ATI Maternal Newborn Proctored Exam 1 & 2 –
150-Question Practice Exam
Section I: Antepartum Care and Prenatal Assessment (1–25)
1. 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 10
C. December 17
D. December 24
Correct Answer: C
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP
and add 7 days. March 10 − 3 months = December 10; December 10 + 7 days =
December 17.
2. A nurse is assessing a client at 12 weeks' gestation. Which finding should the
nurse report to the provider?
A. Urinary frequency
B. Nausea and vomiting
C. Vaginal bleeding
D. Breast tenderness
Correct Answer: C
Rationale: Vaginal bleeding at any point during pregnancy is abnormal and
may indicate miscarriage, ectopic pregnancy, or placenta previa. Urinary
frequency, nausea, and breast tenderness are expected findings.
3. A nurse is teaching a client about folic acid supplementation during pregnancy.
The nurse should instruct the client that folic acid helps prevent which condition?
,A. Gestational diabetes
B. Neural tube defects
C. Preeclampsia
D. Preterm labor
Correct Answer: B
Rationale: Folic acid (400–800 mcg/day) is essential for preventing neural
tube defects such as spina bifida and anencephaly.
4. A nurse is assessing a client who is at 20 weeks' gestation. The client asks when
she should expect to feel fetal movement. The nurse should respond that
quickening typically occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Correct Answer: C
Rationale: Quickening (first fetal movement felt by the mother) typically
occurs between 16 and 20 weeks' gestation.
5. A nurse is reviewing the laboratory results of a client at 28 weeks' gestation.
Which finding should the nurse report to the provider?
A. Hemoglobin 11.5 g/dL
B. Platelet count 150,000/mm³
C. Glucose 200 mg/dL on 1-hour glucose tolerance test
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) to rule out gestational diabetes.
,6. A nurse is performing a fundal height measurement on a client at 24 weeks'
gestation. The nurse should expect the fundus to be located at which level?
A. At the symphysis pubis
B. At the umbilicus
C. 2 cm above the umbilicus
D. At the xiphoid process
Correct Answer: B
Rationale: At 20–22 weeks, the fundus is at the umbilicus. At 24 weeks, it is
approximately 2 cm above the umbilicus, but the umbilicus is the closest
landmark. Fundal height in centimeters approximately equals gestational age in
weeks (20–36 weeks).
7. A nurse is teaching a client about the purpose of the alpha-fetoprotein (AFP)
test. The nurse should explain that this test screens for:
A. Gestational diabetes
B. Neural tube defects
C. Group B streptococcus
D. Rh incompatibility
Correct Answer: B
Rationale: AFP is a screening test for neural tube defects (elevated AFP) and
Down syndrome (low AFP), performed between 15 and 22 weeks.
8. A nurse is assessing a client who is at 36 weeks' gestation. Which finding
indicates a potential complication?
A. Braxton Hicks contractions
B. Cervical dilation of 1 cm
C. Blood pressure 150/95 mm Hg
D. Mild ankle edema
, Correct Answer: C
Rationale: Blood pressure ≥140/90 mm Hg after 20 weeks may indicate
gestational hypertension or preeclampsia and requires further evaluation.
9. A nurse is teaching a pregnant client about danger signs that require immediate
medical attention. Which of the following should the nurse include?
A. Mild fatigue
B. Occasional heartburn
C. Severe headache with visual changes
D. Braxton Hicks contractions
Correct Answer: C
Rationale: Severe headache with visual changes may indicate preeclampsia
and requires immediate medical attention.
10. A nurse is assessing a client at 10 weeks' gestation who reports hyperemesis
gravidarum. Which finding is most concerning?
A. Nausea
B. Vomiting
C. Weight loss of 5% of prepregnancy weight
D. Increased salivation
Correct Answer: C
Rationale: Weight loss >5% of prepregnancy weight, dehydration, and
electrolyte imbalances indicate severe hyperemesis gravidarum requiring
hospitalization.
11. A nurse is performing a pelvic examination on a client at 8 weeks' gestation.
Which finding is a positive sign of pregnancy?
A. Amenorrhea
B. Nausea
150-Question Practice Exam
Section I: Antepartum Care and Prenatal Assessment (1–25)
1. 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 10
C. December 17
D. December 24
Correct Answer: C
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP
and add 7 days. March 10 − 3 months = December 10; December 10 + 7 days =
December 17.
2. A nurse is assessing a client at 12 weeks' gestation. Which finding should the
nurse report to the provider?
A. Urinary frequency
B. Nausea and vomiting
C. Vaginal bleeding
D. Breast tenderness
Correct Answer: C
Rationale: Vaginal bleeding at any point during pregnancy is abnormal and
may indicate miscarriage, ectopic pregnancy, or placenta previa. Urinary
frequency, nausea, and breast tenderness are expected findings.
3. A nurse is teaching a client about folic acid supplementation during pregnancy.
The nurse should instruct the client that folic acid helps prevent which condition?
,A. Gestational diabetes
B. Neural tube defects
C. Preeclampsia
D. Preterm labor
Correct Answer: B
Rationale: Folic acid (400–800 mcg/day) is essential for preventing neural
tube defects such as spina bifida and anencephaly.
4. A nurse is assessing a client who is at 20 weeks' gestation. The client asks when
she should expect to feel fetal movement. The nurse should respond that
quickening typically occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Correct Answer: C
Rationale: Quickening (first fetal movement felt by the mother) typically
occurs between 16 and 20 weeks' gestation.
5. A nurse is reviewing the laboratory results of a client at 28 weeks' gestation.
Which finding should the nurse report to the provider?
A. Hemoglobin 11.5 g/dL
B. Platelet count 150,000/mm³
C. Glucose 200 mg/dL on 1-hour glucose tolerance test
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) to rule out gestational diabetes.
,6. A nurse is performing a fundal height measurement on a client at 24 weeks'
gestation. The nurse should expect the fundus to be located at which level?
A. At the symphysis pubis
B. At the umbilicus
C. 2 cm above the umbilicus
D. At the xiphoid process
Correct Answer: B
Rationale: At 20–22 weeks, the fundus is at the umbilicus. At 24 weeks, it is
approximately 2 cm above the umbilicus, but the umbilicus is the closest
landmark. Fundal height in centimeters approximately equals gestational age in
weeks (20–36 weeks).
7. A nurse is teaching a client about the purpose of the alpha-fetoprotein (AFP)
test. The nurse should explain that this test screens for:
A. Gestational diabetes
B. Neural tube defects
C. Group B streptococcus
D. Rh incompatibility
Correct Answer: B
Rationale: AFP is a screening test for neural tube defects (elevated AFP) and
Down syndrome (low AFP), performed between 15 and 22 weeks.
8. A nurse is assessing a client who is at 36 weeks' gestation. Which finding
indicates a potential complication?
A. Braxton Hicks contractions
B. Cervical dilation of 1 cm
C. Blood pressure 150/95 mm Hg
D. Mild ankle edema
, Correct Answer: C
Rationale: Blood pressure ≥140/90 mm Hg after 20 weeks may indicate
gestational hypertension or preeclampsia and requires further evaluation.
9. A nurse is teaching a pregnant client about danger signs that require immediate
medical attention. Which of the following should the nurse include?
A. Mild fatigue
B. Occasional heartburn
C. Severe headache with visual changes
D. Braxton Hicks contractions
Correct Answer: C
Rationale: Severe headache with visual changes may indicate preeclampsia
and requires immediate medical attention.
10. A nurse is assessing a client at 10 weeks' gestation who reports hyperemesis
gravidarum. Which finding is most concerning?
A. Nausea
B. Vomiting
C. Weight loss of 5% of prepregnancy weight
D. Increased salivation
Correct Answer: C
Rationale: Weight loss >5% of prepregnancy weight, dehydration, and
electrolyte imbalances indicate severe hyperemesis gravidarum requiring
hospitalization.
11. A nurse is performing a pelvic examination on a client at 8 weeks' gestation.
Which finding is a positive sign of pregnancy?
A. Amenorrhea
B. Nausea
