PN ATI Maternal Newborn 2025/2026 Proctored
Exam OA ACTUAL STUDY GUIDE WITH
FULL QUESTIONS & ANSWERS || 100%
VERIFIED PASS VERSION
1. A nurse is reinforcing teaching with a client who is at 8 weeks of gestation.
The client states, "My doctor told me I have a positive Chadwick's sign. What
does that mean?" Which response should the nurse provide?
A. "It means the uterus is softening, which is a common finding."
B. "It's a bluish discoloration of the cervix and vagina, which is normal in
pregnancy."
C. "It indicates the fetus is positioned head-down."
D. "It's a test that confirms you are definitely pregnant."
2. A client in her first trimester asks about safe exercise. Which activity should
the nurse recommend?
A. Scuba diving
B. Hot yoga
C. Stationary cycling
D. Ice hockey
3. During a prenatal visit, a nurse measures the fundal height. At 20 weeks
gestation, where should the nurse expect to palpate the fundus?
A. At the xiphoid process
B. At the umbilicus
C. Midway between the umbilicus and symphysis pubis
D. Just above the symphysis pubis
4. A pregnant client's diet is deficient in iron. The nurse should advise her to
increase intake of which food?
A. Oranges
B. Lean red meat
C. Whole milk
D. White bread
,5. The hormone human chorionic gonadotropin (hCG) is produced by the:
A. Corpus luteum
B. Anterior pituitary gland
C. Placenta
D. Ovaries
6. A client at 12 weeks gestation reports nausea and vomiting. Which
recommendation is most appropriate?
A. "Drink a large glass of orange juice first thing in the morning."
B. "Eat a few crackers before getting out of bed."
C. "Skip breakfast and have a larger lunch."
D. "Increase your intake of high-fat foods."
7. A nurse is calculating the estimated date of delivery (EDD) using Naegele's
rule for a client whose last menstrual period (LMP) began on May 10th. What
is the client's EDD?
A. February 17th
B. February 10th
C. February 13th
D. February 17th (The correct calculation is: May 10 - 3 months = February 10 + 7
days = February 17th)
8. A multigravida client is at 42 weeks gestation. The nurse should be alert for
which potential complication?
A. Polyhydramnios
B. Placenta previa
C. Postmaturity syndrome
D. Preterm labor
9. Which finding during a prenatal exam would require further investigation?
A. +1 pedal edema at the end of the day
B. Varicose veins
C. Facial edema in the morning
D. Heart rate of 88 bpm
, 10. A client asks when she will first feel her baby move. The nurse's correct
response is that quickening typically occurs between:
A. 6-8 weeks gestation
B. 12-14 weeks gestation
C. 18-20 weeks gestation
D. 24-26 weeks gestation
Labor & Delivery
11. The nurse observes the fetal heart rate (FHR) decelerating to 110 bpm
after the peak of a contraction, with a slow return to baseline. This pattern is
most consistent with:
A. Early deceleration
B. Variable deceleration
C. Late deceleration
D. Prolonged deceleration
12. Which finding indicates that true labor has begun?
A. Loss of the mucus plug
B. Rupture of membranes
C. Cervical dilation and effacement
D. Bloody show
13. A client in active labor is 7 cm dilated. The nurse should anticipate which
phase of labor?
A. Latent phase
B. Active phase
C. Transition phase
D. Second stage
14. The primary difference between a fetal heart rate acceleration and a
deceleration is that an acceleration:
A. Is a sign of fetal head compression
B. Is a reassuring sign of fetal well-being
Exam OA ACTUAL STUDY GUIDE WITH
FULL QUESTIONS & ANSWERS || 100%
VERIFIED PASS VERSION
1. A nurse is reinforcing teaching with a client who is at 8 weeks of gestation.
The client states, "My doctor told me I have a positive Chadwick's sign. What
does that mean?" Which response should the nurse provide?
A. "It means the uterus is softening, which is a common finding."
B. "It's a bluish discoloration of the cervix and vagina, which is normal in
pregnancy."
C. "It indicates the fetus is positioned head-down."
D. "It's a test that confirms you are definitely pregnant."
2. A client in her first trimester asks about safe exercise. Which activity should
the nurse recommend?
A. Scuba diving
B. Hot yoga
C. Stationary cycling
D. Ice hockey
3. During a prenatal visit, a nurse measures the fundal height. At 20 weeks
gestation, where should the nurse expect to palpate the fundus?
A. At the xiphoid process
B. At the umbilicus
C. Midway between the umbilicus and symphysis pubis
D. Just above the symphysis pubis
4. A pregnant client's diet is deficient in iron. The nurse should advise her to
increase intake of which food?
A. Oranges
B. Lean red meat
C. Whole milk
D. White bread
,5. The hormone human chorionic gonadotropin (hCG) is produced by the:
A. Corpus luteum
B. Anterior pituitary gland
C. Placenta
D. Ovaries
6. A client at 12 weeks gestation reports nausea and vomiting. Which
recommendation is most appropriate?
A. "Drink a large glass of orange juice first thing in the morning."
B. "Eat a few crackers before getting out of bed."
C. "Skip breakfast and have a larger lunch."
D. "Increase your intake of high-fat foods."
7. A nurse is calculating the estimated date of delivery (EDD) using Naegele's
rule for a client whose last menstrual period (LMP) began on May 10th. What
is the client's EDD?
A. February 17th
B. February 10th
C. February 13th
D. February 17th (The correct calculation is: May 10 - 3 months = February 10 + 7
days = February 17th)
8. A multigravida client is at 42 weeks gestation. The nurse should be alert for
which potential complication?
A. Polyhydramnios
B. Placenta previa
C. Postmaturity syndrome
D. Preterm labor
9. Which finding during a prenatal exam would require further investigation?
A. +1 pedal edema at the end of the day
B. Varicose veins
C. Facial edema in the morning
D. Heart rate of 88 bpm
, 10. A client asks when she will first feel her baby move. The nurse's correct
response is that quickening typically occurs between:
A. 6-8 weeks gestation
B. 12-14 weeks gestation
C. 18-20 weeks gestation
D. 24-26 weeks gestation
Labor & Delivery
11. The nurse observes the fetal heart rate (FHR) decelerating to 110 bpm
after the peak of a contraction, with a slow return to baseline. This pattern is
most consistent with:
A. Early deceleration
B. Variable deceleration
C. Late deceleration
D. Prolonged deceleration
12. Which finding indicates that true labor has begun?
A. Loss of the mucus plug
B. Rupture of membranes
C. Cervical dilation and effacement
D. Bloody show
13. A client in active labor is 7 cm dilated. The nurse should anticipate which
phase of labor?
A. Latent phase
B. Active phase
C. Transition phase
D. Second stage
14. The primary difference between a fetal heart rate acceleration and a
deceleration is that an acceleration:
A. Is a sign of fetal head compression
B. Is a reassuring sign of fetal well-being
