ATI OB-PEDS Nursing Exam 2026/2027 | Practice Questions & Study Guide
ATI OB-PEDS NURSING EXAM
2026/2027
75 Questions with Correct Answers & Rationales
Practice Questions & Study Guide | Already Graded A+ | 100% Verified
Obstetrics & Pediatrics Nursing: Maternal-Child Health Practice
Key Domains: Antepartum Assessment & Fetal Development | Intrapartum Management & Labor Stages
Fetal Heart Rate Monitoring & Interpretation | Postpartum Care & Maternal Recovery
Newborn Assessment & Stabilization | Pediatric Growth & Development Milestones
Common Pediatric Illnesses | Pediatric Pharmacology | Immunization Schedules
Family-Centered Care | High-Risk OB & Emergency Recognition | NCLEX-RN Strategies
, ATI OB-PEDS Nursing Exam 2026/2027 | Practice Questions & Study Guide
EXAM INSTRUCTIONS
Total Questions: 75 Multiple-Choice Questions
Format: Each question has four options (A, B, C, D) with one correct answer
Correct Answers: Displayed in bold teal/cyan within each question
Rationales: Each answer includes a detailed evidence-based rationale aligned with ATI Content Mastery Series,
NCSBN NCLEX-RN test plans, AWHONN/AAP standards, ACOG guidelines, and current clinical practice
guidelines
Exam Alignment: Next Generation NCLEX (NGN) clinical judgment items, ABCs priority framework, Maslow's
hierarchy, nursing process (ADPIE), and SBAR communication
Section I II III IV V-XIII
Points Available 6 7 6 7 42
Score
2
, ATI OB-PEDS Nursing Exam 2026/2027 | Practice Questions & Study Guide
Section I: Antepartum Assessment & Fetal Development
1. A primigravida at 28 weeks' gestation is scheduled for a glucose challenge test (GCT). The nurse explains that
the purpose of this test is to screen for which condition?
A. Preeclampsia B. Gestational diabetes mellitus
C. Placenta previa D. Ectopic pregnancy
Correct Answer: B
Rationale: The GCT (1-hour, 50g oral glucose load) screens for gestational diabetes mellitus (GDM), which affects
2-10% of pregnancies. ACOG recommends universal screening at 24-28 weeks. Preeclampsia is screened via blood
pressure and urine protein monitoring. Placenta previa is diagnosed via ultrasound. Ectopic pregnancy occurs in
the first trimester.
2. A pregnant client at 20 weeks' gestation reports feeling fetal movement for the first time. The nurse documents
this as which of the following?
A. Ballottement B. Quickening
C. Lightening D. Engagement
Correct Answer: B
Rationale: Quickening is the first perception of fetal movement by the mother, typically occurring between 16-20
weeks in nulliparous women and 14-16 weeks in multiparous women. Ballottement is a technique to assess fetal
position. Lightening is the descent of the fetal head into the pelvis near term. Engagement is when the widest
diameter of the presenting part passes through the pelvic inlet.
3. A nurse is assessing a client at 12 weeks' gestation. Which finding is most likely a presumptive sign of
pregnancy?
A. Fetal heart tones detected by Doppler B. Uterine enlargement on palpation
C. Breast tenderness and amenorrhea D. Positive hCG urine test
Correct Answer: C
Rationale: Presumptive signs (subjective) include amenorrhea, breast tenderness, nausea, fatigue, and urinary
frequency. Fetal heart tones, uterine enlargement, and positive pregnancy tests are probable signs. Positive signs
(diagnostic) include visualization of the fetus on ultrasound and fetal heart movement. The distinction between
presumptive, probable, and positive signs is a key NCLEX concept.
4. A gravida 2, para 1 client at 32 weeks' gestation asks the nurse how her baby is positioned. The nurse identifies
a round, firm, movable fetal part in the fundus and a hard, round object above the symphysis pubis. This
presentation is most consistent with:
A. Breech presentation B. Transverse lie
C. Cephalic presentation D. Face presentation
Correct Answer: C
Rationale: A hard, round object above the symphysis pubis is the fetal head (cephalic presentation), while a round,
firm, movable part in the fundus is the fetal buttocks. In breech presentation, the buttocks would be above the
symphysis. Transverse lie presents with the shoulder as the presenting part. Face presentation would present with
facial features palpable on vaginal exam.
5. A pregnant client at 36 weeks' gestation has a fundal height measurement of 34 cm. The nurse's best action is
to:
A. Prepare the client for immediate delivery
B. Document the finding as within normal limits
3
ATI OB-PEDS NURSING EXAM
2026/2027
75 Questions with Correct Answers & Rationales
Practice Questions & Study Guide | Already Graded A+ | 100% Verified
Obstetrics & Pediatrics Nursing: Maternal-Child Health Practice
Key Domains: Antepartum Assessment & Fetal Development | Intrapartum Management & Labor Stages
Fetal Heart Rate Monitoring & Interpretation | Postpartum Care & Maternal Recovery
Newborn Assessment & Stabilization | Pediatric Growth & Development Milestones
Common Pediatric Illnesses | Pediatric Pharmacology | Immunization Schedules
Family-Centered Care | High-Risk OB & Emergency Recognition | NCLEX-RN Strategies
, ATI OB-PEDS Nursing Exam 2026/2027 | Practice Questions & Study Guide
EXAM INSTRUCTIONS
Total Questions: 75 Multiple-Choice Questions
Format: Each question has four options (A, B, C, D) with one correct answer
Correct Answers: Displayed in bold teal/cyan within each question
Rationales: Each answer includes a detailed evidence-based rationale aligned with ATI Content Mastery Series,
NCSBN NCLEX-RN test plans, AWHONN/AAP standards, ACOG guidelines, and current clinical practice
guidelines
Exam Alignment: Next Generation NCLEX (NGN) clinical judgment items, ABCs priority framework, Maslow's
hierarchy, nursing process (ADPIE), and SBAR communication
Section I II III IV V-XIII
Points Available 6 7 6 7 42
Score
2
, ATI OB-PEDS Nursing Exam 2026/2027 | Practice Questions & Study Guide
Section I: Antepartum Assessment & Fetal Development
1. A primigravida at 28 weeks' gestation is scheduled for a glucose challenge test (GCT). The nurse explains that
the purpose of this test is to screen for which condition?
A. Preeclampsia B. Gestational diabetes mellitus
C. Placenta previa D. Ectopic pregnancy
Correct Answer: B
Rationale: The GCT (1-hour, 50g oral glucose load) screens for gestational diabetes mellitus (GDM), which affects
2-10% of pregnancies. ACOG recommends universal screening at 24-28 weeks. Preeclampsia is screened via blood
pressure and urine protein monitoring. Placenta previa is diagnosed via ultrasound. Ectopic pregnancy occurs in
the first trimester.
2. A pregnant client at 20 weeks' gestation reports feeling fetal movement for the first time. The nurse documents
this as which of the following?
A. Ballottement B. Quickening
C. Lightening D. Engagement
Correct Answer: B
Rationale: Quickening is the first perception of fetal movement by the mother, typically occurring between 16-20
weeks in nulliparous women and 14-16 weeks in multiparous women. Ballottement is a technique to assess fetal
position. Lightening is the descent of the fetal head into the pelvis near term. Engagement is when the widest
diameter of the presenting part passes through the pelvic inlet.
3. A nurse is assessing a client at 12 weeks' gestation. Which finding is most likely a presumptive sign of
pregnancy?
A. Fetal heart tones detected by Doppler B. Uterine enlargement on palpation
C. Breast tenderness and amenorrhea D. Positive hCG urine test
Correct Answer: C
Rationale: Presumptive signs (subjective) include amenorrhea, breast tenderness, nausea, fatigue, and urinary
frequency. Fetal heart tones, uterine enlargement, and positive pregnancy tests are probable signs. Positive signs
(diagnostic) include visualization of the fetus on ultrasound and fetal heart movement. The distinction between
presumptive, probable, and positive signs is a key NCLEX concept.
4. A gravida 2, para 1 client at 32 weeks' gestation asks the nurse how her baby is positioned. The nurse identifies
a round, firm, movable fetal part in the fundus and a hard, round object above the symphysis pubis. This
presentation is most consistent with:
A. Breech presentation B. Transverse lie
C. Cephalic presentation D. Face presentation
Correct Answer: C
Rationale: A hard, round object above the symphysis pubis is the fetal head (cephalic presentation), while a round,
firm, movable part in the fundus is the fetal buttocks. In breech presentation, the buttocks would be above the
symphysis. Transverse lie presents with the shoulder as the presenting part. Face presentation would present with
facial features palpable on vaginal exam.
5. A pregnant client at 36 weeks' gestation has a fundal height measurement of 34 cm. The nurse's best action is
to:
A. Prepare the client for immediate delivery
B. Document the finding as within normal limits
3
