PN ATI Maternal Newborn 2025/2026
Proctored Exam OA ACTUAL STUDY
GUIDE WITH FULL QUESTIONS &
ANSWERS || 100% VERIFIED PASS
VERSION
PN ATI Maternal Newborn 2025/2026 Proctored Exam Study Guide
Reproductive System & Fetal Development
1. Where does fertilization of the ovum typically occur?
A. Uterus
B. Cervix
C. Fallopian Tube
D. Ovary
• Fertilization, the union of sperm and egg, most commonly occurs in the
ampulla of the fallopian tube.
2. What is the primary hormone produced by the corpus luteum?
A. Estrogen
B. Human Chorionic Gonadotropin (hCG)
C. Progesterone
D. Follicle-Stimulating Hormone (FSH)
• The corpus luteum secretes progesterone to maintain the endometrial lining
of the uterus in early pregnancy until the placenta takes over.
3. The umbilical cord contains:
A. Two arteries and one vein
B. Two veins and one artery
C. One artery and one vein
D. Two arteries and two veins
, • The two umbilical arteries carry deoxygenated blood from the fetus to the
placenta, and the one umbilical vein carries oxygenated blood to the fetus.
4. Which fetal structure allows most blood to bypass the non-functioning
lungs?
A. Ductus venosus
B. Foramen ovale
C. Ductus arteriosus
D. Umbilical vein
• The foramen ovale is a shunt that allows blood to flow from the right atrium
directly to the left atrium, bypassing the pulmonary circulation.
5. The hormone responsible for stimulating milk production is:
A. Prolactin
B. Oxytocin
C. Progesterone
D. Estrogen
• Prolactin, produced by the anterior pituitary gland, is responsible for
lactogenesis (milk production).
Prenatal Care
6. A client's last menstrual period (LMP) was January 1st. Using Naegele's
rule, what is her estimated date of delivery (EDD)?
A. September 8th
B. October 8th
C. September 15th
D. October 1st
• *Naegele's Rule: January 1st + 7 days = January 8th, minus 3 months =
October 8th.*
7. A pregnant client at 12 weeks gestation reports frequent nausea and
vomiting. What is the most appropriate initial advice?
A. "Stop taking your prenatal vitamins."
B. "Eat small, frequent meals and dry crackers before getting out of bed."
, C. "Drink large amounts of fluid with your meals."
D. "Schedule an appointment for a prescription antiemetic."
• Dietary and lifestyle modifications, such as small, frequent meals and dry
carbohydrates, are the first-line, non-pharmacological interventions for
morning sickness.
8. A primigravida client is scheduled for her first prenatal visit. The nurse
anticipates the Papanicolaou (Pap) test will be performed to screen for:
A. Ovarian cancer
B. Cervical cancer
C. Breast cancer
D. Endometrial cancer
• A Pap test is a standard screening procedure for cervical dysplasia and
cervical cancer.
9. Which finding during a prenatal visit would require immediate further
investigation?
A. Blood pressure 130/80 mmHg
B. Dependent edema in the ankles
C. Report of vaginal bleeding
D. Weight gain of 1 pound in a week
• Vaginal bleeding at any point in pregnancy is abnormal and could indicate
complications like placenta previa, abruption, or miscarriage, requiring
immediate evaluation.
10. The nurse is teaching a prenatal class about nutrition. Which statement by
a client indicates a need for further teaching?
A. "I need to increase my folic acid intake to prevent neural tube defects."
B. "I should eat an additional 300-500 calories per day during pregnancy."
C. "I can satisfy my increased iron needs by eating more red meat and leafy
greens."
D. "I am going to start a low-carbohydrate diet to manage my weight gain."
• Pregnancy is not a time for restrictive dieting. Carbohydrates are a crucial
source of energy for both the mother and the developing fetus.
Proctored Exam OA ACTUAL STUDY
GUIDE WITH FULL QUESTIONS &
ANSWERS || 100% VERIFIED PASS
VERSION
PN ATI Maternal Newborn 2025/2026 Proctored Exam Study Guide
Reproductive System & Fetal Development
1. Where does fertilization of the ovum typically occur?
A. Uterus
B. Cervix
C. Fallopian Tube
D. Ovary
• Fertilization, the union of sperm and egg, most commonly occurs in the
ampulla of the fallopian tube.
2. What is the primary hormone produced by the corpus luteum?
A. Estrogen
B. Human Chorionic Gonadotropin (hCG)
C. Progesterone
D. Follicle-Stimulating Hormone (FSH)
• The corpus luteum secretes progesterone to maintain the endometrial lining
of the uterus in early pregnancy until the placenta takes over.
3. The umbilical cord contains:
A. Two arteries and one vein
B. Two veins and one artery
C. One artery and one vein
D. Two arteries and two veins
, • The two umbilical arteries carry deoxygenated blood from the fetus to the
placenta, and the one umbilical vein carries oxygenated blood to the fetus.
4. Which fetal structure allows most blood to bypass the non-functioning
lungs?
A. Ductus venosus
B. Foramen ovale
C. Ductus arteriosus
D. Umbilical vein
• The foramen ovale is a shunt that allows blood to flow from the right atrium
directly to the left atrium, bypassing the pulmonary circulation.
5. The hormone responsible for stimulating milk production is:
A. Prolactin
B. Oxytocin
C. Progesterone
D. Estrogen
• Prolactin, produced by the anterior pituitary gland, is responsible for
lactogenesis (milk production).
Prenatal Care
6. A client's last menstrual period (LMP) was January 1st. Using Naegele's
rule, what is her estimated date of delivery (EDD)?
A. September 8th
B. October 8th
C. September 15th
D. October 1st
• *Naegele's Rule: January 1st + 7 days = January 8th, minus 3 months =
October 8th.*
7. A pregnant client at 12 weeks gestation reports frequent nausea and
vomiting. What is the most appropriate initial advice?
A. "Stop taking your prenatal vitamins."
B. "Eat small, frequent meals and dry crackers before getting out of bed."
, C. "Drink large amounts of fluid with your meals."
D. "Schedule an appointment for a prescription antiemetic."
• Dietary and lifestyle modifications, such as small, frequent meals and dry
carbohydrates, are the first-line, non-pharmacological interventions for
morning sickness.
8. A primigravida client is scheduled for her first prenatal visit. The nurse
anticipates the Papanicolaou (Pap) test will be performed to screen for:
A. Ovarian cancer
B. Cervical cancer
C. Breast cancer
D. Endometrial cancer
• A Pap test is a standard screening procedure for cervical dysplasia and
cervical cancer.
9. Which finding during a prenatal visit would require immediate further
investigation?
A. Blood pressure 130/80 mmHg
B. Dependent edema in the ankles
C. Report of vaginal bleeding
D. Weight gain of 1 pound in a week
• Vaginal bleeding at any point in pregnancy is abnormal and could indicate
complications like placenta previa, abruption, or miscarriage, requiring
immediate evaluation.
10. The nurse is teaching a prenatal class about nutrition. Which statement by
a client indicates a need for further teaching?
A. "I need to increase my folic acid intake to prevent neural tube defects."
B. "I should eat an additional 300-500 calories per day during pregnancy."
C. "I can satisfy my increased iron needs by eating more red meat and leafy
greens."
D. "I am going to start a low-carbohydrate diet to manage my weight gain."
• Pregnancy is not a time for restrictive dieting. Carbohydrates are a crucial
source of energy for both the mother and the developing fetus.
