ATI Maternal Newborn A & B
Proctored Exam ( New 2020 )
Exam Questions
Prenatal Care
1. A nurse is reinforcing teaching with a client who is planning to become pregnant
about the purpose of folic acid supplements. Which statement should the nurse
include?
o A) Facilitates storage of iron in the fetus’ liver
o B) Prevents neural tube defects
o C) Inhibits premature labor
o D) Aids in absorption of other nutrients
o Answer: B
o Rationale: Folic acid is essential to prevent neural tube defects, such as spina
bifida, in the developing fetus.
2. A nurse is collecting data from a client at 33 weeks of gestation. Which finding
should the nurse identify as a potential complication?
o A) Leg cramps
o B) Tingling of fingers
o C) Varicose veins
o D) Epigastric pain
o Answer: D
o Rationale: Epigastric pain is a manifestation of preeclampsia, a serious
complication requiring immediate reporting.
3. A nurse is reinforcing teaching about food sources high in folate with pregnant
clients. Which food should the nurse recommend as the best source?
o A) Dried prunes
o B) Boiled potatoes
o C) Dried peas
o D) Grapes
o Answer: C
o Rationale: Dried peas are a rich source of folate, essential for fetal development.
4. A nurse is reviewing the prenatal record of a client at 34 weeks of gestation. Which
result indicates a desirable outcome?
o A) Negative rubella titer
o B) Reactive nonstress test
o C) Glucose tolerance test result of 150 mg/dL
o D) Hemoglobin 9.5 g/dL
o Answer: B
, o Rationale: A reactive nonstress test indicates fetal well-being, showing adequate
heart rate accelerations.
5. A nurse is teaching a client at 8 weeks of gestation about exercise. Which instruction
should the nurse include?
o A) Avoid all physical activity
o B) Exercise 30 minutes three times per week
o C) Engage in contact sports
o D) Exercise in hot, humid conditions
o Answer: B
o Rationale: Moderate exercise (30 minutes, three times per week) is safe and
beneficial during pregnancy, avoiding high-risk activities.
Labor and Delivery
6. A nurse is caring for a client at 40 weeks of gestation in active labor. Which finding
should the nurse report to the charge nurse?
o A) Maternal temperature of 37.5°C (99.5°F)
o B) Contractions every 3 minutes
o C) Presence of bloody show
o D) Prolonged deceleration of FHR
o Answer: D
o Rationale: Prolonged fetal heart rate (FHR) deceleration indicates potential fetal
distress, requiring immediate reporting.
7. A nurse is planning to administer terbutaline to a client in preterm labor. Which
route should the nurse use?
o A) Intramuscular
o B) Intradermal
o C) Subcutaneous
o D) Topical
o Answer: C
o Rationale: Terbutaline is administered subcutaneously every 4 hours to relax
uterine smooth muscle and inhibit contractions.
8. A nurse is caring for a client at 36 weeks of gestation with a positive contraction
stress test. What diagnostic test should the nurse prepare for next?
o A) Ultrasound
o B) Amniocentesis
o C) Nonstress test
o D) Biophysical profile
o Answer: D
o Rationale: A positive contraction stress test suggests fetal compromise, and a
biophysical profile is used to further assess fetal well-being.
9. A nurse is performing Leopold maneuvers on a client in labor. What does the first
step involve?
o A) Palpating the lower abdomen
o B) Palpating the fundus
o C) Assessing fetal heart tones
Proctored Exam ( New 2020 )
Exam Questions
Prenatal Care
1. A nurse is reinforcing teaching with a client who is planning to become pregnant
about the purpose of folic acid supplements. Which statement should the nurse
include?
o A) Facilitates storage of iron in the fetus’ liver
o B) Prevents neural tube defects
o C) Inhibits premature labor
o D) Aids in absorption of other nutrients
o Answer: B
o Rationale: Folic acid is essential to prevent neural tube defects, such as spina
bifida, in the developing fetus.
2. A nurse is collecting data from a client at 33 weeks of gestation. Which finding
should the nurse identify as a potential complication?
o A) Leg cramps
o B) Tingling of fingers
o C) Varicose veins
o D) Epigastric pain
o Answer: D
o Rationale: Epigastric pain is a manifestation of preeclampsia, a serious
complication requiring immediate reporting.
3. A nurse is reinforcing teaching about food sources high in folate with pregnant
clients. Which food should the nurse recommend as the best source?
o A) Dried prunes
o B) Boiled potatoes
o C) Dried peas
o D) Grapes
o Answer: C
o Rationale: Dried peas are a rich source of folate, essential for fetal development.
4. A nurse is reviewing the prenatal record of a client at 34 weeks of gestation. Which
result indicates a desirable outcome?
o A) Negative rubella titer
o B) Reactive nonstress test
o C) Glucose tolerance test result of 150 mg/dL
o D) Hemoglobin 9.5 g/dL
o Answer: B
, o Rationale: A reactive nonstress test indicates fetal well-being, showing adequate
heart rate accelerations.
5. A nurse is teaching a client at 8 weeks of gestation about exercise. Which instruction
should the nurse include?
o A) Avoid all physical activity
o B) Exercise 30 minutes three times per week
o C) Engage in contact sports
o D) Exercise in hot, humid conditions
o Answer: B
o Rationale: Moderate exercise (30 minutes, three times per week) is safe and
beneficial during pregnancy, avoiding high-risk activities.
Labor and Delivery
6. A nurse is caring for a client at 40 weeks of gestation in active labor. Which finding
should the nurse report to the charge nurse?
o A) Maternal temperature of 37.5°C (99.5°F)
o B) Contractions every 3 minutes
o C) Presence of bloody show
o D) Prolonged deceleration of FHR
o Answer: D
o Rationale: Prolonged fetal heart rate (FHR) deceleration indicates potential fetal
distress, requiring immediate reporting.
7. A nurse is planning to administer terbutaline to a client in preterm labor. Which
route should the nurse use?
o A) Intramuscular
o B) Intradermal
o C) Subcutaneous
o D) Topical
o Answer: C
o Rationale: Terbutaline is administered subcutaneously every 4 hours to relax
uterine smooth muscle and inhibit contractions.
8. A nurse is caring for a client at 36 weeks of gestation with a positive contraction
stress test. What diagnostic test should the nurse prepare for next?
o A) Ultrasound
o B) Amniocentesis
o C) Nonstress test
o D) Biophysical profile
o Answer: D
o Rationale: A positive contraction stress test suggests fetal compromise, and a
biophysical profile is used to further assess fetal well-being.
9. A nurse is performing Leopold maneuvers on a client in labor. What does the first
step involve?
o A) Palpating the lower abdomen
o B) Palpating the fundus
o C) Assessing fetal heart tones
