks."
C. "Folic acid prevents gestational diabetes."
D. "I should stop folic acid once I feel fetal movement."
Correct Answer: A
Rationale: 400 mcg daily is recommended before conception and during early pregnancy to
prevent neural tube defects.
3. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began March 10. Using Naegele's rule, what is the EDD?
A. December 3
B. December 17
C. December 24
D. January 3
, Correct Answer: B
Rationale: Naegele's rule: subtract 3 months, add 7 days, add 1 year. March 10 + 7 days =
March 17; minus 3 months = December 17.
4. Which of the following are expected physiological changes during pregnancy? (Select all
that apply.)
A. Decreased cardiac output
B. Increased blood volume
C. Decreased glomerular filtration rate
D. Increased heart rate
E. Decreased hemoglobin concentration
Correct Answers: B, D, E
Rationale: Blood volume increases 40–50%, heart rate increases 10–15 bpm, and
hemodilution decreases hemoglobin. Cardiac output and GFR both increase.
5. A nurse is assessing a client at 36 weeks of gestation. Which finding indicates a need for
further evaluation?
A. Fundal height at 36 cm
B. Blood pressure 118/76
C. Visual disturbances and headache
D. Mild ankle edema
Correct Answer: C
Rationale: Visual disturbances and headache may indicate preeclampsia and require
immediate evaluation.
6. A nurse is teaching a client about the quad screen. At which gestational age is this test
typically performed?
A. 6–8 weeks
B. 15–22 weeks
C. 24–28 weeks
D. 32–36 weeks
, Correct Answer: B
Rationale: The quad screen (AFP, hCG, estriol, inhibin A) is performed at 15–22 weeks.
7. A client at 10 weeks of gestation reports nausea and vomiting. Which of the following
instructions should the nurse include?
A. "Eat three large meals daily."
B. "Drink fluids with meals."
C. "Eat dry crackers before rising."
D. "Avoid ginger tea."
Correct Answer: C
Rationale: Eating dry crackers before rising helps reduce morning nausea. Small frequent
meals and fluids between meals are recommended.
8. A nurse is performing a prenatal assessment. Which of the following is a positive sign of
pregnancy?
A. Amenorrhea
B. Nausea
C. Fetal heart tones detected by Doppler
D. Breast tenderness
Correct Answer: C
Rationale: Fetal heart tones are a positive (diagnostic) sign. Amenorrhea, nausea, and
breast tenderness are presumptive signs.
9. A nurse is teaching about gestational diabetes screening. When is the 1-hour glucose
challenge typically performed?
A. 8–12 weeks
B. 24–28 weeks
C. 32–34 weeks
D. 36–38 weeks
Correct Answer: B
Rationale: Routine screening for gestational diabetes occurs at 24–28 weeks.
, 10. A client at 28 weeks reports heartburn. Which instruction is appropriate?
A. "Lie down immediately after eating."
B. "Eat small, frequent meals and avoid spicy foods."
C. "Drink large amounts of water with meals."
D. "Take sodium bicarbonate daily."
Correct Answer: B
Rationale: Small frequent meals and avoiding spicy foods reduce heartburn. Lying down
after meals worsens symptoms; sodium bicarbonate can cause fluid retention.
11. A nurse is reviewing lab results for a pregnant client. Which finding should be reported?
A. Hemoglobin 11.5 g/dL
B. Platelets 250,000/mm³
C. Hemoglobin 8.5 g/dL
D. WBC 10,000/mm³
Correct Answer: C
Rationale: Hemoglobin below 10 g/dL indicates anemia and requires intervention. Other
values are within normal limits for pregnancy.
12. A nurse is assessing a client at 20 weeks of gestation. The client asks when she should
expect to feel fetal movement. The nurse should respond that quickening typically occurs at:
A. 12–14 weeks
B. 16–20 weeks
C. 24–28 weeks
D. 30–32 weeks
Correct Answer: B
Rationale: Quickening (first fetal movement) is typically felt at 16–20 weeks.
13. Which of the following are risk factors for preeclampsia? (Select all that apply.)
A. First pregnancy
B. Age over 35
