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# ATI MATERNAL NEWBORN NURSING
PRACTICE QUESTION BANK
## 2026-2027 ACADEMIC YEAR | 350+
QUESTIONS WITH DETAILED
RATIONALES
jere
# SECTION 1: ANTEPARTUM CARE (PRENATAL)
## Questions 1-80
### PRECONCEPTION & PRENATAL HEALTH
#### (Questions 1-10)
### Question 1
**Cognitive Level:** Remembering
A nurse is providing preconception counseling to a client. Which of the following
is the recommended daily dose of folic acid for all women of childbearing age to
prevent neural tube defects?
A) 0.1 mg (100 mcg)
B) 0.4 mg (400 mcg)
C) 1.0 mg (1,000 mcg)
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D) 4.0 mg (4,000 mcg)
---
**Correct Answer: B) 0.4 mg (400 mcg)**
**Rationale for Correct Answer:** The CDC and USPSTF recommend that all
women of childbearing age consume 0.4 mg (400 mcg) of folic acid daily to
prevent neural tube defects. Folic acid supplementation should begin at least 1
month before conception and continue through the first trimester.
**Rationale for Incorrect Answers:**
- **A) 0.1 mg (100 mcg):** This dose is insufficient for neural tube defect
prevention.
- **C) 1.0 mg (1,000 mcg):** This higher dose is typically reserved for women
with a previous history of neural tube defects, diabetes, or those taking
anticonvulsant medications.
- **D) 4.0 mg (4,000 mcg):** This dose is only indicated for women with a
previous neural tube defect-affected pregnancy.
---
### Question 2
**Cognitive Level:** Understanding
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A nurse is teaching a client about immunizations before pregnancy. Which of the
following vaccines should be avoided during pregnancy and should be given at
least 1 month before conception?
A) Influenza vaccine
B) Tdap vaccine
C) MMR vaccine
D) COVID-19 vaccine
---
**Correct Answer: C) MMR vaccine**
**Rationale for Correct Answer:** The MMR (measles, mumps, rubella) vaccine
is a live attenuated vaccine and is contraindicated during pregnancy due to the
theoretical risk of fetal infection. Women should wait at least 1 month after
receiving the MMR vaccine before becoming pregnant. Pregnancy should be
avoided for at least 4 weeks after vaccination.
**Rationale for Incorrect Answers:**
- **A) Influenza vaccine:** The inactivated influenza vaccine is safe and
recommended during pregnancy.
- **B) Tdap vaccine:** The Tdap vaccine is recommended during pregnancy
(between 27-36 weeks) to provide passive immunity to the newborn.
- **D) COVID-19 vaccine:** COVID-19 vaccines are recommended during
pregnancy.
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### Question 3
**Cognitive Level:** Applying
A client at her first prenatal visit asks the nurse when her due date is. Her last
menstrual period began on January 15. According to Naegele's rule, what is her
estimated date of delivery (EDD)?
A) October 8
B) October 15
C) October 22
D) November 1
---
**Correct Answer: C) October 22**
**Rationale for Correct Answer:** Naegele's rule is calculated by subtracting 3
months from the first day of the last menstrual period (LMP) and adding 7 days.
January 15 minus 3 months = October 15; October 15 + 7 days = October 22.
Therefore, the EDD is October 22.
**Rationale for Incorrect Answers:**
- **A) October 8:** This would be if 7 days were subtracted instead of added.
- **B) October 15:** This represents the date after subtracting 3 months but
without adding 7 days.
# ATI MATERNAL NEWBORN NURSING
PRACTICE QUESTION BANK
## 2026-2027 ACADEMIC YEAR | 350+
QUESTIONS WITH DETAILED
RATIONALES
jere
# SECTION 1: ANTEPARTUM CARE (PRENATAL)
## Questions 1-80
### PRECONCEPTION & PRENATAL HEALTH
#### (Questions 1-10)
### Question 1
**Cognitive Level:** Remembering
A nurse is providing preconception counseling to a client. Which of the following
is the recommended daily dose of folic acid for all women of childbearing age to
prevent neural tube defects?
A) 0.1 mg (100 mcg)
B) 0.4 mg (400 mcg)
C) 1.0 mg (1,000 mcg)
,2|Page
D) 4.0 mg (4,000 mcg)
---
**Correct Answer: B) 0.4 mg (400 mcg)**
**Rationale for Correct Answer:** The CDC and USPSTF recommend that all
women of childbearing age consume 0.4 mg (400 mcg) of folic acid daily to
prevent neural tube defects. Folic acid supplementation should begin at least 1
month before conception and continue through the first trimester.
**Rationale for Incorrect Answers:**
- **A) 0.1 mg (100 mcg):** This dose is insufficient for neural tube defect
prevention.
- **C) 1.0 mg (1,000 mcg):** This higher dose is typically reserved for women
with a previous history of neural tube defects, diabetes, or those taking
anticonvulsant medications.
- **D) 4.0 mg (4,000 mcg):** This dose is only indicated for women with a
previous neural tube defect-affected pregnancy.
---
### Question 2
**Cognitive Level:** Understanding
,3|Page
A nurse is teaching a client about immunizations before pregnancy. Which of the
following vaccines should be avoided during pregnancy and should be given at
least 1 month before conception?
A) Influenza vaccine
B) Tdap vaccine
C) MMR vaccine
D) COVID-19 vaccine
---
**Correct Answer: C) MMR vaccine**
**Rationale for Correct Answer:** The MMR (measles, mumps, rubella) vaccine
is a live attenuated vaccine and is contraindicated during pregnancy due to the
theoretical risk of fetal infection. Women should wait at least 1 month after
receiving the MMR vaccine before becoming pregnant. Pregnancy should be
avoided for at least 4 weeks after vaccination.
**Rationale for Incorrect Answers:**
- **A) Influenza vaccine:** The inactivated influenza vaccine is safe and
recommended during pregnancy.
- **B) Tdap vaccine:** The Tdap vaccine is recommended during pregnancy
(between 27-36 weeks) to provide passive immunity to the newborn.
- **D) COVID-19 vaccine:** COVID-19 vaccines are recommended during
pregnancy.
, 4|Page
### Question 3
**Cognitive Level:** Applying
A client at her first prenatal visit asks the nurse when her due date is. Her last
menstrual period began on January 15. According to Naegele's rule, what is her
estimated date of delivery (EDD)?
A) October 8
B) October 15
C) October 22
D) November 1
---
**Correct Answer: C) October 22**
**Rationale for Correct Answer:** Naegele's rule is calculated by subtracting 3
months from the first day of the last menstrual period (LMP) and adding 7 days.
January 15 minus 3 months = October 15; October 15 + 7 days = October 22.
Therefore, the EDD is October 22.
**Rationale for Incorrect Answers:**
- **A) October 8:** This would be if 7 days were subtracted instead of added.
- **B) October 15:** This represents the date after subtracting 3 months but
without adding 7 days.
