ATI RN Maternity Exam 2025/2026 –
Prenatal, Intrapartum, Postpartum &
Newborn Nursing Questions &
Answers with Rationales | 100%
Verified | Graded A+
This document provides a 70-question simulation for the ATI RN Maternity Exam 2025, aligned
with the ATI Nursing Education blueprint for maternity nursing. Questions cover prenatal,
intrapartum, postpartum, and newborn care, including assessments, complications, and
interventions, reflecting NCLEX-RN-style formats (including SATA).
ATI RN Maternity Exam Questions (1–70)
Prenatal Care (20 Questions)
1. A nurse is assessing a client at 12 weeks gestation. Which finding indicates a need
for further evaluation?
o A) Fundal height at the symphysis pubis
o B) Fetal heart rate of 140 bpm
o C) Complaints of nausea and vomiting
o D) Blood pressure of 150/90 mmHg
o Answer: D. Blood pressure of 150/90 mmHg
o Rationale: A blood pressure of 150/90 mmHg suggests gestational hypertension,
requiring further evaluation to prevent complications like preeclampsia.
2. A client at 16 weeks gestation asks about the purpose of the alpha-fetoprotein (AFP)
test. What is the nurse’s best response?
o A) It measures fetal lung maturity
o B) It screens for neural tube defects
o C) It confirms gestational diabetes
o D) It assesses placental function
o Answer: B. It screens for neural tube defects
o Rationale: The AFP test, part of the quadruple screen, detects neural tube defects
and chromosomal abnormalities between 15–20 weeks gestation.
, 3. Which foods should a pregnant client increase to prevent neural tube defects?
(Select all that apply)
o A) Leafy green vegetables
o B) Citrus fruits
o C) Dairy products
o D) Fortified cereals
o E) Red meat
o Answer: A. Leafy green vegetables, B. Citrus fruits, D. Fortified cereals
o Rationale: These foods are rich in folate, which reduces the risk of neural tube
defects.
4. A nurse is teaching a client about weight gain during pregnancy. What is the
recommended weight gain for a client with a normal BMI?
o A) 15–20 pounds
o B) 25–35 pounds
o C) 35–45 pounds
o D) 45–55 pounds
o Answer: B. 25–35 pounds
o Rationale: For a normal BMI (18.5–24.9), the Institute of Medicine recommends
a total weight gain of 25–35 pounds during pregnancy.
5. A client at 20 weeks gestation reports constipation. Which intervention should the
nurse recommend?
o A) Increase caffeine intake
o B) Decrease fluid intake
o C) Increase fiber intake
o D) Avoid exercise
o Answer: C. Increase fiber intake
o Rationale: Fiber promotes bowel regularity, addressing pregnancy-related
constipation caused by progesterone.
6. A nurse is performing a Leopold’s maneuver on a client at 36 weeks gestation.
Which finding indicates a breech presentation?
o A) Hard, round mass in the fundus
o B) Soft, irregular mass in the fundus
o C) Firm back along the maternal spine
o D) Small parts in the pelvis
o Answer: B. Soft, irregular mass in the fundus
o Rationale: In a breech presentation, the soft, irregular buttocks are felt in the
fundus, unlike the hard, round head in a cephalic presentation.
7. A client at 28 weeks gestation has a positive glucose tolerance test. What is the
nurse’s priority action?
o A) Administer insulin immediately
o B) Educate the client on dietary management
o C) Schedule a cesarean section
o D) Restrict all physical activity
o Answer: B. Educate the client on dietary management
o Rationale: A positive glucose tolerance test indicates gestational diabetes,
managed initially with diet and exercise.
Prenatal, Intrapartum, Postpartum &
Newborn Nursing Questions &
Answers with Rationales | 100%
Verified | Graded A+
This document provides a 70-question simulation for the ATI RN Maternity Exam 2025, aligned
with the ATI Nursing Education blueprint for maternity nursing. Questions cover prenatal,
intrapartum, postpartum, and newborn care, including assessments, complications, and
interventions, reflecting NCLEX-RN-style formats (including SATA).
ATI RN Maternity Exam Questions (1–70)
Prenatal Care (20 Questions)
1. A nurse is assessing a client at 12 weeks gestation. Which finding indicates a need
for further evaluation?
o A) Fundal height at the symphysis pubis
o B) Fetal heart rate of 140 bpm
o C) Complaints of nausea and vomiting
o D) Blood pressure of 150/90 mmHg
o Answer: D. Blood pressure of 150/90 mmHg
o Rationale: A blood pressure of 150/90 mmHg suggests gestational hypertension,
requiring further evaluation to prevent complications like preeclampsia.
2. A client at 16 weeks gestation asks about the purpose of the alpha-fetoprotein (AFP)
test. What is the nurse’s best response?
o A) It measures fetal lung maturity
o B) It screens for neural tube defects
o C) It confirms gestational diabetes
o D) It assesses placental function
o Answer: B. It screens for neural tube defects
o Rationale: The AFP test, part of the quadruple screen, detects neural tube defects
and chromosomal abnormalities between 15–20 weeks gestation.
, 3. Which foods should a pregnant client increase to prevent neural tube defects?
(Select all that apply)
o A) Leafy green vegetables
o B) Citrus fruits
o C) Dairy products
o D) Fortified cereals
o E) Red meat
o Answer: A. Leafy green vegetables, B. Citrus fruits, D. Fortified cereals
o Rationale: These foods are rich in folate, which reduces the risk of neural tube
defects.
4. A nurse is teaching a client about weight gain during pregnancy. What is the
recommended weight gain for a client with a normal BMI?
o A) 15–20 pounds
o B) 25–35 pounds
o C) 35–45 pounds
o D) 45–55 pounds
o Answer: B. 25–35 pounds
o Rationale: For a normal BMI (18.5–24.9), the Institute of Medicine recommends
a total weight gain of 25–35 pounds during pregnancy.
5. A client at 20 weeks gestation reports constipation. Which intervention should the
nurse recommend?
o A) Increase caffeine intake
o B) Decrease fluid intake
o C) Increase fiber intake
o D) Avoid exercise
o Answer: C. Increase fiber intake
o Rationale: Fiber promotes bowel regularity, addressing pregnancy-related
constipation caused by progesterone.
6. A nurse is performing a Leopold’s maneuver on a client at 36 weeks gestation.
Which finding indicates a breech presentation?
o A) Hard, round mass in the fundus
o B) Soft, irregular mass in the fundus
o C) Firm back along the maternal spine
o D) Small parts in the pelvis
o Answer: B. Soft, irregular mass in the fundus
o Rationale: In a breech presentation, the soft, irregular buttocks are felt in the
fundus, unlike the hard, round head in a cephalic presentation.
7. A client at 28 weeks gestation has a positive glucose tolerance test. What is the
nurse’s priority action?
o A) Administer insulin immediately
o B) Educate the client on dietary management
o C) Schedule a cesarean section
o D) Restrict all physical activity
o Answer: B. Educate the client on dietary management
o Rationale: A positive glucose tolerance test indicates gestational diabetes,
managed initially with diet and exercise.
