ATI Maternal Newborn Proctored Exam | 200 Practice
Questions & Detailed Answers | NGNStyle Q&A with Case
Scenarios | A+ Graded
Question 1
A nurse is assessing a client who is at 22 weeks of gestation and is HIV positive. Which action should the
nurse take?
A) Administer penicillin G 2.4 million units IM to the client
B) Instruct the client to schedule an annual pelvic examination
C) Tell the client she will start medication for HIV immediately after delivery
D) Report the client's condition to the local health department
Answer: D
Rationale: The nurse should report HIV to the local health department. HIV is one of the conditions on
the list of Nationally Notifiable Infectious Diseases. Antiretroviral therapy should be continued
throughout pregnancy to reduce vertical transmission.
Question 2
A nurse is calculating a due date using Naegele's rule for a client whose last menstrual period began on
May 10. Which date is correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B
,Rationale: Naegele's rule: subtract 3 months, add 7 days. May 10 → February 10 + 7 days = February 17.
Question 3
Which finding is a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer: C
Rationale: Positive signs confirm pregnancy (fetal heart tones, ultrasound visualization, fetal movement
felt by examiner). Amenorrhea, Chadwick's sign, and nausea are probable/presumptive signs.
Question 4
A nurse teaches a client about folic acid. Which statement indicates understanding?
A) "It prevents iron deficiency anemia."
B) "It reduces risk of neural tube defects."
C) "It is only needed in the third trimester."
D) "It is found mainly in dairy products."
Answer: B
Rationale: Folic acid (400800 mcg daily) in early pregnancy prevents neural tube defects like spina bifida.
,Question 5
A nurse is caring for a client who is at 38 weeks of gestation and reports fluid leaking from the vagina.
Which of the following actions should the nurse take first?
A) Check the amniotic fluid with nitrazine paper
B) Prepare the client for an emergency cesarean section
C) Administer oxytocin to augment labor
D) Check the fetal heart rate
Answer: D
Rationale: After rupture of membranes, the priority is to assess fetal wellbeing. Cord prolapse is a risk,
so the nurse should first auscultate the fetal heart rate to ensure no signs of distress.
Question 6
A nurse is assessing a newborn who was born 2 hours ago. Which finding requires immediate
intervention?
A) Grunting respirations
B) Acrocyanosis
C) Heart rate of 160/min
D) Axillary temperature of 97.8°F (36.6°C)
Answer: A
Rationale: Grunting is a sign of respiratory distress in a newborn, indicating possible retained fluid,
pneumothorax, or infection. Acrocyanosis is normal in the first 24 hours.
, Question 7
A nurse is administering magnesium sulfate IV to a client with severe preeclampsia. Which finding
indicates magnesium toxicity?
A) Respiratory rate of 14/min
B) Deep tendon reflexes 3+
C) Urine output 25 mL/hour
D) Absent patellar reflexes
Answer: D
Rationale: Absent patellar reflexes indicate magnesium toxicity. Other signs include respiratory
depression (<12/min) and oliguria (<30 mL/hour).
Question 8
What is the recommended weight gain for a woman with a normal BMI during pregnancy?
A) 1520 pounds
B) 2535 pounds
C) 3040 pounds
D) 1015 pounds
Answer: B
Rationale: The Institute of Medicine recommends that women with a normal BMI gain 2535 pounds
during pregnancy to support fetal development and maternal health.
Questions & Detailed Answers | NGNStyle Q&A with Case
Scenarios | A+ Graded
Question 1
A nurse is assessing a client who is at 22 weeks of gestation and is HIV positive. Which action should the
nurse take?
A) Administer penicillin G 2.4 million units IM to the client
B) Instruct the client to schedule an annual pelvic examination
C) Tell the client she will start medication for HIV immediately after delivery
D) Report the client's condition to the local health department
Answer: D
Rationale: The nurse should report HIV to the local health department. HIV is one of the conditions on
the list of Nationally Notifiable Infectious Diseases. Antiretroviral therapy should be continued
throughout pregnancy to reduce vertical transmission.
Question 2
A nurse is calculating a due date using Naegele's rule for a client whose last menstrual period began on
May 10. Which date is correct?
A) February 3
B) February 17
C) March 3
D) March 17
Answer: B
,Rationale: Naegele's rule: subtract 3 months, add 7 days. May 10 → February 10 + 7 days = February 17.
Question 3
Which finding is a positive sign of pregnancy?
A) Amenorrhea
B) Chadwick's sign
C) Fetal heartbeat on Doppler
D) Nausea
Answer: C
Rationale: Positive signs confirm pregnancy (fetal heart tones, ultrasound visualization, fetal movement
felt by examiner). Amenorrhea, Chadwick's sign, and nausea are probable/presumptive signs.
Question 4
A nurse teaches a client about folic acid. Which statement indicates understanding?
A) "It prevents iron deficiency anemia."
B) "It reduces risk of neural tube defects."
C) "It is only needed in the third trimester."
D) "It is found mainly in dairy products."
Answer: B
Rationale: Folic acid (400800 mcg daily) in early pregnancy prevents neural tube defects like spina bifida.
,Question 5
A nurse is caring for a client who is at 38 weeks of gestation and reports fluid leaking from the vagina.
Which of the following actions should the nurse take first?
A) Check the amniotic fluid with nitrazine paper
B) Prepare the client for an emergency cesarean section
C) Administer oxytocin to augment labor
D) Check the fetal heart rate
Answer: D
Rationale: After rupture of membranes, the priority is to assess fetal wellbeing. Cord prolapse is a risk,
so the nurse should first auscultate the fetal heart rate to ensure no signs of distress.
Question 6
A nurse is assessing a newborn who was born 2 hours ago. Which finding requires immediate
intervention?
A) Grunting respirations
B) Acrocyanosis
C) Heart rate of 160/min
D) Axillary temperature of 97.8°F (36.6°C)
Answer: A
Rationale: Grunting is a sign of respiratory distress in a newborn, indicating possible retained fluid,
pneumothorax, or infection. Acrocyanosis is normal in the first 24 hours.
, Question 7
A nurse is administering magnesium sulfate IV to a client with severe preeclampsia. Which finding
indicates magnesium toxicity?
A) Respiratory rate of 14/min
B) Deep tendon reflexes 3+
C) Urine output 25 mL/hour
D) Absent patellar reflexes
Answer: D
Rationale: Absent patellar reflexes indicate magnesium toxicity. Other signs include respiratory
depression (<12/min) and oliguria (<30 mL/hour).
Question 8
What is the recommended weight gain for a woman with a normal BMI during pregnancy?
A) 1520 pounds
B) 2535 pounds
C) 3040 pounds
D) 1015 pounds
Answer: B
Rationale: The Institute of Medicine recommends that women with a normal BMI gain 2535 pounds
during pregnancy to support fetal development and maternal health.
