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ATI Maternal Newborn Proctored Exam – Complete Practice Question Bank (210+ MCQs) with Rationales

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Pass the ATI Maternal Newborn Proctored Exam with confidence. This comprehensive question bank includes 210+ high-yield multiple-choice questions covering all core domains: Antepartum Nursing Care (EDD, preeclampsia, hyperemesis, gestational diabetes, placenta previa, abruption), Intrapartum Nursing Care (stages of labor, epidural, oxytocin, amniotomy, prolapsed cord), Fetal Heart Rate Monitoring (category tracings, decelerations, variability, accelerations), Postpartum Nursing Care (fundal assessment, lochia, mastitis, DVT, baby blues vs PPD), Newborn Nursing Care (APGAR, hypoglycemia, hyperbilirubinemia, circumcision, NAS, phototherapy), High-Risk Conditions (HELLP, magnesium sulfate toxicity, PPROM, chorioamnionitis), and Pharmacology (betamethasone, RhoGAM, terbutaline, nifedipine). Each answer includes a detailed rationale. First-time pass ready.

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# ATI MATERNAL NEWBORN PROCTORED
EXAM## COMPLETE PRACTICE QUESTION
BANK (200+ MCQS)## *HIGH-YIELD, A+
GRADED, RATIONALES INCLUDED ## FIRST-
TIME PASS GUARANTEE READY



## Table of Contents


| Domain | # of Questions |
|--------|----------------|
| 1. Antepartum Nursing Care | 35 |
| 2. Intrapartum Nursing Care | 35 |
| 3. Fetal Heart Rate Monitoring | 25 |
| 4. Postpartum Nursing Care | 35 |
| 5. Newborn Nursing Care | 35 |
| 6. High-Risk Conditions & Complications | 25 |
| 7. Pharmacology & Medication Safety | 20 |
| **Total** | **210** |


---

,2|Page


# Domain 1: Antepartum Nursing Care (Questions 1–35)


**1.** A nurse is calculating the estimated date of birth using Naegele's
rule for a client whose last menstrual cycle started June 21. Which of the
following is the estimated date of delivery in the next year?


A) March 14
B) March 28
C) April 14
D) April 28


**Answer:** B) March 28


**Rationale:** Naegele's rule: Subtract 3 months from the first day of
the LMP and add 7 days. June 21 → subtract 3 months = March 21 →
add 7 days = March 28.


**2.** A nurse is assessing a client who is at 27 weeks of gestation and
has preeclampsia. Which of the following findings should the nurse
report to the provider?


A) Blood pressure 138/88 mm Hg
B) Urine protein 1+
C) Platelet count 60,000/mm³

,3|Page


D) Mild headache


**Answer:** C) Platelet count 60,000/mm³


**Rationale:** A platelet count of 60,000/mm³ is critically low and
indicates HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low
Platelets), a severe complication of preeclampsia requiring immediate
intervention.


**3.** A nurse is providing teaching for a client at 7 weeks of gestation
who is experiencing nausea and vomiting. Which of the following client
statements indicates an understanding of the teaching?


A) "I should have a small snack before bedtime."
B) "I should drink fluids with my meals."
C) "I should lie down immediately after eating."
D) "I should eat three large meals daily."


**Answer:** A) "I should have a small snack before bedtime."


**Rationale:** Eating a small snack before bedtime helps prevent
hypoglycemia overnight, which can contribute to morning nausea.
Clients should eat small, frequent meals and avoid lying down
immediately after eating.

, 4|Page




**4.** A nurse in a clinic is preparing to measure the fundal height of a
client who is pregnant. Which of the following actions should the nurse
take?


A) Measure from the upper border of the symphysis pubis to the upper
border of the fundus
B) Measure from the lower border of the symphysis pubis to the lower
border of the fundus
C) Measure from the umbilicus to the xiphoid process
D) Measure from the symphysis pubis to the umbilicus


**Answer:** A) Measure from the upper border of the symphysis pubis
to the upper border of the fundus


**Rationale:** Fundal height is measured in centimeters from the upper
border of the symphysis pubis to the upper border of the fundus.
Between 18-32 weeks, fundal height in cm should correspond to weeks
of gestation (±2 cm).


**5.** A nurse is caring for a client who is at 20 weeks of gestation and
reports constipation. Which of the following recommendations should
the nurse make to help relieve this common discomfort of pregnancy?


A) Decrease physical activity

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