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ATI maternal newborn proctored exam (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED 2026-2027
1. A 28-week gestation client reports headache, blurred vision, and swelling of the hands and
face. What is the priority nursing action?
A. Encourage rest at home
B. Assess blood pressure and urine protein
C. Advise increased fluid intake
D. Schedule a routine prenatal visit
Answer: B. Assess blood pressure and urine protein
Rationale: These are classic signs of preeclampsia. Assessment of BP and proteinuria is
priority to prevent complications. Rest or routine visits are not sufficient; fluid intake alone does
not address the risk.
2. Select all that apply: Common physiological changes during pregnancy include:
A. Increased blood volume
B. Decreased cardiac output
C. Increased respiratory rate
D. Reduced gastrointestinal motility
Answer: A, C, D
Rationale: Blood volume and respiratory rate increase; GI motility decreases due to
progesterone. Cardiac output increases, not decreases.
3. A client at 10 weeks gestation asks about recommended daily folic acid intake. What should
the nurse respond?
A. 200 mcg
B. 400 mcg
C. 600 mcg
D. 800 mcg
Rationale: The CDC recommends 400 mcg/day before conception and during early pregnancy
to prevent neural tube defects.
2026 2027 GRADED A+
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4. Which lab result indicates gestational diabetes risk at 24–28 weeks?
A. Fasting glucose 92 mg/dL
B. Fasting glucose 70 mg/dL
C. Hemoglobin 12 g/dL
D. White blood cell count 10,000
Rationale: Fasting glucose ≥92 mg/dL is diagnostic threshold for gestational diabetes.
5. A client presents with sudden gush of clear fluid at 36 weeks. What is the immediate priority?
A. Assess for urinary incontinence
B. Check fetal heart rate
C. Test for rupture of membranes
D. Encourage ambulation
Rationale: Sudden fluid loss may indicate rupture of membranes; testing is needed to confirm
and prevent infection.
6. Select all that apply: Risk factors for ectopic pregnancy include:
A. History of pelvic inflammatory disease
B. Use of intrauterine device
C. Advanced maternal age
D. Multiple gestation
Rationale: PID, IUD use, and advanced maternal age increase ectopic risk. Multiple gestation is
not a risk factor.
7. A client at 20 weeks gestation reports vaginal bleeding and cramping. Ultrasound confirms a
low-lying placenta. What is the priority teaching?
A. Avoid sexual intercourse
B. Encourage exercise
C. Start iron supplements
D. Prepare for immediate delivery
2026 2027 GRADED A+
ATI maternal newborn proctored exam (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS)- GUARANTEED PASS A+ UPDATED 2026-2027
1. A 28-week gestation client reports headache, blurred vision, and swelling of the hands and
face. What is the priority nursing action?
A. Encourage rest at home
B. Assess blood pressure and urine protein
C. Advise increased fluid intake
D. Schedule a routine prenatal visit
Answer: B. Assess blood pressure and urine protein
Rationale: These are classic signs of preeclampsia. Assessment of BP and proteinuria is
priority to prevent complications. Rest or routine visits are not sufficient; fluid intake alone does
not address the risk.
2. Select all that apply: Common physiological changes during pregnancy include:
A. Increased blood volume
B. Decreased cardiac output
C. Increased respiratory rate
D. Reduced gastrointestinal motility
Answer: A, C, D
Rationale: Blood volume and respiratory rate increase; GI motility decreases due to
progesterone. Cardiac output increases, not decreases.
3. A client at 10 weeks gestation asks about recommended daily folic acid intake. What should
the nurse respond?
A. 200 mcg
B. 400 mcg
C. 600 mcg
D. 800 mcg
Rationale: The CDC recommends 400 mcg/day before conception and during early pregnancy
to prevent neural tube defects.
2026 2027 GRADED A+
, 2|Page
4. Which lab result indicates gestational diabetes risk at 24–28 weeks?
A. Fasting glucose 92 mg/dL
B. Fasting glucose 70 mg/dL
C. Hemoglobin 12 g/dL
D. White blood cell count 10,000
Rationale: Fasting glucose ≥92 mg/dL is diagnostic threshold for gestational diabetes.
5. A client presents with sudden gush of clear fluid at 36 weeks. What is the immediate priority?
A. Assess for urinary incontinence
B. Check fetal heart rate
C. Test for rupture of membranes
D. Encourage ambulation
Rationale: Sudden fluid loss may indicate rupture of membranes; testing is needed to confirm
and prevent infection.
6. Select all that apply: Risk factors for ectopic pregnancy include:
A. History of pelvic inflammatory disease
B. Use of intrauterine device
C. Advanced maternal age
D. Multiple gestation
Rationale: PID, IUD use, and advanced maternal age increase ectopic risk. Multiple gestation is
not a risk factor.
7. A client at 20 weeks gestation reports vaginal bleeding and cramping. Ultrasound confirms a
low-lying placenta. What is the priority teaching?
A. Avoid sexual intercourse
B. Encourage exercise
C. Start iron supplements
D. Prepare for immediate delivery
2026 2027 GRADED A+
