Page 1 of 170
ATI Capstone: Maternal Newborn
Assessment Actual Exam -Questions
with Correct Answers & Explanations |
Graded A+ Study Guide.
Q1. A nurse is reviewing laboratory results for a client at 12
weeks gestation. Which finding requires immediate intervention?
A) White blood cell count 15,000/mm³
B) Hemoglobin 10.2 g/dL
C) Rubella titer < 1:8
D) Fasting glucose 85 mg/dL
Correct Answer: C
Rationale: A rubella titer of <1:8 indicates non-immunity. The
client should receive the MMR vaccine immediately postpartum as
it is a live vaccine contraindicated during pregnancy. Elevated
,Page 2 of 170
WBCs (up to 16,000) and mild anemia are expected in
pregnancy.
Q2. A nurse is teaching a client about physiological changes
during pregnancy. Which statement indicates understanding?
A) "My heart rate will slow down because the baby is using my
blood."
B) "I may feel short of breath because the baby pushes up on my
lungs."
C) "My blood pressure will drop significantly in the third
trimester."
D) "I will have increased urine output in the third trimester."
Correct Answer: B
Rationale: As the uterus expands, it pushes against the
diaphragm, causing dyspnea. Heart rate increases (not slows) by
10-15 bpm. Blood pressure slightly decreases in the second
,Page 3 of 170
trimester but returns to baseline in the third.
Urinary frequency (not output) increases due to pressure on the
bladder.
Q3. A nurse is calculating the estimated date of birth (EDB) using
Naegele's rule for a client whose last menstrual period (LMP)
began on September 10, 2025. What is the EDB?
A) June 3, 2026
B) June 10, 2026
C) June 17, 2026
D) June 24, 2026
Correct Answer: C
Rationale: Naegele's rule: Subtract 3 months from LMP and add
7 days. September - 3 = June. 10 + 7 = 17. Therefore, June 17,
2026.
, Page 4 of 170
Q4. A nurse is assessing a client at 36 weeks gestation. Which
finding should the nurse report to the provider immediately?
A) Swelling of the feet and ankles in the evening
B) Persistent headache unrelieved by acetaminophen
C) Occasional Braxton-Hicks contractions
D) Heartburn after eating spicy foods
Correct Answer: B
Rationale: A persistent headache unrelieved by acetaminophen,
especially in the third trimester, is a classic sign of preeclampsia
until proven otherwise. It requires immediate assessment of blood
pressure and urine protein.
Q5. A nurse is performing a fundal height measurement. At 24
weeks gestation, the fundus should be located at which
landmark?
A) Symphysis pubis
ATI Capstone: Maternal Newborn
Assessment Actual Exam -Questions
with Correct Answers & Explanations |
Graded A+ Study Guide.
Q1. A nurse is reviewing laboratory results for a client at 12
weeks gestation. Which finding requires immediate intervention?
A) White blood cell count 15,000/mm³
B) Hemoglobin 10.2 g/dL
C) Rubella titer < 1:8
D) Fasting glucose 85 mg/dL
Correct Answer: C
Rationale: A rubella titer of <1:8 indicates non-immunity. The
client should receive the MMR vaccine immediately postpartum as
it is a live vaccine contraindicated during pregnancy. Elevated
,Page 2 of 170
WBCs (up to 16,000) and mild anemia are expected in
pregnancy.
Q2. A nurse is teaching a client about physiological changes
during pregnancy. Which statement indicates understanding?
A) "My heart rate will slow down because the baby is using my
blood."
B) "I may feel short of breath because the baby pushes up on my
lungs."
C) "My blood pressure will drop significantly in the third
trimester."
D) "I will have increased urine output in the third trimester."
Correct Answer: B
Rationale: As the uterus expands, it pushes against the
diaphragm, causing dyspnea. Heart rate increases (not slows) by
10-15 bpm. Blood pressure slightly decreases in the second
,Page 3 of 170
trimester but returns to baseline in the third.
Urinary frequency (not output) increases due to pressure on the
bladder.
Q3. A nurse is calculating the estimated date of birth (EDB) using
Naegele's rule for a client whose last menstrual period (LMP)
began on September 10, 2025. What is the EDB?
A) June 3, 2026
B) June 10, 2026
C) June 17, 2026
D) June 24, 2026
Correct Answer: C
Rationale: Naegele's rule: Subtract 3 months from LMP and add
7 days. September - 3 = June. 10 + 7 = 17. Therefore, June 17,
2026.
, Page 4 of 170
Q4. A nurse is assessing a client at 36 weeks gestation. Which
finding should the nurse report to the provider immediately?
A) Swelling of the feet and ankles in the evening
B) Persistent headache unrelieved by acetaminophen
C) Occasional Braxton-Hicks contractions
D) Heartburn after eating spicy foods
Correct Answer: B
Rationale: A persistent headache unrelieved by acetaminophen,
especially in the third trimester, is a classic sign of preeclampsia
until proven otherwise. It requires immediate assessment of blood
pressure and urine protein.
Q5. A nurse is performing a fundal height measurement. At 24
weeks gestation, the fundus should be located at which
landmark?
A) Symphysis pubis
