ATI MATERNAL NEWBORN NURSING (OB) PROCTORED
EXAM 2026 – 150 HIGH-YIELD QUESTIONS WITH DETAILED
RATIONALES| Most Tested Questions with Verified
Answers and Detailed Rationales
1. A nurse is measuring fundal height for a client who is pregnant. At what
gestational age should the nurse begin measuring fundal height?
A. 8 weeks
B. 12 weeks
C. 20 weeks
D. 24 weeks
Answer: B
Rationale: Fundal height measurement typically begins after 12 weeks
gestation when the uterus rises above the symphysis pubis. Between 18 and
30 weeks, the fundal height in centimeters should approximately equal the
week of gestation.
2. A client at 32 weeks gestation reports decreased fetal movement. The nurse
instructs the client to perform kick counts. Which finding indicates the need
for further evaluation?
A. 3 kicks in 1 hour
B. 5 kicks in 2 hours
C. 10 kicks in 2 hours
D. 12 kicks in 3 hours
Answer: A
Rationale: Fewer than 3 kicks in 1 hour or no fetal movement for 12 hours
requires further evaluation. A normal kick count is at least 10 kicks in 2 hours.
,3. A nurse is teaching a client at 8 weeks gestation about folic acid. Which
statement indicates understanding?
A. "I need 200 mcg daily"
B. "I need 400 mcg daily"
C. "I need 600 mcg daily"
D. "I need 1000 mcg daily"
Answer: C
Rationale: The recommended folic acid intake during pregnancy is 600 mcg
daily to prevent neural tube defects. For lactating women, it is 500 mcg daily.
4. A nurse is providing dietary teaching to a client who is pregnant. Which
food should the nurse recommend as a good source of folic acid?
A. Milk
B. Leafy greens
C. Red meat
D. Citrus fruits
Answer: B
Rationale: Leafy greens, dried peas, dried beans, seeds, and orange juice are
high in folic acid. Milk is high in calcium, red meat in iron, and citrus fruits in
vitamin C.
,5. A nurse is reviewing the results of a biophysical profile (BPP) for a client at
40 weeks gestation. The score is 8. Which action should the nurse take?
A. Prepare for immediate delivery
B. Repeat the test in 24 hours
C. Document the finding as normal
D. Notify the provider immediately
Answer: C
Rationale: A BPP score of 8-10 is normal. A score of less than 4 is abnormal
and requires immediate intervention. A score of 6 is equivocal and should be
retested.
6. A nurse is teaching a client about a nonstress test (NST). Which statement
indicates understanding?
A. "I need to fast before the test"
B. "I will press a button when the baby moves"
C. "The test will take about 10 minutes"
D. "I will receive medication to cause contractions"
Answer: B
Rationale: During an NST, the client presses a button when fetal movement is
felt. The test usually takes 20-40 minutes. Fasting is not required; orange juice
may be offered to stimulate fetal movement.
, 7. A nurse is reviewing the results of a contraction stress test (CST). The test is
positive. Which finding should the nurse expect?
A. Late decelerations on more than half of contractions
B. No decelerations with contractions
C. Early decelerations with contractions
D. Variable decelerations with contractions
Answer: A
Rationale: A positive CST is abnormal and indicates late decelerations on more
than half of the contractions, suggesting uteroplacental insufficiency.
8. A nurse is preparing a client for an amniocentesis. At what gestational age
can this procedure be performed?
A. After 8 weeks
B. After 10 weeks
C. After 14 weeks
D. After 20 weeks
Answer: C
Rationale: Amniocentesis is typically performed after 14 weeks gestation.
Alpha-fetoprotein (AFP) can be measured from amniotic fluid between 16 and
18 weeks.
EXAM 2026 – 150 HIGH-YIELD QUESTIONS WITH DETAILED
RATIONALES| Most Tested Questions with Verified
Answers and Detailed Rationales
1. A nurse is measuring fundal height for a client who is pregnant. At what
gestational age should the nurse begin measuring fundal height?
A. 8 weeks
B. 12 weeks
C. 20 weeks
D. 24 weeks
Answer: B
Rationale: Fundal height measurement typically begins after 12 weeks
gestation when the uterus rises above the symphysis pubis. Between 18 and
30 weeks, the fundal height in centimeters should approximately equal the
week of gestation.
2. A client at 32 weeks gestation reports decreased fetal movement. The nurse
instructs the client to perform kick counts. Which finding indicates the need
for further evaluation?
A. 3 kicks in 1 hour
B. 5 kicks in 2 hours
C. 10 kicks in 2 hours
D. 12 kicks in 3 hours
Answer: A
Rationale: Fewer than 3 kicks in 1 hour or no fetal movement for 12 hours
requires further evaluation. A normal kick count is at least 10 kicks in 2 hours.
,3. A nurse is teaching a client at 8 weeks gestation about folic acid. Which
statement indicates understanding?
A. "I need 200 mcg daily"
B. "I need 400 mcg daily"
C. "I need 600 mcg daily"
D. "I need 1000 mcg daily"
Answer: C
Rationale: The recommended folic acid intake during pregnancy is 600 mcg
daily to prevent neural tube defects. For lactating women, it is 500 mcg daily.
4. A nurse is providing dietary teaching to a client who is pregnant. Which
food should the nurse recommend as a good source of folic acid?
A. Milk
B. Leafy greens
C. Red meat
D. Citrus fruits
Answer: B
Rationale: Leafy greens, dried peas, dried beans, seeds, and orange juice are
high in folic acid. Milk is high in calcium, red meat in iron, and citrus fruits in
vitamin C.
,5. A nurse is reviewing the results of a biophysical profile (BPP) for a client at
40 weeks gestation. The score is 8. Which action should the nurse take?
A. Prepare for immediate delivery
B. Repeat the test in 24 hours
C. Document the finding as normal
D. Notify the provider immediately
Answer: C
Rationale: A BPP score of 8-10 is normal. A score of less than 4 is abnormal
and requires immediate intervention. A score of 6 is equivocal and should be
retested.
6. A nurse is teaching a client about a nonstress test (NST). Which statement
indicates understanding?
A. "I need to fast before the test"
B. "I will press a button when the baby moves"
C. "The test will take about 10 minutes"
D. "I will receive medication to cause contractions"
Answer: B
Rationale: During an NST, the client presses a button when fetal movement is
felt. The test usually takes 20-40 minutes. Fasting is not required; orange juice
may be offered to stimulate fetal movement.
, 7. A nurse is reviewing the results of a contraction stress test (CST). The test is
positive. Which finding should the nurse expect?
A. Late decelerations on more than half of contractions
B. No decelerations with contractions
C. Early decelerations with contractions
D. Variable decelerations with contractions
Answer: A
Rationale: A positive CST is abnormal and indicates late decelerations on more
than half of the contractions, suggesting uteroplacental insufficiency.
8. A nurse is preparing a client for an amniocentesis. At what gestational age
can this procedure be performed?
A. After 8 weeks
B. After 10 weeks
C. After 14 weeks
D. After 20 weeks
Answer: C
Rationale: Amniocentesis is typically performed after 14 weeks gestation.
Alpha-fetoprotein (AFP) can be measured from amniotic fluid between 16 and
18 weeks.
