ATI RN Maternal Newborn Proctored Exam 2026 Updated Practice
Questions, Screenshots, Verified Answers & Rationales
6. A nurse is teaching a client about signs of preterm labor. Which symptom
should the client report immediately?
A) Braxton Hicks contractions every 20 minutes
B) Low back pain that comes and goes
C) Menstrual-like cramping with diarrhea
D) Increased vaginal discharge without odor
Correct Answer: C
Rationale: Menstrual-like cramping with diarrhea can indicate uterine irritability
and preterm labor. This combination is a classic warning sign. Braxton Hicks are
irregular and not concerning alone. Low back pain that is constant or rhythmic is
,concerning, but "comes and goes" is vague. Increased discharge without odor is
common.
r.
2. A nurse is providing teaching to a client about folic acid supplementation during
pregnancy. Which statement by the client indicates understanding?
A) "Folic acid will prevent me from getting gestational diabetes."
B) "Folic acid helps prevent neural tube defects in my baby."
C) "Folic acid is only needed if I am anemic."
D) "Folic acid will help my baby's lungs mature."
Correct Answer: B
Rationale: Folic acid (400–800 mcg daily) significantly reduces the risk of neural tube
defects (spina bifida, anencephaly) by supporting neural tube closure by 28 days of
gestation. It is recommended for all women of childbearing age.
,3. A nurse is caring for a client at 32 weeks gestation with preeclampsia. Which finding
requires immediate notification of the provider?
A) Blood pressure 148/94 mm Hg
B) 1+ protein in urine
C) Epigastric pain and headache
D) Mild ankle edema
Correct Answer: C
, Rationale: Epigastric pain and headache are signs of severe preeclampsia and
impending eclampsia (seizures). These symptoms indicate liver capsule distension and
cerebral edema. The provider must be notified immediately for possible magnesium
sulfate and delivery.
4. A nurse is assessing a client at 28 weeks gestation. Fundal height is 30 cm.
Which action should the nurse take?
A) Document this as an expected finding
B) Prepare the client for an ultrasound
C) Notify the provider of possible intrauterine growth restriction
D) Instruct the client to eat more calories
Correct Answer: A
Rationale: Fundal height in cm should approximately equal weeks of gestation ±2
cm. At 28 weeks, 30 cm is within the expected range (26–30 cm). No intervention is
needed.
Questions, Screenshots, Verified Answers & Rationales
6. A nurse is teaching a client about signs of preterm labor. Which symptom
should the client report immediately?
A) Braxton Hicks contractions every 20 minutes
B) Low back pain that comes and goes
C) Menstrual-like cramping with diarrhea
D) Increased vaginal discharge without odor
Correct Answer: C
Rationale: Menstrual-like cramping with diarrhea can indicate uterine irritability
and preterm labor. This combination is a classic warning sign. Braxton Hicks are
irregular and not concerning alone. Low back pain that is constant or rhythmic is
,concerning, but "comes and goes" is vague. Increased discharge without odor is
common.
r.
2. A nurse is providing teaching to a client about folic acid supplementation during
pregnancy. Which statement by the client indicates understanding?
A) "Folic acid will prevent me from getting gestational diabetes."
B) "Folic acid helps prevent neural tube defects in my baby."
C) "Folic acid is only needed if I am anemic."
D) "Folic acid will help my baby's lungs mature."
Correct Answer: B
Rationale: Folic acid (400–800 mcg daily) significantly reduces the risk of neural tube
defects (spina bifida, anencephaly) by supporting neural tube closure by 28 days of
gestation. It is recommended for all women of childbearing age.
,3. A nurse is caring for a client at 32 weeks gestation with preeclampsia. Which finding
requires immediate notification of the provider?
A) Blood pressure 148/94 mm Hg
B) 1+ protein in urine
C) Epigastric pain and headache
D) Mild ankle edema
Correct Answer: C
, Rationale: Epigastric pain and headache are signs of severe preeclampsia and
impending eclampsia (seizures). These symptoms indicate liver capsule distension and
cerebral edema. The provider must be notified immediately for possible magnesium
sulfate and delivery.
4. A nurse is assessing a client at 28 weeks gestation. Fundal height is 30 cm.
Which action should the nurse take?
A) Document this as an expected finding
B) Prepare the client for an ultrasound
C) Notify the provider of possible intrauterine growth restriction
D) Instruct the client to eat more calories
Correct Answer: A
Rationale: Fundal height in cm should approximately equal weeks of gestation ±2
cm. At 28 weeks, 30 cm is within the expected range (26–30 cm). No intervention is
needed.
