ATI RN MATERNAL NEWBORN FINAL EXAM
COMPREHENSIVE PRACTICE (2026/2027 EDITION)
150 Multiple-Choice Questions - Complete Practice Exam
Independent-Study Disclaimer
This practice examination is an independent study aid and is not affiliated with, endorsed by, or sponsored by ATI
Nursing Education or any other testing organization. It is provided for educational and self-assessment purposes
only and is not a substitute for official nursing curricula, the NCLEX test plan, or professional guidance.
Guidelines are subject to change; always consult current ACOG, AWHONN, and ATI resources and clinical best
practices.
, Section 1: Antepartum Care – Prenatal Assessment, Fetal Development,
and Maternal Adaptations (25 questions)
Q1: A normal fetal heart rate is typically:
A. 60 to 90 bpm
B. 90 to 110 bpm
C. 170 to 200 bpm
D. 110 to 160 beats per minute [CORRECT]
Correct Answer: D
Rationale: The normal baseline fetal heart rate is 110-160 bpm. The other ranges are outside normal.
Q2: Fundal height in centimeters generally corresponds to:
A. The mother's height
B. Fetal weight in grams
C. Gestational age in weeks (after about 20 weeks) [CORRECT]
D. The number of fetuses
Correct Answer: C
Rationale: Fundal height in cm approximates gestational age in weeks from about 20 weeks. It is not based
on maternal height or fetal weight.
Q3: Which of the following is a normal maternal adaptation of pregnancy in the cardiovascular system?
A. Decreased heart rate
B. Increased blood volume and cardiac output [CORRECT]
C. Decreased blood volume
D. No change in blood volume
Correct Answer: B
Rationale: Pregnancy increases blood volume and cardiac output. Heart rate typically increases, not
decreases.
Q4: Which of the following is a danger sign of pregnancy that requires prompt reporting?
A. Mild fatigue
B. Bleeding, visual disturbances, or epigastric pain [CORRECT]
C. Occasional nausea
D. Increased fetal movement
Correct Answer: B
Rationale: Bleeding, visual disturbances, epigastric pain, and severe swelling are danger signs. Mild fatigue
and nausea are common.
ATI RN Maternal Newborn Final Exam - 2026/2027 Edition Page 2
, Q5: Which prenatal supplement is most important for preventing neural tube defects?
A. Folic acid [CORRECT]
B. Iron
C. Calcium
D. Vitamin C
Correct Answer: A
Rationale: Folic acid reduces the risk of neural tube defects. Iron, calcium, and vitamin C address other
needs.
Q6: The first trimester is defined as approximately:
A. Weeks 13 through 26
B. Weeks 1 through 12 [CORRECT]
C. Weeks 27 through 40
D. Weeks 36 through 42
Correct Answer: B
Rationale: The first trimester is weeks 1-12. Second is 13-26, and third is 27-40.
Q7: A nonstress test (NST) is considered reactive (reassuring) when:
A. There are at least two fetal heart rate accelerations within the test period [CORRECT]
B. There is no variability
C. The FHR is below 100 bpm
D. There are late decelerations
Correct Answer: A
Rationale: A reactive NST shows at least two accelerations in a set period. Absent variability, low FHR, and
late decelerations are nonreassuring.
Q8: Which of the following is a normal finding when assessing fetal movement?
A. No movement for days
B. Only occasional weak movement
C. Continuous rapid movement with no rest
D. The mother perceives regular fetal movement [CORRECT]
Correct Answer: D
Rationale: Regular perceived fetal movement is reassuring. Absent movement warrants evaluation.
Q9: Which nutrient is increased during pregnancy to support maternal blood volume and prevent anemia?
A. Folic acid is the only supplement
B. Calcium
C. Iron [CORRECT]
D. Vitamin K
Correct Answer: C
Rationale: Iron supports increased blood volume and prevents anemia. Folic acid prevents NTDs, and
calcium supports bones.
ATI RN Maternal Newborn Final Exam - 2026/2027 Edition Page 3
, Q10: The embryonic stage of fetal development spans approximately:
A. Weeks 1 through 2
B. Weeks 9 through 40
C. Weeks 3 through 8 (organogenesis) [CORRECT]
D. Weeks 20 through 40
Correct Answer: C
Rationale: The embryonic stage (organogenesis) spans weeks 3-8. Before this is the pre-embryonic, and
after is the fetal stage.
Q11: Which of the following is a respiratory adaptation to pregnancy?
A. Increased oxygen demand and increased tidal volume [CORRECT]
B. Decreased oxygen demand
C. Decreased respiratory rate only
D. No change in lung function
Correct Answer: A
Rationale: Pregnancy increases oxygen demand and tidal volume. The others are incorrect.
Q12: Which of the following is a renal adaptation to pregnancy?
A. Increased glomerular filtration rate and urinary frequency [CORRECT]
B. Decreased GFR
C. Decreased urine output
D. No change in renal function
Correct Answer: A
Rationale: Pregnancy increases GFR and causes urinary frequency. The others are incorrect.
Q13: A pregnant client with severe, persistent headache and blurred vision should be evaluated for:
A. Normal pregnancy discomfort
B. Anemia
C. Preeclampsia/hypertensive disorders [CORRECT]
D. Constipation
Correct Answer: C
Rationale: Severe headache and visual disturbances are signs of preeclampsia. They are not normal
discomfort or anemia.
Q14: Which of the following is a danger sign during pregnancy?
A. Mild heartburn
B. Occasional back pain
C. Braxton Hicks contractions
D. Epigastric pain, swelling of the face/hands, and decreased fetal movement [CORRECT]
Correct Answer: D
Rationale: Epigastric pain, facial/hand swelling, and decreased fetal movement are danger signs. Heartburn
and back pain are common.
ATI RN Maternal Newborn Final Exam - 2026/2027 Edition Page 4
COMPREHENSIVE PRACTICE (2026/2027 EDITION)
150 Multiple-Choice Questions - Complete Practice Exam
Independent-Study Disclaimer
This practice examination is an independent study aid and is not affiliated with, endorsed by, or sponsored by ATI
Nursing Education or any other testing organization. It is provided for educational and self-assessment purposes
only and is not a substitute for official nursing curricula, the NCLEX test plan, or professional guidance.
Guidelines are subject to change; always consult current ACOG, AWHONN, and ATI resources and clinical best
practices.
, Section 1: Antepartum Care – Prenatal Assessment, Fetal Development,
and Maternal Adaptations (25 questions)
Q1: A normal fetal heart rate is typically:
A. 60 to 90 bpm
B. 90 to 110 bpm
C. 170 to 200 bpm
D. 110 to 160 beats per minute [CORRECT]
Correct Answer: D
Rationale: The normal baseline fetal heart rate is 110-160 bpm. The other ranges are outside normal.
Q2: Fundal height in centimeters generally corresponds to:
A. The mother's height
B. Fetal weight in grams
C. Gestational age in weeks (after about 20 weeks) [CORRECT]
D. The number of fetuses
Correct Answer: C
Rationale: Fundal height in cm approximates gestational age in weeks from about 20 weeks. It is not based
on maternal height or fetal weight.
Q3: Which of the following is a normal maternal adaptation of pregnancy in the cardiovascular system?
A. Decreased heart rate
B. Increased blood volume and cardiac output [CORRECT]
C. Decreased blood volume
D. No change in blood volume
Correct Answer: B
Rationale: Pregnancy increases blood volume and cardiac output. Heart rate typically increases, not
decreases.
Q4: Which of the following is a danger sign of pregnancy that requires prompt reporting?
A. Mild fatigue
B. Bleeding, visual disturbances, or epigastric pain [CORRECT]
C. Occasional nausea
D. Increased fetal movement
Correct Answer: B
Rationale: Bleeding, visual disturbances, epigastric pain, and severe swelling are danger signs. Mild fatigue
and nausea are common.
ATI RN Maternal Newborn Final Exam - 2026/2027 Edition Page 2
, Q5: Which prenatal supplement is most important for preventing neural tube defects?
A. Folic acid [CORRECT]
B. Iron
C. Calcium
D. Vitamin C
Correct Answer: A
Rationale: Folic acid reduces the risk of neural tube defects. Iron, calcium, and vitamin C address other
needs.
Q6: The first trimester is defined as approximately:
A. Weeks 13 through 26
B. Weeks 1 through 12 [CORRECT]
C. Weeks 27 through 40
D. Weeks 36 through 42
Correct Answer: B
Rationale: The first trimester is weeks 1-12. Second is 13-26, and third is 27-40.
Q7: A nonstress test (NST) is considered reactive (reassuring) when:
A. There are at least two fetal heart rate accelerations within the test period [CORRECT]
B. There is no variability
C. The FHR is below 100 bpm
D. There are late decelerations
Correct Answer: A
Rationale: A reactive NST shows at least two accelerations in a set period. Absent variability, low FHR, and
late decelerations are nonreassuring.
Q8: Which of the following is a normal finding when assessing fetal movement?
A. No movement for days
B. Only occasional weak movement
C. Continuous rapid movement with no rest
D. The mother perceives regular fetal movement [CORRECT]
Correct Answer: D
Rationale: Regular perceived fetal movement is reassuring. Absent movement warrants evaluation.
Q9: Which nutrient is increased during pregnancy to support maternal blood volume and prevent anemia?
A. Folic acid is the only supplement
B. Calcium
C. Iron [CORRECT]
D. Vitamin K
Correct Answer: C
Rationale: Iron supports increased blood volume and prevents anemia. Folic acid prevents NTDs, and
calcium supports bones.
ATI RN Maternal Newborn Final Exam - 2026/2027 Edition Page 3
, Q10: The embryonic stage of fetal development spans approximately:
A. Weeks 1 through 2
B. Weeks 9 through 40
C. Weeks 3 through 8 (organogenesis) [CORRECT]
D. Weeks 20 through 40
Correct Answer: C
Rationale: The embryonic stage (organogenesis) spans weeks 3-8. Before this is the pre-embryonic, and
after is the fetal stage.
Q11: Which of the following is a respiratory adaptation to pregnancy?
A. Increased oxygen demand and increased tidal volume [CORRECT]
B. Decreased oxygen demand
C. Decreased respiratory rate only
D. No change in lung function
Correct Answer: A
Rationale: Pregnancy increases oxygen demand and tidal volume. The others are incorrect.
Q12: Which of the following is a renal adaptation to pregnancy?
A. Increased glomerular filtration rate and urinary frequency [CORRECT]
B. Decreased GFR
C. Decreased urine output
D. No change in renal function
Correct Answer: A
Rationale: Pregnancy increases GFR and causes urinary frequency. The others are incorrect.
Q13: A pregnant client with severe, persistent headache and blurred vision should be evaluated for:
A. Normal pregnancy discomfort
B. Anemia
C. Preeclampsia/hypertensive disorders [CORRECT]
D. Constipation
Correct Answer: C
Rationale: Severe headache and visual disturbances are signs of preeclampsia. They are not normal
discomfort or anemia.
Q14: Which of the following is a danger sign during pregnancy?
A. Mild heartburn
B. Occasional back pain
C. Braxton Hicks contractions
D. Epigastric pain, swelling of the face/hands, and decreased fetal movement [CORRECT]
Correct Answer: D
Rationale: Epigastric pain, facial/hand swelling, and decreased fetal movement are danger signs. Heartburn
and back pain are common.
ATI RN Maternal Newborn Final Exam - 2026/2027 Edition Page 4
