ATI RN MATERNAL NEWBORN PROCTORED EXAM
2026 – COMPREHENSIVE STUDY RESOURCE
,SECTION 1: ANTEPARTUM CARE (Questions 1-20)
Q1. A nurse is assessing a client at 16 weeks gestation. Which finding is
considered a positive sign of pregnancy?
• A) Positive pregnancy test
• B) Fetal heartbeat visualized on ultrasound
• C) Chadwick's sign
• D) Quickening
, Correct Answer: B
Rationale: Positive signs of pregnancy provide direct evidence of the fetus. These
include: fetal heart tones visualized or auscultated by Doppler, fetal movement
felt by the examiner, and ultrasound visualization of the fetus. Probable signs
include hCG detection, Goodell's sign, Chadwick's sign, and ballottement.
Presumptive signs are subjective symptoms like quickening, amenorrhea, and
breast tenderness .
Q2. A client at 34 weeks with preeclampsia has a BP of 168/102 mm Hg, 2+
proteinuria, and reports epigastric pain. The nurse recognizes this as:
• A) Mild preeclampsia
• B) Severe preeclampsia with severe features
• C) Gestational hypertension
• D) Chronic hypertension
Correct Answer: B
Rationale: Severe preeclampsia features include blood pressure ≥160/110 mm Hg,
proteinuria ≥5g/24h or 3+ dipstick, thrombocytopenia, renal insufficiency,
impaired liver function (indicated by epigastric pain), pulmonary edema, and
cerebral or visual symptoms. Epigastric pain specifically suggests liver
involvement .
Q3. A nurse is teaching a client about Rh sensitization prevention. Which
statements indicate understanding? (Select all that apply)
• A) "If I am Rh-negative and my baby is Rh-positive, I need RhoGAM"
• B) "RhoGAM destroys fetal red blood cells in my circulation"
• C) "I will receive RhoGAM at 28 weeks and again after delivery"
• D) "RhoGAM is not needed after a miscarriage"
• E) "Without RhoGAM, my next Rh-positive baby could have hemolytic
disease"
2026 – COMPREHENSIVE STUDY RESOURCE
,SECTION 1: ANTEPARTUM CARE (Questions 1-20)
Q1. A nurse is assessing a client at 16 weeks gestation. Which finding is
considered a positive sign of pregnancy?
• A) Positive pregnancy test
• B) Fetal heartbeat visualized on ultrasound
• C) Chadwick's sign
• D) Quickening
, Correct Answer: B
Rationale: Positive signs of pregnancy provide direct evidence of the fetus. These
include: fetal heart tones visualized or auscultated by Doppler, fetal movement
felt by the examiner, and ultrasound visualization of the fetus. Probable signs
include hCG detection, Goodell's sign, Chadwick's sign, and ballottement.
Presumptive signs are subjective symptoms like quickening, amenorrhea, and
breast tenderness .
Q2. A client at 34 weeks with preeclampsia has a BP of 168/102 mm Hg, 2+
proteinuria, and reports epigastric pain. The nurse recognizes this as:
• A) Mild preeclampsia
• B) Severe preeclampsia with severe features
• C) Gestational hypertension
• D) Chronic hypertension
Correct Answer: B
Rationale: Severe preeclampsia features include blood pressure ≥160/110 mm Hg,
proteinuria ≥5g/24h or 3+ dipstick, thrombocytopenia, renal insufficiency,
impaired liver function (indicated by epigastric pain), pulmonary edema, and
cerebral or visual symptoms. Epigastric pain specifically suggests liver
involvement .
Q3. A nurse is teaching a client about Rh sensitization prevention. Which
statements indicate understanding? (Select all that apply)
• A) "If I am Rh-negative and my baby is Rh-positive, I need RhoGAM"
• B) "RhoGAM destroys fetal red blood cells in my circulation"
• C) "I will receive RhoGAM at 28 weeks and again after delivery"
• D) "RhoGAM is not needed after a miscarriage"
• E) "Without RhoGAM, my next Rh-positive baby could have hemolytic
disease"
