Page 1 of 82
ATI PN MATERNAL NEWBORN PROCTORED 2026 EXAM QUESTIONS WITH
VERIFIED ANSWERS DETAILED RATIONALES GRADED A+
Section 1: Antepartum Care (Questions 1-30)
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 10
B. December 17
C. December 24
D. January 10
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP and
add 7 days. March 10 minus 3 months = December 10, plus 7 days = December 17.
2. A nurse is assessing a client at 12 weeks of gestation. Which finding indicates
a potential complication?
A. Nausea and vomiting
B. Breast tenderness
C. Vaginal bleeding
D. Urinary frequency
Rationale: Vaginal bleeding during pregnancy may indicate miscarriage, ectopic
pregnancy, or other complications and requires immediate evaluation.
3. A nurse is teaching a pregnant client about folic acid supplementation. The
nurse should explain that folic acid helps prevent which condition?
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A. Gestational diabetes
B. Neural tube defects
C. Preeclampsia
D. Preterm labor
Rationale: Folic acid supplementation (400-800 mcg/day) before and during early
pregnancy significantly reduces the risk of neural tube defects.
4. A nurse is assessing a client at 36 weeks of gestation. The client reports a
sudden gush of fluid from the vagina. What is the nurse's priority action?
A. Perform a vaginal exam
B. Assess fetal heart rate and time of rupture
C. Encourage the client to ambulate
D. Administer antibiotics
Rationale: After rupture of membranes, the priority is to assess fetal well-being
(FHR) and note the time of rupture.
5. A nurse is teaching a pregnant client about the signs of preterm labor. Which
statement indicates correct understanding?
A. "I should call my provider if I have regular contractions."
B. "Contractions are normal and not a sign of preterm labor."
C. "I should wait until my water breaks before calling."
D. "Preterm labor only happens in the third trimester."
Rationale: Regular contractions, pelvic pressure, and changes in vaginal discharge
are signs of preterm labor requiring immediate notification.
6. A nurse is assessing a client at 28 weeks of gestation. The client's fundal
height should be at which level?
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A. At the umbilicus
B. At the symphysis pubis
C. At the xiphoid process
D. 2 cm above the umbilicus
Rationale: At 28 weeks, the fundal height is typically at or slightly above the
umbilicus.
7. A nurse is reviewing the prenatal laboratory results of a client at 28 weeks of
gestation. Which finding requires immediate follow-up?
A. Hemoglobin of 11.5 g/dL
B. Blood glucose of 140 mg/dL on a 1-hour glucose challenge test
C. White blood cell count of 10,000/mm³
D. Platelet count of 250,000/mm³
Rationale: A blood glucose of 140 mg/dL or higher on a 1-hour glucose challenge
test is abnormal and requires further evaluation.
8. A nurse is teaching a pregnant client about the recommended weight gain
during pregnancy. For a client with a normal pre-pregnancy BMI, the
recommended total weight gain is which of the following?
A. 10-15 pounds
B. 25-35 pounds
C. 40-50 pounds
D. 5-10 pounds
Rationale: For a client with a normal pre-pregnancy BMI, the recommended total
weight gain is 25-35 pounds.
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9. A nurse is assessing a client at 20 weeks of gestation. The client asks when she
should expect to feel fetal movement. The nurse's best response is which of the
following?
A. "You should feel movement around 12 weeks."
B. "Quickening typically occurs between 18 and 22 weeks."
C. "Fetal movement is not felt until the third trimester."
D. "You should feel movement immediately after conception."
Rationale: Quickening, the first perception of fetal movement, is typically felt
between 18 and 22 weeks of gestation.
10. A nurse is teaching a pregnant client about the purpose of the alpha-
fetoprotein (AFP) test. The nurse should explain that this test screens for which
condition?
A. Gestational diabetes
B. Neural tube defects
C. Group B streptococcus
D. Placenta previa
Rationale: The AFP test is a maternal serum screening test used to detect neural
tube defects.
11. A nurse is assessing a client at 32 weeks of gestation. The client reports that
she has been experiencing Braxton Hicks contractions. The nurse should explain
that these contractions are which of the following?
A. A sign of true labor
B. Irregular contractions that do not cause cervical change
C. A sign of placental abruption
D. A sign of preterm labor
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ATI PN MATERNAL NEWBORN PROCTORED 2026 EXAM QUESTIONS WITH
VERIFIED ANSWERS DETAILED RATIONALES GRADED A+
Section 1: Antepartum Care (Questions 1-30)
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 10
B. December 17
C. December 24
D. January 10
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP and
add 7 days. March 10 minus 3 months = December 10, plus 7 days = December 17.
2. A nurse is assessing a client at 12 weeks of gestation. Which finding indicates
a potential complication?
A. Nausea and vomiting
B. Breast tenderness
C. Vaginal bleeding
D. Urinary frequency
Rationale: Vaginal bleeding during pregnancy may indicate miscarriage, ectopic
pregnancy, or other complications and requires immediate evaluation.
3. A nurse is teaching a pregnant client about folic acid supplementation. The
nurse should explain that folic acid helps prevent which condition?
1|Page
,Page 2 of 82
A. Gestational diabetes
B. Neural tube defects
C. Preeclampsia
D. Preterm labor
Rationale: Folic acid supplementation (400-800 mcg/day) before and during early
pregnancy significantly reduces the risk of neural tube defects.
4. A nurse is assessing a client at 36 weeks of gestation. The client reports a
sudden gush of fluid from the vagina. What is the nurse's priority action?
A. Perform a vaginal exam
B. Assess fetal heart rate and time of rupture
C. Encourage the client to ambulate
D. Administer antibiotics
Rationale: After rupture of membranes, the priority is to assess fetal well-being
(FHR) and note the time of rupture.
5. A nurse is teaching a pregnant client about the signs of preterm labor. Which
statement indicates correct understanding?
A. "I should call my provider if I have regular contractions."
B. "Contractions are normal and not a sign of preterm labor."
C. "I should wait until my water breaks before calling."
D. "Preterm labor only happens in the third trimester."
Rationale: Regular contractions, pelvic pressure, and changes in vaginal discharge
are signs of preterm labor requiring immediate notification.
6. A nurse is assessing a client at 28 weeks of gestation. The client's fundal
height should be at which level?
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A. At the umbilicus
B. At the symphysis pubis
C. At the xiphoid process
D. 2 cm above the umbilicus
Rationale: At 28 weeks, the fundal height is typically at or slightly above the
umbilicus.
7. A nurse is reviewing the prenatal laboratory results of a client at 28 weeks of
gestation. Which finding requires immediate follow-up?
A. Hemoglobin of 11.5 g/dL
B. Blood glucose of 140 mg/dL on a 1-hour glucose challenge test
C. White blood cell count of 10,000/mm³
D. Platelet count of 250,000/mm³
Rationale: A blood glucose of 140 mg/dL or higher on a 1-hour glucose challenge
test is abnormal and requires further evaluation.
8. A nurse is teaching a pregnant client about the recommended weight gain
during pregnancy. For a client with a normal pre-pregnancy BMI, the
recommended total weight gain is which of the following?
A. 10-15 pounds
B. 25-35 pounds
C. 40-50 pounds
D. 5-10 pounds
Rationale: For a client with a normal pre-pregnancy BMI, the recommended total
weight gain is 25-35 pounds.
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, Page 4 of 82
9. A nurse is assessing a client at 20 weeks of gestation. The client asks when she
should expect to feel fetal movement. The nurse's best response is which of the
following?
A. "You should feel movement around 12 weeks."
B. "Quickening typically occurs between 18 and 22 weeks."
C. "Fetal movement is not felt until the third trimester."
D. "You should feel movement immediately after conception."
Rationale: Quickening, the first perception of fetal movement, is typically felt
between 18 and 22 weeks of gestation.
10. A nurse is teaching a pregnant client about the purpose of the alpha-
fetoprotein (AFP) test. The nurse should explain that this test screens for which
condition?
A. Gestational diabetes
B. Neural tube defects
C. Group B streptococcus
D. Placenta previa
Rationale: The AFP test is a maternal serum screening test used to detect neural
tube defects.
11. A nurse is assessing a client at 32 weeks of gestation. The client reports that
she has been experiencing Braxton Hicks contractions. The nurse should explain
that these contractions are which of the following?
A. A sign of true labor
B. Irregular contractions that do not cause cervical change
C. A sign of placental abruption
D. A sign of preterm labor
4|Page
