ATI PN MATERNAL NEWBORN CMS VERSION 1 EXAM
2026 | 50 Questions and Verified Answers | Complete
Detailed Solutions | Already Graded A | Pass
Guaranteed - A+ Graded
Section 1: Antepartum Nursing Care - Prenatal Assessment, Fetal Development &
Maternal Adaptations (Q1-12)
Q1. A nurse is reviewing the signs of pregnancy with a pregnant client. Which finding
would the nurse identify as a positive sign of pregnancy?
A. Amenorrhea
B. Nausea and fatigue
C. Fetal heartbeat auscultated by Doppler at 12 weeks gestation
D. Breast tenderness and urinary frequency
C. Fetal heartbeat auscultated by Doppler at 12 weeks gestation [CORRECT]
Rationale: Positive signs of pregnancy confirm pregnancy and include fetal heartbeat
auscultation, fetal movement felt by an examiner, and ultrasound visualization.
Amenorrhea, nausea, and breast tenderness are presumptive signs, while Chadwick's
sign, Goodell's sign, Hegar's sign, and positive pregnancy tests are probable signs.
Correct Answer: C
Q2. A client's last menstrual period (LMP) was March 10, 2026. Using Naegele's rule,
what is the client's estimated date of delivery (EDD)?
A. December 3, 2026
B. December 10, 2026
C. December 17, 2026
D. January 7, 2027
C. December 17, 2026 [CORRECT]
,Rationale: Naegele's rule calculates EDD by subtracting 3 months from the LMP and
adding 7 days (March 10 minus 3 months = December 10; December 10 plus 7 days
= December 17, 2026). The year does not change because subtracting 3 months from
March stays within the same calendar year.
Correct Answer: C
Q3. A nurse measures a pregnant client's fundal height at 30 weeks gestation. The
measurement from the symphysis pubis to the fundus is 34 cm. Which action should
the nurse take?
A. Document the finding as normal and continue routine care
B. Notify the provider of suspected intrauterine growth restriction
C. Notify the provider of possible multiple gestation or polyhydramnios
D. Reposition the client and remeasure in 30 minutes
C. Notify the provider of possible multiple gestation or polyhydramnios [CORRECT]
Rationale: McDonald's rule states that fundal height in centimeters should equal
weeks of gestation plus or minus 2 after 20 weeks. A measurement of 34 cm at 30
weeks gestation exceeds the expected range (28-32 cm), suggesting rapid growth
that may indicate multiple gestation or polyhydramnios.
Correct Answer: C
Q4. A 28-year-old client is pregnant with twins and reports one previous pregnancy
resulting in a live birth at 39 weeks, one spontaneous abortion at 8 weeks, and one
preterm delivery at 34 weeks resulting in a living child. Using the GTPAL system, how
should the nurse document the client's obstetric history?
A. G4 T1 P2 A1 L2
B. G4 T1 P1 A1 L2
C. G5 T1 P2 A1 L2
D. G4 T2 P1 A1 L2
, B. G4 T1 P1 A1 L2 [CORRECT]
Rationale: Gravida (G) is 4 (current pregnancy plus 3 previous pregnancies). Term (T)
is 1 (delivery ≥37 weeks). Preterm (P) is 1 (delivery 20-36.6 weeks). Abortion (A) is 1
(spontaneous abortion <20 weeks). Living (L) is 2 (two living children). The current
twin pregnancy counts as one pregnancy in the gravida count.
Correct Answer: B
Q5. A pregnant client at 26 weeks gestation has a 1-hour 50g glucose challenge test
result of 142 mg/dL. Which action should the nurse anticipate?
A. The client does not have gestational diabetes and needs no further testing
B. The provider will order a fasting blood glucose level to confirm the diagnosis
C. The client will need a 3-hour 100g oral glucose tolerance test (OGTT)
D. The provider will prescribe insulin therapy to begin immediately
C. The client will need a 3-hour 100g oral glucose tolerance test (OGTT) [CORRECT]
Rationale: A 1-hour glucose challenge test result of 142 mg/dL exceeds the typical
screening threshold of 130-140 mg/dL, requiring a diagnostic 3-hour 100g OGTT.
Two abnormal values on the 3-hour test confirm gestational diabetes mellitus.
Correct Answer: C
Q6. A client at 36 weeks gestation has a positive Group B Streptococcus (GBS)
rectovaginal culture. Which intervention should the nurse include in the plan of care?
A. Administer oral penicillin V for 7 days before delivery
B. Ensure intravenous penicillin G is administered every 4 hours during labor
C. Apply topical clindamycin to the vaginal area during the third trimester
D. Schedule a cesarean section to prevent vertical transmission
B. Ensure intravenous penicillin G is administered every 4 hours during labor
[CORRECT]
2026 | 50 Questions and Verified Answers | Complete
Detailed Solutions | Already Graded A | Pass
Guaranteed - A+ Graded
Section 1: Antepartum Nursing Care - Prenatal Assessment, Fetal Development &
Maternal Adaptations (Q1-12)
Q1. A nurse is reviewing the signs of pregnancy with a pregnant client. Which finding
would the nurse identify as a positive sign of pregnancy?
A. Amenorrhea
B. Nausea and fatigue
C. Fetal heartbeat auscultated by Doppler at 12 weeks gestation
D. Breast tenderness and urinary frequency
C. Fetal heartbeat auscultated by Doppler at 12 weeks gestation [CORRECT]
Rationale: Positive signs of pregnancy confirm pregnancy and include fetal heartbeat
auscultation, fetal movement felt by an examiner, and ultrasound visualization.
Amenorrhea, nausea, and breast tenderness are presumptive signs, while Chadwick's
sign, Goodell's sign, Hegar's sign, and positive pregnancy tests are probable signs.
Correct Answer: C
Q2. A client's last menstrual period (LMP) was March 10, 2026. Using Naegele's rule,
what is the client's estimated date of delivery (EDD)?
A. December 3, 2026
B. December 10, 2026
C. December 17, 2026
D. January 7, 2027
C. December 17, 2026 [CORRECT]
,Rationale: Naegele's rule calculates EDD by subtracting 3 months from the LMP and
adding 7 days (March 10 minus 3 months = December 10; December 10 plus 7 days
= December 17, 2026). The year does not change because subtracting 3 months from
March stays within the same calendar year.
Correct Answer: C
Q3. A nurse measures a pregnant client's fundal height at 30 weeks gestation. The
measurement from the symphysis pubis to the fundus is 34 cm. Which action should
the nurse take?
A. Document the finding as normal and continue routine care
B. Notify the provider of suspected intrauterine growth restriction
C. Notify the provider of possible multiple gestation or polyhydramnios
D. Reposition the client and remeasure in 30 minutes
C. Notify the provider of possible multiple gestation or polyhydramnios [CORRECT]
Rationale: McDonald's rule states that fundal height in centimeters should equal
weeks of gestation plus or minus 2 after 20 weeks. A measurement of 34 cm at 30
weeks gestation exceeds the expected range (28-32 cm), suggesting rapid growth
that may indicate multiple gestation or polyhydramnios.
Correct Answer: C
Q4. A 28-year-old client is pregnant with twins and reports one previous pregnancy
resulting in a live birth at 39 weeks, one spontaneous abortion at 8 weeks, and one
preterm delivery at 34 weeks resulting in a living child. Using the GTPAL system, how
should the nurse document the client's obstetric history?
A. G4 T1 P2 A1 L2
B. G4 T1 P1 A1 L2
C. G5 T1 P2 A1 L2
D. G4 T2 P1 A1 L2
, B. G4 T1 P1 A1 L2 [CORRECT]
Rationale: Gravida (G) is 4 (current pregnancy plus 3 previous pregnancies). Term (T)
is 1 (delivery ≥37 weeks). Preterm (P) is 1 (delivery 20-36.6 weeks). Abortion (A) is 1
(spontaneous abortion <20 weeks). Living (L) is 2 (two living children). The current
twin pregnancy counts as one pregnancy in the gravida count.
Correct Answer: B
Q5. A pregnant client at 26 weeks gestation has a 1-hour 50g glucose challenge test
result of 142 mg/dL. Which action should the nurse anticipate?
A. The client does not have gestational diabetes and needs no further testing
B. The provider will order a fasting blood glucose level to confirm the diagnosis
C. The client will need a 3-hour 100g oral glucose tolerance test (OGTT)
D. The provider will prescribe insulin therapy to begin immediately
C. The client will need a 3-hour 100g oral glucose tolerance test (OGTT) [CORRECT]
Rationale: A 1-hour glucose challenge test result of 142 mg/dL exceeds the typical
screening threshold of 130-140 mg/dL, requiring a diagnostic 3-hour 100g OGTT.
Two abnormal values on the 3-hour test confirm gestational diabetes mellitus.
Correct Answer: C
Q6. A client at 36 weeks gestation has a positive Group B Streptococcus (GBS)
rectovaginal culture. Which intervention should the nurse include in the plan of care?
A. Administer oral penicillin V for 7 days before delivery
B. Ensure intravenous penicillin G is administered every 4 hours during labor
C. Apply topical clindamycin to the vaginal area during the third trimester
D. Schedule a cesarean section to prevent vertical transmission
B. Ensure intravenous penicillin G is administered every 4 hours during labor
[CORRECT]
