ATI Capstone Maternal
Newborn Assessment 2023|
100 + MUST KNOW
QUESTIONS WITH ANSWERS
2026 LATEST UPDATED TEST
1. A nurse in a prenatal clinic is caring for a client who is at 12 weeks
gestation. The client asks when she will be able to hear the fetal heartbeat.
The nurse should respond that she will most likely be able to hear the
heartbeat with a Doppler device at which time?
o A. 6-8 weeks
o B. 10-12 weeks
o C. 14-16 weeks
o D. 18-20 weeks
o Answer💜💜: B. 10-12 weeks
o Rationale: Fetal heart tones can typically be detected by a Doppler
ultrasound transducer between 10 and 12 weeks of gestation. Earlier
detection (6-8 weeks) requires a transvaginal ultrasound.
2. A nurse is reviewing the laboratory results for a client who is at 28 weeks
gestation. Which of the following findings should the nurse report to the
provider?
o A. Hematocrit 34%
o B. Platelets 200,000/mm³
o C. 1-hour glucose tolerance test result of 150 mg/dL
, o D. Rubella titer of 1:8
o Answer💜💜: C. 1-hour glucose tolerance test result of 150 mg/dL
o Rationale: A 1-hour glucose tolerance test result of 140 mg/dL or
higher is considered abnormal and indicates the need for a 3-hour
oral glucose tolerance test to diagnose gestational diabetes. The
other values are within normal limits for pregnancy.
3. A nurse is providing teaching to a client who is at 8 weeks gestation and has
a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching regarding total weight gain during
pregnancy?
o A. "I should gain between 28 and 40 pounds."
o B. "I should gain between 11 and 20 pounds."
o C. "I should gain between 25 and 35 pounds."
o D. "I should gain no more than 10 pounds."
o Answer💜💜: B. "I should gain between 11 and 20 pounds."
o Rationale: The Institute of Medicine recommends a total weight gain
of 11-20 pounds (5-9 kg) for obese women (BMI of 30 or greater).
The other options are for different pre-pregnancy BMI categories.
4. A nurse is reinforcing teaching with a client who is trying to become
pregnant. Which of the following foods should the nurse recommend as the
best source of folate?
o A. 1 cup cooked spinach
o B. 4 ounces chicken breast
o C. 1 medium apple
o D. 1 slice whole wheat bread
o Answer💜💜: A. 1 cup cooked spinach
, o Rationale: Folate is crucial for preventing neural tube defects. Dark
green leafy vegetables like spinach are excellent natural sources.
Fortified grains and legumes also contain folate, but spinach has a
high concentration per serving.
5. A nurse is assessing a client at 34 weeks gestation. Which of the following
findings should the nurse report to the provider as a potential indicator of
preeclampsia?
o A. +2 pitting edema in the feet and ankles
o B. Fundal height of 34 cm
o C. Fetal heart rate of 140 bpm
o D. Report of intermittent Braxton Hicks contractions
o Answer💜💜: A. +2 pitting edema in the feet and ankles
o Rationale: While some dependent edema is common in pregnancy,
sudden onset of or pronounced (2+) pitting edema, especially in the
hands and face, can be a sign of preeclampsia, along with
hypertension and proteinuria.
6. A client at 16 weeks gestation calls the clinic and reports experiencing
"painless, bright red vaginal bleeding." Which of the following instructions
should the nurse provide?
o A. "Come to the clinic later this week for an ultrasound."
o B. "Go to the emergency department immediately."
o C. "This is normal; increase your fiber and fluid intake."
o D. "Remain on bedrest for the next 24 hours and monitor the
bleeding."
o Answer💜💜: B. "Go to the emergency department immediately."
o Rationale: Painless, bright red vaginal bleeding in the second or third
trimester is the classic sign of placenta previa. This is an emergency
, that requires immediate evaluation to prevent hemorrhage. The
client should be seen by a provider right away.
7. A nurse is calculating a client's EDD using Naegele's rule. The client's last
menstrual period began on November 10, 2022. Which of the following is
the correct estimated delivery date?
o A. August 3, 2023
o B. August 17, 2023
o C. September 3, 2023
o D. September 17, 2023
o Answer💜💜: B. August 17, 2023
o Rationale: Naegele's rule: Subtract 3 months from the date of the
LMP, then add 7 days and adjust the year. November 10 (subtract 3
months) = August 10 (add 7 days) = August 17, 2023.
8. A nurse is providing discharge teaching to a client with hyperemesis
gravidarum. Which of the following statements indicates an understanding
of the teaching?
o A. "I will drink a glass of water with each meal."
o B. "I will eat dry crackers before getting out of bed."
o C. "I will lie down for 30 minutes after eating."
o D. "I will brush my teeth immediately after meals."
o Answer💜💜: B. "I will eat dry crackers before getting out of bed."
o Rationale: For clients with hyperemesis or morning sickness, eating
dry carbohydrates like crackers or toast before rising can help settle
the stomach. It's important to avoid lying down after eating and to
separate fluids from meals to prevent distention and nausea.
9. A client at 39 weeks gestation reports leaking fluid. The nurse performs a
nitrazine test and notes the swab turns deep blue. Which of the following
actions should the nurse take next?
Newborn Assessment 2023|
100 + MUST KNOW
QUESTIONS WITH ANSWERS
2026 LATEST UPDATED TEST
1. A nurse in a prenatal clinic is caring for a client who is at 12 weeks
gestation. The client asks when she will be able to hear the fetal heartbeat.
The nurse should respond that she will most likely be able to hear the
heartbeat with a Doppler device at which time?
o A. 6-8 weeks
o B. 10-12 weeks
o C. 14-16 weeks
o D. 18-20 weeks
o Answer💜💜: B. 10-12 weeks
o Rationale: Fetal heart tones can typically be detected by a Doppler
ultrasound transducer between 10 and 12 weeks of gestation. Earlier
detection (6-8 weeks) requires a transvaginal ultrasound.
2. A nurse is reviewing the laboratory results for a client who is at 28 weeks
gestation. Which of the following findings should the nurse report to the
provider?
o A. Hematocrit 34%
o B. Platelets 200,000/mm³
o C. 1-hour glucose tolerance test result of 150 mg/dL
, o D. Rubella titer of 1:8
o Answer💜💜: C. 1-hour glucose tolerance test result of 150 mg/dL
o Rationale: A 1-hour glucose tolerance test result of 140 mg/dL or
higher is considered abnormal and indicates the need for a 3-hour
oral glucose tolerance test to diagnose gestational diabetes. The
other values are within normal limits for pregnancy.
3. A nurse is providing teaching to a client who is at 8 weeks gestation and has
a BMI of 32. Which of the following statements by the client indicates an
understanding of the teaching regarding total weight gain during
pregnancy?
o A. "I should gain between 28 and 40 pounds."
o B. "I should gain between 11 and 20 pounds."
o C. "I should gain between 25 and 35 pounds."
o D. "I should gain no more than 10 pounds."
o Answer💜💜: B. "I should gain between 11 and 20 pounds."
o Rationale: The Institute of Medicine recommends a total weight gain
of 11-20 pounds (5-9 kg) for obese women (BMI of 30 or greater).
The other options are for different pre-pregnancy BMI categories.
4. A nurse is reinforcing teaching with a client who is trying to become
pregnant. Which of the following foods should the nurse recommend as the
best source of folate?
o A. 1 cup cooked spinach
o B. 4 ounces chicken breast
o C. 1 medium apple
o D. 1 slice whole wheat bread
o Answer💜💜: A. 1 cup cooked spinach
, o Rationale: Folate is crucial for preventing neural tube defects. Dark
green leafy vegetables like spinach are excellent natural sources.
Fortified grains and legumes also contain folate, but spinach has a
high concentration per serving.
5. A nurse is assessing a client at 34 weeks gestation. Which of the following
findings should the nurse report to the provider as a potential indicator of
preeclampsia?
o A. +2 pitting edema in the feet and ankles
o B. Fundal height of 34 cm
o C. Fetal heart rate of 140 bpm
o D. Report of intermittent Braxton Hicks contractions
o Answer💜💜: A. +2 pitting edema in the feet and ankles
o Rationale: While some dependent edema is common in pregnancy,
sudden onset of or pronounced (2+) pitting edema, especially in the
hands and face, can be a sign of preeclampsia, along with
hypertension and proteinuria.
6. A client at 16 weeks gestation calls the clinic and reports experiencing
"painless, bright red vaginal bleeding." Which of the following instructions
should the nurse provide?
o A. "Come to the clinic later this week for an ultrasound."
o B. "Go to the emergency department immediately."
o C. "This is normal; increase your fiber and fluid intake."
o D. "Remain on bedrest for the next 24 hours and monitor the
bleeding."
o Answer💜💜: B. "Go to the emergency department immediately."
o Rationale: Painless, bright red vaginal bleeding in the second or third
trimester is the classic sign of placenta previa. This is an emergency
, that requires immediate evaluation to prevent hemorrhage. The
client should be seen by a provider right away.
7. A nurse is calculating a client's EDD using Naegele's rule. The client's last
menstrual period began on November 10, 2022. Which of the following is
the correct estimated delivery date?
o A. August 3, 2023
o B. August 17, 2023
o C. September 3, 2023
o D. September 17, 2023
o Answer💜💜: B. August 17, 2023
o Rationale: Naegele's rule: Subtract 3 months from the date of the
LMP, then add 7 days and adjust the year. November 10 (subtract 3
months) = August 10 (add 7 days) = August 17, 2023.
8. A nurse is providing discharge teaching to a client with hyperemesis
gravidarum. Which of the following statements indicates an understanding
of the teaching?
o A. "I will drink a glass of water with each meal."
o B. "I will eat dry crackers before getting out of bed."
o C. "I will lie down for 30 minutes after eating."
o D. "I will brush my teeth immediately after meals."
o Answer💜💜: B. "I will eat dry crackers before getting out of bed."
o Rationale: For clients with hyperemesis or morning sickness, eating
dry carbohydrates like crackers or toast before rising can help settle
the stomach. It's important to avoid lying down after eating and to
separate fluids from meals to prevent distention and nausea.
9. A client at 39 weeks gestation reports leaking fluid. The nurse performs a
nitrazine test and notes the swab turns deep blue. Which of the following
actions should the nurse take next?
