ATI PN MATERNAL NEWBORN PROCTORED EXAM LATEST
2026 | Actual Exam Complete Questions & Correct Detailed
Answers | 100% Verified | Pass Guaranteed - A+ Graded
Section 1: Antepartum Nursing Care - Prenatal Visits, Fetal Development & Risk
Factors (Q1-25)
Question 1 A client reports her last menstrual period began on March 10, 2026. Using
Naegele's rule, what is her estimated date of delivery?
A. November 17, 2026
B. December 17, 2026 [CORRECT]
C. January 17, 2027
D. October 17, 2026
Rationale: Naegele's rule calculates EDD by subtracting 3 months from the LMP and
adding 7 days. March 10 minus 3 months = December 10; plus 7 days = December 17,
2026. November would be subtracting 4 months, and January would be adding 10
months.
Correct Answer: B
Question 2 A client is pregnant for the fourth time. She delivered one child at 39 weeks,
one at 34 weeks, and had one spontaneous abortion at 8 weeks. She has two living
children. What is her GTPAL?
A. G4 T1 P1 A1 L2 [CORRECT]
B. G4 T2 P0 A1 L2
C. G3 T1 P1 A1 L2
D. G4 T1 P2 A0 L2
Rationale: G=4 (total pregnancies including current), T=1 (term ≥37 weeks), P=1
(preterm 20-36.6 weeks), A=1 (abortion <20 weeks), L=2 (living children). The current
pregnancy counts in gravida but has not yet contributed to T, P, or L.
Correct Answer: A
,Question 3 At a prenatal visit at 24 weeks gestation, the nurse measures the client's
fundal height. Which measurement is consistent with normal fetal growth?
A. 18 cm
B. 22 cm
C. 24 cm [CORRECT]
D. 30 cm
Rationale: After 20 weeks, fundal height in centimeters should approximate gestational
age in weeks ±2 cm. At 24 weeks, 24 cm is expected. 18 cm suggests growth restriction
or incorrect dates, while 30 cm suggests macrosomia, polyhydramnios, or multifetal
gestation.
Correct Answer: C
Question 4 A nurse auscultates the fetal heart rate using a Doppler device at a routine
prenatal visit. At what gestational age is FHR typically first detectable with a handheld
Doppler, and what is the normal range?
A. 6-8 weeks; 100-140 bpm
B. 10-12 weeks; 110-160 bpm [CORRECT]
C. 14-16 weeks; 120-170 bpm
D. 18-20 weeks; 110-150 bpm
Rationale: FHR is typically first audible via handheld Doppler at 10-12 weeks gestation.
The normal baseline FHR is 110-160 bpm. Before 10 weeks, transvaginal ultrasound is
required, and rates <110 or >160 require further evaluation.
Correct Answer: B
,Question 5 A client at 16 weeks gestation asks about maternal serum alpha-fetoprotein
(MSAFP) screening. The nurse explains that this test screens for which condition, and
when is it performed?
A. Gestational diabetes; 24-28 weeks
B. Neural tube defects; 15-20 weeks [CORRECT]
C. Chromosomal abnormalities; 10-14 weeks
D. Group B streptococcus; 35-37 weeks
Rationale: MSAFP screening is performed at 15-20 weeks to detect open neural tube
defects (open spina bifida, anencephaly). Elevated levels suggest neural tube defects;
low levels are associated with Down syndrome. Quad screening includes MSAFP plus
hCG, estriol, and inhibin A.
Correct Answer: B
Question 6 A client at 26 weeks gestation undergoes a 1-hour 50g glucose challenge
test (GCT). Her result is 142 mg/dL using a threshold of 140 mg/dL. What is the nurse's
most appropriate next action?
A. Diagnose gestational diabetes and start insulin
B. Schedule a 3-hour 100g oral glucose tolerance test (OGTT) [CORRECT]
C. Repeat the 1-hour test in 1 week
D. Reassure the client that this is a normal result
Rationale: A 1-hour GCT result exceeding the threshold (130-140 mg/dL depending on
protocol) requires a diagnostic 3-hour 100g OGTT. Two abnormal values on the OGTT
confirm GDM. One abnormal value may warrant repeat testing or monitoring depending
on provider preference.
Correct Answer: B
Question 7 During the 3-hour OGTT, which values are diagnostic for gestational
diabetes if two or more are abnormal?
, A. Fasting 90, 1h 160, 2h 140, 3h 120 mg/dL
B. Fasting 95, 1h 180, 2h 155, 3h 140 mg/dL [CORRECT]
C. Fasting 100, 1h 190, 2h 165, 3h 150 mg/dL
D. Fasting 85, 1h 170, 2h 145, 3h 130 mg/dL
Rationale: The Carpenter and Coustan criteria for the 3-hour 100g OGTT are: fasting
≥95 mg/dL, 1-hour ≥180 mg/dL, 2-hour ≥155 mg/dL, and 3-hour ≥140 mg/dL. Two or
more abnormal values confirm gestational diabetes.
Correct Answer: B
Question 8 A client at 36 weeks gestation has a positive Group B Streptococcus (GBS)
rectovaginal culture. Which intervention is required during labor?
A. Oral penicillin at the onset of labor
B. Intrapartum IV antibiotics (penicillin G or ampicillin) [CORRECT]
C. Intramuscular ceftriaxone after delivery
D. No treatment; GBS is normal flora
Rationale: GBS-positive clients require intrapartum IV antibiotic prophylaxis (penicillin
G 5 million units IV loading dose, then 2.5-3 million units q4h, or ampicillin 2g IV
loading dose, then 1g q4h) to prevent vertical transmission. Clindamycin is used for
penicillin-allergic clients with confirmed susceptibility.
Correct Answer: B
Question 9 An Rh-negative, unsensitized client is at 28 weeks gestation. Which
intervention is indicated at this gestational age?
A. RhoGAM 300 mcg IM within 72 hours postpartum
B. RhoGAM 300 mcg IM at 28 weeks gestation [CORRECT]
C. Indirect Coombs test only; no treatment needed
D. RhoGAM 50 mcg IM at 28 weeks
2026 | Actual Exam Complete Questions & Correct Detailed
Answers | 100% Verified | Pass Guaranteed - A+ Graded
Section 1: Antepartum Nursing Care - Prenatal Visits, Fetal Development & Risk
Factors (Q1-25)
Question 1 A client reports her last menstrual period began on March 10, 2026. Using
Naegele's rule, what is her estimated date of delivery?
A. November 17, 2026
B. December 17, 2026 [CORRECT]
C. January 17, 2027
D. October 17, 2026
Rationale: Naegele's rule calculates EDD by subtracting 3 months from the LMP and
adding 7 days. March 10 minus 3 months = December 10; plus 7 days = December 17,
2026. November would be subtracting 4 months, and January would be adding 10
months.
Correct Answer: B
Question 2 A client is pregnant for the fourth time. She delivered one child at 39 weeks,
one at 34 weeks, and had one spontaneous abortion at 8 weeks. She has two living
children. What is her GTPAL?
A. G4 T1 P1 A1 L2 [CORRECT]
B. G4 T2 P0 A1 L2
C. G3 T1 P1 A1 L2
D. G4 T1 P2 A0 L2
Rationale: G=4 (total pregnancies including current), T=1 (term ≥37 weeks), P=1
(preterm 20-36.6 weeks), A=1 (abortion <20 weeks), L=2 (living children). The current
pregnancy counts in gravida but has not yet contributed to T, P, or L.
Correct Answer: A
,Question 3 At a prenatal visit at 24 weeks gestation, the nurse measures the client's
fundal height. Which measurement is consistent with normal fetal growth?
A. 18 cm
B. 22 cm
C. 24 cm [CORRECT]
D. 30 cm
Rationale: After 20 weeks, fundal height in centimeters should approximate gestational
age in weeks ±2 cm. At 24 weeks, 24 cm is expected. 18 cm suggests growth restriction
or incorrect dates, while 30 cm suggests macrosomia, polyhydramnios, or multifetal
gestation.
Correct Answer: C
Question 4 A nurse auscultates the fetal heart rate using a Doppler device at a routine
prenatal visit. At what gestational age is FHR typically first detectable with a handheld
Doppler, and what is the normal range?
A. 6-8 weeks; 100-140 bpm
B. 10-12 weeks; 110-160 bpm [CORRECT]
C. 14-16 weeks; 120-170 bpm
D. 18-20 weeks; 110-150 bpm
Rationale: FHR is typically first audible via handheld Doppler at 10-12 weeks gestation.
The normal baseline FHR is 110-160 bpm. Before 10 weeks, transvaginal ultrasound is
required, and rates <110 or >160 require further evaluation.
Correct Answer: B
,Question 5 A client at 16 weeks gestation asks about maternal serum alpha-fetoprotein
(MSAFP) screening. The nurse explains that this test screens for which condition, and
when is it performed?
A. Gestational diabetes; 24-28 weeks
B. Neural tube defects; 15-20 weeks [CORRECT]
C. Chromosomal abnormalities; 10-14 weeks
D. Group B streptococcus; 35-37 weeks
Rationale: MSAFP screening is performed at 15-20 weeks to detect open neural tube
defects (open spina bifida, anencephaly). Elevated levels suggest neural tube defects;
low levels are associated with Down syndrome. Quad screening includes MSAFP plus
hCG, estriol, and inhibin A.
Correct Answer: B
Question 6 A client at 26 weeks gestation undergoes a 1-hour 50g glucose challenge
test (GCT). Her result is 142 mg/dL using a threshold of 140 mg/dL. What is the nurse's
most appropriate next action?
A. Diagnose gestational diabetes and start insulin
B. Schedule a 3-hour 100g oral glucose tolerance test (OGTT) [CORRECT]
C. Repeat the 1-hour test in 1 week
D. Reassure the client that this is a normal result
Rationale: A 1-hour GCT result exceeding the threshold (130-140 mg/dL depending on
protocol) requires a diagnostic 3-hour 100g OGTT. Two abnormal values on the OGTT
confirm GDM. One abnormal value may warrant repeat testing or monitoring depending
on provider preference.
Correct Answer: B
Question 7 During the 3-hour OGTT, which values are diagnostic for gestational
diabetes if two or more are abnormal?
, A. Fasting 90, 1h 160, 2h 140, 3h 120 mg/dL
B. Fasting 95, 1h 180, 2h 155, 3h 140 mg/dL [CORRECT]
C. Fasting 100, 1h 190, 2h 165, 3h 150 mg/dL
D. Fasting 85, 1h 170, 2h 145, 3h 130 mg/dL
Rationale: The Carpenter and Coustan criteria for the 3-hour 100g OGTT are: fasting
≥95 mg/dL, 1-hour ≥180 mg/dL, 2-hour ≥155 mg/dL, and 3-hour ≥140 mg/dL. Two or
more abnormal values confirm gestational diabetes.
Correct Answer: B
Question 8 A client at 36 weeks gestation has a positive Group B Streptococcus (GBS)
rectovaginal culture. Which intervention is required during labor?
A. Oral penicillin at the onset of labor
B. Intrapartum IV antibiotics (penicillin G or ampicillin) [CORRECT]
C. Intramuscular ceftriaxone after delivery
D. No treatment; GBS is normal flora
Rationale: GBS-positive clients require intrapartum IV antibiotic prophylaxis (penicillin
G 5 million units IV loading dose, then 2.5-3 million units q4h, or ampicillin 2g IV
loading dose, then 1g q4h) to prevent vertical transmission. Clindamycin is used for
penicillin-allergic clients with confirmed susceptibility.
Correct Answer: B
Question 9 An Rh-negative, unsensitized client is at 28 weeks gestation. Which
intervention is indicated at this gestational age?
A. RhoGAM 300 mcg IM within 72 hours postpartum
B. RhoGAM 300 mcg IM at 28 weeks gestation [CORRECT]
C. Indirect Coombs test only; no treatment needed
D. RhoGAM 50 mcg IM at 28 weeks
