ATI PROCTORED EXAM MATERNAL NEWBORN CMS
2025| QUESTIONS AND VERIFIED ACCURATE
RATIONALES
Question 1:
What is the recommended weight gain during pregnancy for
a woman with a normal BMI (18.5–24.9)?
A. 10–15 pounds
B. 15–25 pounds
C. 25–35 pounds
D. 35–45 pounds
Correct Answer: C
Rationale: The recommended weight gain for a woman with a
normal BMI is 25–35 pounds. This ensures adequate fetal
growth and maternal health.
Question 2:
A client at 32 weeks gestation reports frequent heartburn.
Which of the following recommendations should the nurse
provide?
A. Lie down immediately after meals
B. Eat large meals to reduce frequency
C. Avoid spicy and fatty foods
D. Drink carbonated beverages to relieve symptoms
Correct Answer: C
Rationale: Spicy and fatty foods can exacerbate heartburn.
,Small, frequent meals and avoiding lying down after eating are
recommended. Carbonated beverages can worsen symptoms.
Question 3:
Which of the following is a sign of preterm labor?
A. Braxton Hicks contractions
B. Leakage of clear fluid from the vagina
C. Increased fetal movement
D. Mild pelvic pressure
Correct Answer: B
Rationale: Leakage of clear fluid may indicate rupture of
membranes, a sign of preterm labor. Braxton Hicks contractions
are normal, and increased fetal movement or mild pelvic
pressure alone are not definitive signs.
Question 4:
A newborn is diagnosed with jaundice. Which of the
following laboratory findings would the nurse expect?
A. Elevated bilirubin levels
B. Decreased hemoglobin levels
C. Elevated white blood cell count
D. Decreased platelet count
Correct Answer: A
Rationale: Jaundice is caused by elevated bilirubin levels.
Hemoglobin, WBC, and platelet counts are not directly related
to jaundice.
, Question 5:
Which of the following is a priority nursing intervention for
a client with preeclampsia?
A. Encourage ambulation to promote circulation
B. Monitor blood pressure and proteinuria
C. Administer diuretics to reduce edema
D. Restrict fluid intake to prevent fluid overload
Correct Answer: B
Rationale: Monitoring blood pressure and proteinuria is critical
in managing preeclampsia. Ambulation, diuretics, and fluid
restriction are not standard interventions.
Question 6:
A client in active labor requests pain relief. Which of the
following medications is contraindicated if delivery is
imminent?
A. Epidural analgesia
B. Meperidine (Demerol)
C. Nitrous oxide
D. Fentanyl
Correct Answer: B
Rationale: Meperidine can cause respiratory depression in the
newborn if given too close to delivery. Epidural analgesia,
nitrous oxide, and fentanyl are safer options.
2025| QUESTIONS AND VERIFIED ACCURATE
RATIONALES
Question 1:
What is the recommended weight gain during pregnancy for
a woman with a normal BMI (18.5–24.9)?
A. 10–15 pounds
B. 15–25 pounds
C. 25–35 pounds
D. 35–45 pounds
Correct Answer: C
Rationale: The recommended weight gain for a woman with a
normal BMI is 25–35 pounds. This ensures adequate fetal
growth and maternal health.
Question 2:
A client at 32 weeks gestation reports frequent heartburn.
Which of the following recommendations should the nurse
provide?
A. Lie down immediately after meals
B. Eat large meals to reduce frequency
C. Avoid spicy and fatty foods
D. Drink carbonated beverages to relieve symptoms
Correct Answer: C
Rationale: Spicy and fatty foods can exacerbate heartburn.
,Small, frequent meals and avoiding lying down after eating are
recommended. Carbonated beverages can worsen symptoms.
Question 3:
Which of the following is a sign of preterm labor?
A. Braxton Hicks contractions
B. Leakage of clear fluid from the vagina
C. Increased fetal movement
D. Mild pelvic pressure
Correct Answer: B
Rationale: Leakage of clear fluid may indicate rupture of
membranes, a sign of preterm labor. Braxton Hicks contractions
are normal, and increased fetal movement or mild pelvic
pressure alone are not definitive signs.
Question 4:
A newborn is diagnosed with jaundice. Which of the
following laboratory findings would the nurse expect?
A. Elevated bilirubin levels
B. Decreased hemoglobin levels
C. Elevated white blood cell count
D. Decreased platelet count
Correct Answer: A
Rationale: Jaundice is caused by elevated bilirubin levels.
Hemoglobin, WBC, and platelet counts are not directly related
to jaundice.
, Question 5:
Which of the following is a priority nursing intervention for
a client with preeclampsia?
A. Encourage ambulation to promote circulation
B. Monitor blood pressure and proteinuria
C. Administer diuretics to reduce edema
D. Restrict fluid intake to prevent fluid overload
Correct Answer: B
Rationale: Monitoring blood pressure and proteinuria is critical
in managing preeclampsia. Ambulation, diuretics, and fluid
restriction are not standard interventions.
Question 6:
A client in active labor requests pain relief. Which of the
following medications is contraindicated if delivery is
imminent?
A. Epidural analgesia
B. Meperidine (Demerol)
C. Nitrous oxide
D. Fentanyl
Correct Answer: B
Rationale: Meperidine can cause respiratory depression in the
newborn if given too close to delivery. Epidural analgesia,
nitrous oxide, and fentanyl are safer options.
