ATI RN MATERNAL NEWBORN NURSING
Complete Test Bank
500 Exam-Style Questions
with Verified Answers & Detailed Rationales
Edition 12.0
A+ Graded • 2026 ATI Curriculum Standards
NCLEX-RN Maternal-Newborn Preparation
Aligned with current ACOG, AWHONN, and NRP guidelines
12 Core Sections 500 Verified Questions Detailed Rationales
Aligned with current ACOG, AWHONN, and NRP guidelines
,Table of Contents
Complete Test Bank — 12 Core Sections, 500 Questions
Section 1: Antepartum Nursing Care
Q1–Q50 | Prenatal Assessment, GTPAL, EDD Calculation, Nutrition, & Common Discomforts
Section 2: Antepartum Complications
Q51–Q96 | Hypertensive Disorders, Gestational Diabetes, Bleeding Disorders, PROM, & Multiple Gestation
Section 3: Intrapartum Nursing Care
Q97–Q148 | Labor Stages, Fetal Monitoring, Pain Management, & Comfort Measures
Section 4: Intrapartum Complications and Operative Birth
Q149–Q192 | Dystocia, Cord Prolapse, Shoulder Dystocia, Forceps/Vacuum, & Cesarean
Section 5: Postpartum Nursing Care
Q193–Q240 | Physiologic Changes, Fundal Assessment, Lochia, & Breastfeeding
Section 6: Postpartum Complications
Q241–Q282 | Hemorrhage, Infection, Endometritis, Thromboembolism, & Postpartum Depression
Section 7: Newborn Assessment and Transition
Q283–Q328 | APGAR, Physical Assessment, Gestational Age Assessment, & Thermoregulation
Section 8: High-Risk Newborn Care
Q329–Q374 | Preterm, Jaundice, Hypoglycemia, RDS, Sepsis, & Congenital Anomalies
Section 9: Reproductive and Women's Health
Q375–Q412 | Contraception, Menstrual Disorders, Menopause, & Infertility
Section 10: Maternal-Newborn Medications and Pharmacologic Considerations
Q413–Q444 | Oxytocics, Tocolytics, Antihypertensives, & Newborn Medications
Section 11: Prioritization, Safety, Cultural Care, and Patient Education
Q445–Q472 | Delegation, Emergency Response, Family-Centered Care, & Discharge Teaching
Section 12: NCLEX-RN Integration and Clinical Judgment
Q473–Q500 | Cross-Section Prioritization & Cumulative Maternal-Newborn Judgment
How to read each question: The stem is followed by four options (A–D). The correct option is marked [CORRECT] in green,
and the rationale explains why the correct option is right and why the distractors are wrong.
Aligned with current ACOG, AWHONN, and NRP guidelines
,ATI RN Maternal Newborn Nursing Edition 12.0 - Complete Test Bank 500 Verified Questions | A+ Graded 2026
SECTION 1 Q1 – Q50
Antepartum Nursing Care
Prenatal Assessment, GTPAL, EDD Calculation, Nutrition, & Common Discomforts
Cognitive distribution: 30% Recall • 50% Application • 20% Analysis | Scenario-based: 80% • Direct recall:
20% • 50 questions in this section
Q1: A nurse is caring for a client who is at 8 weeks of gestation. The client asks the nurse how the
estimated date of delivery (EDD) is calculated. Which of the following responses should the nurse
make?
A. The EDD is calculated by adding 7 days to the first day of the last menstrual period and
subtracting 3 months. [CORRECT]
B. The EDD is calculated by adding 14 days to the day of conception and adding 9 months.
C. The EDD is calculated by subtracting 7 days from the last day of the menstrual period and adding 9
months.
D. The EDD is calculated by adding 10 days to the day of ovulation and subtracting 2 months.
Correct Answer: A. The EDD is calculated by adding 7 days to the first day of the last menstrual period
and subtract...
Rationale: Naegele's rule calculates EDD by adding 7 days to the first day of the last menstrual period (LMP) and subtracting
3 months (then adding 1 year). This method assumes a 28-day cycle with ovulation on day 14. The other options use incorrect
starting points (conception day, last day of menses, or ovulation day) and incorrect arithmetic adjustments, which would
produce inaccurate due dates.
Q2: A client's LMP began on March 5. Using Naegele's rule, what is the estimated date of delivery?
A. December 8
B. December 12 [CORRECT]
C. November 28
D. January 5
Correct Answer: B. December 12
Rationale: Using Naegele's rule: add 7 days to March 5 = March 12; subtract 3 months = December 12. November 28 reflects
subtracting 3 months then adding 7 days in the wrong order. December 8 reflects adding 7 days to the wrong starting date.
January 5 simply adds 9 months without the 7-day adjustment.
Q3: A nurse is teaching a client at 10 weeks of gestation about expected body changes. Which of
the following findings should the nurse include as a normal physiological change in pregnancy?
A. Decreased basal metabolic rate
B. Increased blood volume by approximately 30-50% [CORRECT]
C. Decreased heart rate by 10-15 beats per minute
D. Decreased renal glucose threshold
Correct Answer: B. Increased blood volume by approximately 30-50%
Rationale: Blood volume increases 30-50% during pregnancy to support uteroplacental perfusion and protect against
hemorrhage at delivery. The basal metabolic rate increases, not decreases. Heart rate increases by 10-15 bpm, not decreases.
The renal threshold for glucose decreases, causing glucosuria, but this is a renal change rather than a generalized body change
2026 ATI Curriculum Standards - NCLEX-RN Maternal-Newborn Preparation Page 3
, ATI RN Maternal Newborn Nursing Edition 12.0 - Complete Test Bank 500 Verified Questions | A+ Graded 2026
expected in early teaching.
Q4: A nurse is performing a prenatal assessment on a client at 12 weeks of gestation. Which
finding should the nurse identify as requiring further evaluation?
A. Fundal height palpated just above the symphysis pubis
B. Blood pressure of 118/76 mmHg
C. Weight gain of 8 pounds since the first prenatal visit at 6 weeks [CORRECT]
D. Trace amounts of protein in the urine
Correct Answer: C. Weight gain of 8 pounds since the first prenatal visit at 6 weeks
Rationale: A weight gain of 8 pounds in 6 weeks during the first trimester exceeds recommended guidelines (1.1-4.4 lbs total
in the first trimester for normal BMI). This finding requires evaluation for potential complications such as fluid retention,
multiple gestation, or gestational hypertension. Fundal height above the symphysis at 12 weeks is expected. A BP of 118/76 is
normal. Trace protein can be normal due to vaginal secretions contaminating the specimen.
Q5: A nurse is calculating the GTPAL for a client who reports the following obstetric history: two
term births, one preterm birth, two miscarriages before 20 weeks, and three living children. What is
the correct GTPAL?
A. G5 T2 P1 A2 L3 [CORRECT]
B. G4 T2 P1 A2 L3
C. G5 T3 P1 A2 L3
D. G6 T2 P1 A2 L3
Correct Answer: A. G5 T2 P1 A2 L3
Rationale: G (gravida) = total pregnancies = 2 term + 1 preterm + 2 abortions = 5. T (term births) = 2. P (preterm births) = 1. A
(abortions, before 20 weeks) = 2. L (living children) = 3. Option B undercounts gravida. Option C miscounts term births.
Option D overcounts gravida.
Q6: A nurse is assessing a client at 32 weeks of gestation. Which finding should the nurse report
to the provider immediately?
A. Round ligament pain when changing positions
B. Visual disturbances described as flashing lights [CORRECT]
C. Braxton Hicks contractions occurring twice per hour
D. Shortness of breath when climbing one flight of stairs
Correct Answer: B. Visual disturbances described as flashing lights
Rationale: Visual disturbances such as flashing lights (scotomata) are a hallmark sign of preeclampsia with severe features,
indicating central nervous system involvement and impending eclampsia. This requires immediate evaluation. Round ligament
pain and Braxton Hicks contractions are normal in the third trimester. Mild dyspnea on exertion is expected due to upward
displacement of the diaphragm by the enlarging uterus.
Q7: A nurse is teaching a client who is at 16 weeks of gestation about prenatal nutritional needs.
Which of the following statements by the client indicates an understanding of the teaching?
A. I should gain about 2 pounds per week during the second trimester.
B. I should avoid all fish during pregnancy because of mercury.
C. I need to consume 600 mcg of folic acid daily from food and supplements. [CORRECT]
D. I should drink whole milk to ensure adequate calcium intake.
Correct Answer: C. I need to consume 600 mcg of folic acid daily from food and supplements.
2026 ATI Curriculum Standards - NCLEX-RN Maternal-Newborn Preparation Page 4
Complete Test Bank
500 Exam-Style Questions
with Verified Answers & Detailed Rationales
Edition 12.0
A+ Graded • 2026 ATI Curriculum Standards
NCLEX-RN Maternal-Newborn Preparation
Aligned with current ACOG, AWHONN, and NRP guidelines
12 Core Sections 500 Verified Questions Detailed Rationales
Aligned with current ACOG, AWHONN, and NRP guidelines
,Table of Contents
Complete Test Bank — 12 Core Sections, 500 Questions
Section 1: Antepartum Nursing Care
Q1–Q50 | Prenatal Assessment, GTPAL, EDD Calculation, Nutrition, & Common Discomforts
Section 2: Antepartum Complications
Q51–Q96 | Hypertensive Disorders, Gestational Diabetes, Bleeding Disorders, PROM, & Multiple Gestation
Section 3: Intrapartum Nursing Care
Q97–Q148 | Labor Stages, Fetal Monitoring, Pain Management, & Comfort Measures
Section 4: Intrapartum Complications and Operative Birth
Q149–Q192 | Dystocia, Cord Prolapse, Shoulder Dystocia, Forceps/Vacuum, & Cesarean
Section 5: Postpartum Nursing Care
Q193–Q240 | Physiologic Changes, Fundal Assessment, Lochia, & Breastfeeding
Section 6: Postpartum Complications
Q241–Q282 | Hemorrhage, Infection, Endometritis, Thromboembolism, & Postpartum Depression
Section 7: Newborn Assessment and Transition
Q283–Q328 | APGAR, Physical Assessment, Gestational Age Assessment, & Thermoregulation
Section 8: High-Risk Newborn Care
Q329–Q374 | Preterm, Jaundice, Hypoglycemia, RDS, Sepsis, & Congenital Anomalies
Section 9: Reproductive and Women's Health
Q375–Q412 | Contraception, Menstrual Disorders, Menopause, & Infertility
Section 10: Maternal-Newborn Medications and Pharmacologic Considerations
Q413–Q444 | Oxytocics, Tocolytics, Antihypertensives, & Newborn Medications
Section 11: Prioritization, Safety, Cultural Care, and Patient Education
Q445–Q472 | Delegation, Emergency Response, Family-Centered Care, & Discharge Teaching
Section 12: NCLEX-RN Integration and Clinical Judgment
Q473–Q500 | Cross-Section Prioritization & Cumulative Maternal-Newborn Judgment
How to read each question: The stem is followed by four options (A–D). The correct option is marked [CORRECT] in green,
and the rationale explains why the correct option is right and why the distractors are wrong.
Aligned with current ACOG, AWHONN, and NRP guidelines
,ATI RN Maternal Newborn Nursing Edition 12.0 - Complete Test Bank 500 Verified Questions | A+ Graded 2026
SECTION 1 Q1 – Q50
Antepartum Nursing Care
Prenatal Assessment, GTPAL, EDD Calculation, Nutrition, & Common Discomforts
Cognitive distribution: 30% Recall • 50% Application • 20% Analysis | Scenario-based: 80% • Direct recall:
20% • 50 questions in this section
Q1: A nurse is caring for a client who is at 8 weeks of gestation. The client asks the nurse how the
estimated date of delivery (EDD) is calculated. Which of the following responses should the nurse
make?
A. The EDD is calculated by adding 7 days to the first day of the last menstrual period and
subtracting 3 months. [CORRECT]
B. The EDD is calculated by adding 14 days to the day of conception and adding 9 months.
C. The EDD is calculated by subtracting 7 days from the last day of the menstrual period and adding 9
months.
D. The EDD is calculated by adding 10 days to the day of ovulation and subtracting 2 months.
Correct Answer: A. The EDD is calculated by adding 7 days to the first day of the last menstrual period
and subtract...
Rationale: Naegele's rule calculates EDD by adding 7 days to the first day of the last menstrual period (LMP) and subtracting
3 months (then adding 1 year). This method assumes a 28-day cycle with ovulation on day 14. The other options use incorrect
starting points (conception day, last day of menses, or ovulation day) and incorrect arithmetic adjustments, which would
produce inaccurate due dates.
Q2: A client's LMP began on March 5. Using Naegele's rule, what is the estimated date of delivery?
A. December 8
B. December 12 [CORRECT]
C. November 28
D. January 5
Correct Answer: B. December 12
Rationale: Using Naegele's rule: add 7 days to March 5 = March 12; subtract 3 months = December 12. November 28 reflects
subtracting 3 months then adding 7 days in the wrong order. December 8 reflects adding 7 days to the wrong starting date.
January 5 simply adds 9 months without the 7-day adjustment.
Q3: A nurse is teaching a client at 10 weeks of gestation about expected body changes. Which of
the following findings should the nurse include as a normal physiological change in pregnancy?
A. Decreased basal metabolic rate
B. Increased blood volume by approximately 30-50% [CORRECT]
C. Decreased heart rate by 10-15 beats per minute
D. Decreased renal glucose threshold
Correct Answer: B. Increased blood volume by approximately 30-50%
Rationale: Blood volume increases 30-50% during pregnancy to support uteroplacental perfusion and protect against
hemorrhage at delivery. The basal metabolic rate increases, not decreases. Heart rate increases by 10-15 bpm, not decreases.
The renal threshold for glucose decreases, causing glucosuria, but this is a renal change rather than a generalized body change
2026 ATI Curriculum Standards - NCLEX-RN Maternal-Newborn Preparation Page 3
, ATI RN Maternal Newborn Nursing Edition 12.0 - Complete Test Bank 500 Verified Questions | A+ Graded 2026
expected in early teaching.
Q4: A nurse is performing a prenatal assessment on a client at 12 weeks of gestation. Which
finding should the nurse identify as requiring further evaluation?
A. Fundal height palpated just above the symphysis pubis
B. Blood pressure of 118/76 mmHg
C. Weight gain of 8 pounds since the first prenatal visit at 6 weeks [CORRECT]
D. Trace amounts of protein in the urine
Correct Answer: C. Weight gain of 8 pounds since the first prenatal visit at 6 weeks
Rationale: A weight gain of 8 pounds in 6 weeks during the first trimester exceeds recommended guidelines (1.1-4.4 lbs total
in the first trimester for normal BMI). This finding requires evaluation for potential complications such as fluid retention,
multiple gestation, or gestational hypertension. Fundal height above the symphysis at 12 weeks is expected. A BP of 118/76 is
normal. Trace protein can be normal due to vaginal secretions contaminating the specimen.
Q5: A nurse is calculating the GTPAL for a client who reports the following obstetric history: two
term births, one preterm birth, two miscarriages before 20 weeks, and three living children. What is
the correct GTPAL?
A. G5 T2 P1 A2 L3 [CORRECT]
B. G4 T2 P1 A2 L3
C. G5 T3 P1 A2 L3
D. G6 T2 P1 A2 L3
Correct Answer: A. G5 T2 P1 A2 L3
Rationale: G (gravida) = total pregnancies = 2 term + 1 preterm + 2 abortions = 5. T (term births) = 2. P (preterm births) = 1. A
(abortions, before 20 weeks) = 2. L (living children) = 3. Option B undercounts gravida. Option C miscounts term births.
Option D overcounts gravida.
Q6: A nurse is assessing a client at 32 weeks of gestation. Which finding should the nurse report
to the provider immediately?
A. Round ligament pain when changing positions
B. Visual disturbances described as flashing lights [CORRECT]
C. Braxton Hicks contractions occurring twice per hour
D. Shortness of breath when climbing one flight of stairs
Correct Answer: B. Visual disturbances described as flashing lights
Rationale: Visual disturbances such as flashing lights (scotomata) are a hallmark sign of preeclampsia with severe features,
indicating central nervous system involvement and impending eclampsia. This requires immediate evaluation. Round ligament
pain and Braxton Hicks contractions are normal in the third trimester. Mild dyspnea on exertion is expected due to upward
displacement of the diaphragm by the enlarging uterus.
Q7: A nurse is teaching a client who is at 16 weeks of gestation about prenatal nutritional needs.
Which of the following statements by the client indicates an understanding of the teaching?
A. I should gain about 2 pounds per week during the second trimester.
B. I should avoid all fish during pregnancy because of mercury.
C. I need to consume 600 mcg of folic acid daily from food and supplements. [CORRECT]
D. I should drink whole milk to ensure adequate calcium intake.
Correct Answer: C. I need to consume 600 mcg of folic acid daily from food and supplements.
2026 ATI Curriculum Standards - NCLEX-RN Maternal-Newborn Preparation Page 4
