ATI PN MATERNAL NEWBORN
PROCTORED EXAM
90+ (Updated 2026) Complete Exam Pack | A+ Graded Questions &
Verified Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 92 Qs
This document covers maternal and newborn nursing concepts, specifically focusing on topics such as
fetal development, prenatal assessment, perinatal complications, labor and delivery, postpartum care,
and newborn assessment. The document provides a comprehensive review of these concepts, as each
question includes the correct answer with detailed rationale. Students can use this document to study,
review, and understand these complex concepts, making it an invaluable resource for exam preparation
and nursing education.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a pregnant client at 12 weeks gestational age. What is the earliest gestational
age at which fetal heart rate can be accurately heard using a Doppler fetal monitor?
A) 6-8 weeks GA
B) 10-12 weeks GA
C) 14-16 weeks GA
D) 20-22 weeks GA
CORRECT ANSWER
B) 10-12 weeks GA
RATIONALE: Fetal heart rate can be reliably heard using a Doppler fetal monitor at approximately 10-12 weeks
gestational age. Options A, C, and D are incorrect because FHR can be detected before or at this gestational age range;
however, the accuracy and clarity may vary, and the device may not be effective at detecting it at these earlier ages.
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, QUESTION 2
A client arrives at the emergency department with a pregnancy confirmed at 22 weeks. The nurse
measures the fundal height, which is crucial for assessing fetal growth and well-being. The nurse
documents the measurement as 22 cm. What should this measurement reflect?
A) The client's age in years
B) The week of gestation minus 2 weeks
C) The week of gestation
D) The client's height in inches
CORRECT ANSWER
C) The week of gestation
RATIONALE: The fundal height should equal the week of gestation, so at 22 weeks, the measurement should be
approximately 22 cm. This assessment helps monitor fetal growth and identify potential issues. Options A and D are
irrelevant, and option B is incorrect, as the measurement should directly correlate with the gestational age, not be
adjusted.
QUESTION 3
The nurse is assessing a patient who presents for a prenatal appointment at 16 weeks of gestation.
The patient's provider has ordered an MSAFP (maternal serum alpha-fetoprotein) screening as part of
a quad screen to assess for potential genetic issues. The nurse knows that this screening is typically
performed between which weeks of gestation.
A) 11-14 weeks
B) 15-22 weeks
C) 23-26 weeks
D) 27-30 weeks
CORRECT ANSWER
B) 15-22 weeks
RATIONALE: The MSAFP screening is performed between 15-22 weeks of gestation to assess for potential genetic
issues, such as neural tube defects and chromosomal abnormalities. This screening is a critical component of the quad
screen, which is a panel of tests that assesses various markers in maternal blood to identify potential fetal anomalies.
Options A, C, and D are incorrect as they represent weeks of gestation outside of the recommended testing period.
QUESTION 4
A patient has a prescription for prenatal care and is a smoker, which increases her risk for
complications during pregnancy. What is the primary concern related to smoking during pregnancy?
A) Preterm labor
B) Postpartum hemorrhage
C) Low Birth Weight
D) Gestational diabetes
CORRECT ANSWER
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, C) Low Birth Weight
RATIONALE: Smoking during pregnancy is a well-known risk factor for low birth weight. The chemicals in tobacco
smoke can slow the growth of the fetus and increase the risk of premature birth. As a result, the primary concern
related to smoking during pregnancy is low birth weight.
QUESTION 5
The nurse receives report on four pregnant clients, including a 30-year-old woman at 20 weeks
gestation. According to the report, which of the following fluid intake recommendations will the nurse
emphasize to optimize hydration and support fetal development during the client's current pregnancy
stage?
A) 1-2 liters of water daily
B) 2 to 3 liters of water from food and beverage sources
C) 4-5 liters of water daily
D) 1 liter of water for every 10 pounds of body weight
CORRECT ANSWER
B) 2 to 3 liters of water from food and beverage sources
RATIONALE: The nurse should emphasize 2 to 3 liters of water from food and beverage sources daily to optimize
hydration and support fetal development during the client's pregnancy stage, as recommended by prenatal care
guidelines. Options A and C are under- or overestimated fluid intake recommendations, respectively, which may lead to
dehydration or fluid overload. Option D is an inaccurate formula for calculating fluid intake.
QUESTION 6
A client reports experiencing fetal movements of less than 3 in one hour. The nurse evaluates this
situation to determine the need for further assessment.
A) The client needs to continue monitoring fetal movements for the next 24 hours.
B) The client should increase her fluid intake to stimulate fetal movement.
C) The client's report warrants an immediate medical consultation for further evaluation.
D) The client is experiencing normal fetal activity and does not require further action.
CORRECT ANSWER
C) The client's report warrants an immediate medical consultation for further evaluation.
RATIONALE: The client's report of less than 3 fetal movements in one hour suggests a possible indication for further
evaluation. The nurse should consult with a healthcare provider for guidance on the next steps in care. Options A and D
are incorrect because they do not address the need for immediate medical consultation. Option B is also incorrect
because increasing fluid intake may not alleviate decreased fetal movement.
QUESTION 7
A nurse observes a pregnant client's chart and notes that the client is in her 28th week of gestation.
What is the nurse's expectation for the client's weight gain at this stage?
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, A) 15-25lb
B) 25-35lb
C) 12-18lb
D) 40-50lb
CORRECT ANSWER
B) 25-35lb
RATIONALE: At 28 weeks gestation, the nurse expects the client to gain 25-35 pounds to meet the recommended
weight gain for a healthy pregnancy. The American College of Obstetricians and Gynecologists recommends a weight
gain of 25-35 pounds for women of normal weight during pregnancy.
QUESTION 8
After reviewing the client's chart for a scheduled C-section, the nurse identifies the client's potential
risk for a neural tube defect in her fetus. The nurse is aware that certain foods high in folic acid can
help prevent this condition. Which of the following foods should the nurse recommend to the client?
A) Fresh strawberries
B) Lean beef
C) Dried peas
D) Whole wheat bread
CORRECT ANSWER
C) Dried peas
RATIONALE: Folic acid is essential in preventing neural tube defects. Foods high in folic acid include leafy vegetables,
dried peas, and seeds. Dried peas are a good source of folic acid, making option C the correct choice. Options A and B
are low in folic acid, and option D is not a primary source of folic acid.
QUESTION 9
The healthcare provider prescribes prenatal vitamins to a pregnant client, recommending a daily dose
of 600 mcg of folic acid to prevent neural tube defects. The nurse reviews the client's chart and notes
the folic acid dosage. What is the recommended dosage of folic acid to prevent neural tube defects in
pregnancy?
A) 100 mcg
B) 400 mcg
C) 600 mcg
D) 1000 mcg
CORRECT ANSWER
C) 600 mcg
Trusted by thousands of students and professionals worldwide Page 4 of 36
PROCTORED EXAM
90+ (Updated 2026) Complete Exam Pack | A+ Graded Questions &
Verified Answers
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 92 Qs
This document covers maternal and newborn nursing concepts, specifically focusing on topics such as
fetal development, prenatal assessment, perinatal complications, labor and delivery, postpartum care,
and newborn assessment. The document provides a comprehensive review of these concepts, as each
question includes the correct answer with detailed rationale. Students can use this document to study,
review, and understand these complex concepts, making it an invaluable resource for exam preparation
and nursing education.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a pregnant client at 12 weeks gestational age. What is the earliest gestational
age at which fetal heart rate can be accurately heard using a Doppler fetal monitor?
A) 6-8 weeks GA
B) 10-12 weeks GA
C) 14-16 weeks GA
D) 20-22 weeks GA
CORRECT ANSWER
B) 10-12 weeks GA
RATIONALE: Fetal heart rate can be reliably heard using a Doppler fetal monitor at approximately 10-12 weeks
gestational age. Options A, C, and D are incorrect because FHR can be detected before or at this gestational age range;
however, the accuracy and clarity may vary, and the device may not be effective at detecting it at these earlier ages.
Trusted by thousands of students and professionals worldwide Page 1 of 36
, QUESTION 2
A client arrives at the emergency department with a pregnancy confirmed at 22 weeks. The nurse
measures the fundal height, which is crucial for assessing fetal growth and well-being. The nurse
documents the measurement as 22 cm. What should this measurement reflect?
A) The client's age in years
B) The week of gestation minus 2 weeks
C) The week of gestation
D) The client's height in inches
CORRECT ANSWER
C) The week of gestation
RATIONALE: The fundal height should equal the week of gestation, so at 22 weeks, the measurement should be
approximately 22 cm. This assessment helps monitor fetal growth and identify potential issues. Options A and D are
irrelevant, and option B is incorrect, as the measurement should directly correlate with the gestational age, not be
adjusted.
QUESTION 3
The nurse is assessing a patient who presents for a prenatal appointment at 16 weeks of gestation.
The patient's provider has ordered an MSAFP (maternal serum alpha-fetoprotein) screening as part of
a quad screen to assess for potential genetic issues. The nurse knows that this screening is typically
performed between which weeks of gestation.
A) 11-14 weeks
B) 15-22 weeks
C) 23-26 weeks
D) 27-30 weeks
CORRECT ANSWER
B) 15-22 weeks
RATIONALE: The MSAFP screening is performed between 15-22 weeks of gestation to assess for potential genetic
issues, such as neural tube defects and chromosomal abnormalities. This screening is a critical component of the quad
screen, which is a panel of tests that assesses various markers in maternal blood to identify potential fetal anomalies.
Options A, C, and D are incorrect as they represent weeks of gestation outside of the recommended testing period.
QUESTION 4
A patient has a prescription for prenatal care and is a smoker, which increases her risk for
complications during pregnancy. What is the primary concern related to smoking during pregnancy?
A) Preterm labor
B) Postpartum hemorrhage
C) Low Birth Weight
D) Gestational diabetes
CORRECT ANSWER
Trusted by thousands of students and professionals worldwide Page 2 of 36
, C) Low Birth Weight
RATIONALE: Smoking during pregnancy is a well-known risk factor for low birth weight. The chemicals in tobacco
smoke can slow the growth of the fetus and increase the risk of premature birth. As a result, the primary concern
related to smoking during pregnancy is low birth weight.
QUESTION 5
The nurse receives report on four pregnant clients, including a 30-year-old woman at 20 weeks
gestation. According to the report, which of the following fluid intake recommendations will the nurse
emphasize to optimize hydration and support fetal development during the client's current pregnancy
stage?
A) 1-2 liters of water daily
B) 2 to 3 liters of water from food and beverage sources
C) 4-5 liters of water daily
D) 1 liter of water for every 10 pounds of body weight
CORRECT ANSWER
B) 2 to 3 liters of water from food and beverage sources
RATIONALE: The nurse should emphasize 2 to 3 liters of water from food and beverage sources daily to optimize
hydration and support fetal development during the client's pregnancy stage, as recommended by prenatal care
guidelines. Options A and C are under- or overestimated fluid intake recommendations, respectively, which may lead to
dehydration or fluid overload. Option D is an inaccurate formula for calculating fluid intake.
QUESTION 6
A client reports experiencing fetal movements of less than 3 in one hour. The nurse evaluates this
situation to determine the need for further assessment.
A) The client needs to continue monitoring fetal movements for the next 24 hours.
B) The client should increase her fluid intake to stimulate fetal movement.
C) The client's report warrants an immediate medical consultation for further evaluation.
D) The client is experiencing normal fetal activity and does not require further action.
CORRECT ANSWER
C) The client's report warrants an immediate medical consultation for further evaluation.
RATIONALE: The client's report of less than 3 fetal movements in one hour suggests a possible indication for further
evaluation. The nurse should consult with a healthcare provider for guidance on the next steps in care. Options A and D
are incorrect because they do not address the need for immediate medical consultation. Option B is also incorrect
because increasing fluid intake may not alleviate decreased fetal movement.
QUESTION 7
A nurse observes a pregnant client's chart and notes that the client is in her 28th week of gestation.
What is the nurse's expectation for the client's weight gain at this stage?
Trusted by thousands of students and professionals worldwide Page 3 of 36
, A) 15-25lb
B) 25-35lb
C) 12-18lb
D) 40-50lb
CORRECT ANSWER
B) 25-35lb
RATIONALE: At 28 weeks gestation, the nurse expects the client to gain 25-35 pounds to meet the recommended
weight gain for a healthy pregnancy. The American College of Obstetricians and Gynecologists recommends a weight
gain of 25-35 pounds for women of normal weight during pregnancy.
QUESTION 8
After reviewing the client's chart for a scheduled C-section, the nurse identifies the client's potential
risk for a neural tube defect in her fetus. The nurse is aware that certain foods high in folic acid can
help prevent this condition. Which of the following foods should the nurse recommend to the client?
A) Fresh strawberries
B) Lean beef
C) Dried peas
D) Whole wheat bread
CORRECT ANSWER
C) Dried peas
RATIONALE: Folic acid is essential in preventing neural tube defects. Foods high in folic acid include leafy vegetables,
dried peas, and seeds. Dried peas are a good source of folic acid, making option C the correct choice. Options A and B
are low in folic acid, and option D is not a primary source of folic acid.
QUESTION 9
The healthcare provider prescribes prenatal vitamins to a pregnant client, recommending a daily dose
of 600 mcg of folic acid to prevent neural tube defects. The nurse reviews the client's chart and notes
the folic acid dosage. What is the recommended dosage of folic acid to prevent neural tube defects in
pregnancy?
A) 100 mcg
B) 400 mcg
C) 600 mcg
D) 1000 mcg
CORRECT ANSWER
C) 600 mcg
Trusted by thousands of students and professionals worldwide Page 4 of 36
