,ATI RN Maternal Newborn Actual Exam (PDF) | (2026) NGN-Style
Q&A | ATI Nursing Exam
1. A nurse is providing teaching to a client who is at 8 weeks of gestation about
manifestations to report to the provider during pregnancy. Which information should the
nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
Correct Answer: Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia or gestational hypertension
and should be reported immediately. Nausea upon awakening is a common first-trimester
discomfort. Increased white vaginal discharge (leukorrhea) is normal during pregnancy. Leg
cramps are common in later pregnancy.
2. A nurse is caring for a client who believes she may be pregnant. Which finding should the
nurse identify as a positive sign of pregnancyA) Palpable fetal movement
B) Amenorrhea
C) Chadwick's sign
D) Positive pregnancy test
Correct Answer: Palpable fetal movement
Rationale: Palpable fetal movement (quickening felt by the examiner) is a positive sign of
pregnancy. Amenorrhea and Chadwick's sign are probable signs. A positive pregnancy test is
also a probable sign because false positives can occur.
,3. A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which statement
should the nurse include in the teaching?
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the pregnancy."
Correct Answer: "You should continue to take zidovudine throughout the pregnancy."
Rationale: Taking prescription antiviral medication daily decreases the risk of transmission of
HIV to the newborn. HIV can be transmitted through breastfeeding, so breastfeeding is
contraindicated. Isolation after delivery is not indicated.
4. 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
Correct Answer: Report the client's condition to the local health department
Rationale: HIV is one of the conditions on the list of Nationally Notifiable Infectious
Diseases, and the nurse should report it to the local health department. Antiretroviral
therapy should be started during pregnancy, not after delivery.
5. A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a
younger sibling. Which statement should the nurse make?
A) "You should hold your newborn in your arms when you introduce him to your toddler."
B) "You should move your toddler out of her crib 2 weeks prior to your due date."
, C) "You should place your toddler in timeout if she exhibits regressive behavior after the
baby is born."
D) "You should buy a doll for your toddler to care for."
Correct Answer: "You should hold your newborn in your arms when you introduce him to
your toddler."
Rationale: The nurse should recommend holding the newborn in arms when introducing the
toddler to the new sibling to allow for a positive first interaction. Moving the toddler out of
the crib should be done well before the due date, not just 2 weeks prior.
6. A nurse is assessing a client at 28 weeks of gestation who is experiencing contractions
every 6 minutes. The cervix is 2 cm dilated and 50% effaced. The client reports no vaginal
bleeding or fluid leakage. Which of the following actions should the nurse take?
A) Administer oral nifedipine
B) Administer betamethasone
C) Place the client in Trendelenburg position
D) Obtain a baseline fetal heart rate
Correct Answer: Obtain a baseline fetal heart rate
Rationale: The priority action is to assess fetal well-being by obtaining a baseline fetal heart
rate. The client is in preterm labor, but assessment of fetal status should precede
interventions such as tocolytics or corticosteroids.
7. A nurse is caring for a client who is at 38 weeks of gestation and experiencing
spontaneous rupture of membranes (ROM). Which action should the nurse take first?
A) Check the fetal heart rate
B) Assess the color and odor of the fluid
C) Perform a sterile vaginal exam
D) Notify the provider
Q&A | ATI Nursing Exam
1. A nurse is providing teaching to a client who is at 8 weeks of gestation about
manifestations to report to the provider during pregnancy. Which information should the
nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
Correct Answer: Blurred or double vision
Rationale: Blurred or double vision can indicate preeclampsia or gestational hypertension
and should be reported immediately. Nausea upon awakening is a common first-trimester
discomfort. Increased white vaginal discharge (leukorrhea) is normal during pregnancy. Leg
cramps are common in later pregnancy.
2. A nurse is caring for a client who believes she may be pregnant. Which finding should the
nurse identify as a positive sign of pregnancyA) Palpable fetal movement
B) Amenorrhea
C) Chadwick's sign
D) Positive pregnancy test
Correct Answer: Palpable fetal movement
Rationale: Palpable fetal movement (quickening felt by the examiner) is a positive sign of
pregnancy. Amenorrhea and Chadwick's sign are probable signs. A positive pregnancy test is
also a probable sign because false positives can occur.
,3. A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which statement
should the nurse include in the teaching?
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the pregnancy."
Correct Answer: "You should continue to take zidovudine throughout the pregnancy."
Rationale: Taking prescription antiviral medication daily decreases the risk of transmission of
HIV to the newborn. HIV can be transmitted through breastfeeding, so breastfeeding is
contraindicated. Isolation after delivery is not indicated.
4. 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
Correct Answer: Report the client's condition to the local health department
Rationale: HIV is one of the conditions on the list of Nationally Notifiable Infectious
Diseases, and the nurse should report it to the local health department. Antiretroviral
therapy should be started during pregnancy, not after delivery.
5. A client who is 16 weeks of gestation asks the nurse how to prepare her toddler for a
younger sibling. Which statement should the nurse make?
A) "You should hold your newborn in your arms when you introduce him to your toddler."
B) "You should move your toddler out of her crib 2 weeks prior to your due date."
, C) "You should place your toddler in timeout if she exhibits regressive behavior after the
baby is born."
D) "You should buy a doll for your toddler to care for."
Correct Answer: "You should hold your newborn in your arms when you introduce him to
your toddler."
Rationale: The nurse should recommend holding the newborn in arms when introducing the
toddler to the new sibling to allow for a positive first interaction. Moving the toddler out of
the crib should be done well before the due date, not just 2 weeks prior.
6. A nurse is assessing a client at 28 weeks of gestation who is experiencing contractions
every 6 minutes. The cervix is 2 cm dilated and 50% effaced. The client reports no vaginal
bleeding or fluid leakage. Which of the following actions should the nurse take?
A) Administer oral nifedipine
B) Administer betamethasone
C) Place the client in Trendelenburg position
D) Obtain a baseline fetal heart rate
Correct Answer: Obtain a baseline fetal heart rate
Rationale: The priority action is to assess fetal well-being by obtaining a baseline fetal heart
rate. The client is in preterm labor, but assessment of fetal status should precede
interventions such as tocolytics or corticosteroids.
7. A nurse is caring for a client who is at 38 weeks of gestation and experiencing
spontaneous rupture of membranes (ROM). Which action should the nurse take first?
A) Check the fetal heart rate
B) Assess the color and odor of the fluid
C) Perform a sterile vaginal exam
D) Notify the provider
