RN Maternal Newborn ATI Proctored Exam – 70
Questions with Verified Rationalized Answers
(2025/2026)
Prepared for NCLEX-RN Preparation – 100% Passing Score Guarantee
Contents
1 Introduction 2
2 Questions 2
3 Study Strategies 19
4 Resources 19
1
,1 Introduction
This study guide provides 70 maternal-newborn nursing questions designed to prepare
candidates for the ATI Maternal Newborn Proctored Exam and NCLEX-RN, focusing on
clinical judgment and comprehensive care. The questions include multiple-choice, select-
all-that-apply (SATA), fill-in-the-blank, hotspot, drag-and-drop, and Next Generation
NCLEX (NGN) case studies. Each question includes a verified answer and a detailed
rationale to ensure mastery of key concepts.
2 Questions
1. A nurse is assessing a client at 32 weeks gestation. Which finding indi-
cates a potential complication?
A. Fundal height of 32 cm
B. Mild ankle edema
C. Blood pressure 150/95 mmHg
D. Fetal heart rate 140 bpm
Answer: C
Rationale: Blood pressure 150/95 mmHg suggests preeclampsia, requiring imme-
diate evaluation.
2. A client at 36 weeks gestation reports decreased fetal movement. What
is the nurse’s priority action?
A. Encourage oral hydration
B. Perform a nonstress test
C. Assess fetal heart rate
D. Notify the provider
Answer: C
Rationale: Assessing fetal heart rate is the priority to evaluate fetal well-being.
3. A nurse is teaching a client about folate intake during pregnancy. Which
food is the best source?
A. White rice
B. Spinach
C. Chicken
D. Apples
Answer: B
Rationale: Spinach is rich in folate, essential for preventing neural tube defects.
2
, 4. A client in the first trimester reports nausea and vomiting. Which in-
terventions should the nurse recommend? (Select all that apply.)
A. Eat dry crackers before rising
B. Avoid greasy foods
C. Drink fluids with meals
D. Take prenatal vitamins in the morning
E. Consume ginger tea
Answer: A, B, E
Rationale: Dry crackers, avoiding greasy foods, and ginger tea reduce nausea.
Fluids should be taken between meals, and vitamins at bedtime.
5. A client’s LMP was May 15, 2025. Using Naegele’s rule, what is the
expected date of delivery (EDD)?
A. February 22, 2026
B. February 15, 2026
C. February 8, 2026
D. January 31, 2026
Answer: A
Rationale: Naegele’s rule: May 15 + 7 days = May 22, 2025; subtract 3 months
= February 22, 2025; add 1 year = February 22, 2026.
6. A client at 34 weeks gestation is diagnosed with gestational diabetes.
Which teaching point is priority?
A. Monitor blood glucose daily
B. Restrict all carbohydrates
C. Avoid exercise
D. Skip meals to control glucose
Answer: A
Rationale: Daily blood glucose monitoring is essential for managing gestational
diabetes.
7. A client with hyperemesis gravidarum is admitted. Which laboratory
finding is most concerning?
A. Sodium 135 mEq/L
B. Ketonuria
C. Glucose 90 mg/dL
D. Hemoglobin 12 g/dL
3
Questions with Verified Rationalized Answers
(2025/2026)
Prepared for NCLEX-RN Preparation – 100% Passing Score Guarantee
Contents
1 Introduction 2
2 Questions 2
3 Study Strategies 19
4 Resources 19
1
,1 Introduction
This study guide provides 70 maternal-newborn nursing questions designed to prepare
candidates for the ATI Maternal Newborn Proctored Exam and NCLEX-RN, focusing on
clinical judgment and comprehensive care. The questions include multiple-choice, select-
all-that-apply (SATA), fill-in-the-blank, hotspot, drag-and-drop, and Next Generation
NCLEX (NGN) case studies. Each question includes a verified answer and a detailed
rationale to ensure mastery of key concepts.
2 Questions
1. A nurse is assessing a client at 32 weeks gestation. Which finding indi-
cates a potential complication?
A. Fundal height of 32 cm
B. Mild ankle edema
C. Blood pressure 150/95 mmHg
D. Fetal heart rate 140 bpm
Answer: C
Rationale: Blood pressure 150/95 mmHg suggests preeclampsia, requiring imme-
diate evaluation.
2. A client at 36 weeks gestation reports decreased fetal movement. What
is the nurse’s priority action?
A. Encourage oral hydration
B. Perform a nonstress test
C. Assess fetal heart rate
D. Notify the provider
Answer: C
Rationale: Assessing fetal heart rate is the priority to evaluate fetal well-being.
3. A nurse is teaching a client about folate intake during pregnancy. Which
food is the best source?
A. White rice
B. Spinach
C. Chicken
D. Apples
Answer: B
Rationale: Spinach is rich in folate, essential for preventing neural tube defects.
2
, 4. A client in the first trimester reports nausea and vomiting. Which in-
terventions should the nurse recommend? (Select all that apply.)
A. Eat dry crackers before rising
B. Avoid greasy foods
C. Drink fluids with meals
D. Take prenatal vitamins in the morning
E. Consume ginger tea
Answer: A, B, E
Rationale: Dry crackers, avoiding greasy foods, and ginger tea reduce nausea.
Fluids should be taken between meals, and vitamins at bedtime.
5. A client’s LMP was May 15, 2025. Using Naegele’s rule, what is the
expected date of delivery (EDD)?
A. February 22, 2026
B. February 15, 2026
C. February 8, 2026
D. January 31, 2026
Answer: A
Rationale: Naegele’s rule: May 15 + 7 days = May 22, 2025; subtract 3 months
= February 22, 2025; add 1 year = February 22, 2026.
6. A client at 34 weeks gestation is diagnosed with gestational diabetes.
Which teaching point is priority?
A. Monitor blood glucose daily
B. Restrict all carbohydrates
C. Avoid exercise
D. Skip meals to control glucose
Answer: A
Rationale: Daily blood glucose monitoring is essential for managing gestational
diabetes.
7. A client with hyperemesis gravidarum is admitted. Which laboratory
finding is most concerning?
A. Sodium 135 mEq/L
B. Ketonuria
C. Glucose 90 mg/dL
D. Hemoglobin 12 g/dL
3
