ATI Maternal Newborn Proctored Exam 2023–2026 Updated
Practice Questions Screenshots Verified Answers Rationales
Study Guide Bundle for Nursing Students Success
1. A nurse is providing discharge teaching to a client who is 30 weeks pregnant
and has been diagnosed with gestational diabetes. Which of the following
statements indicates understanding?
A) "I will need to take insulin for the rest of my life."
B) "My baby may have high blood sugar after birth."
C) "I should check my blood sugar before meals and 1 hour after meals."
D) "I only need to check my blood sugar once per week."
Correct Answer: C
Rationale: Gestational diabetes requires blood glucose monitoring multiple times
daily, typically fasting and 1 hour postprandial. Infants are at risk for hypoglycemia
(not hyperglycemia) after birth.
,2. A nurse is assessing a client at 12 weeks gestation. Which of the following
findings is a presumptive sign of pregnancy?
A) Positive pregnancy test
B) Goodell's sign
C) Fatigue
D) Ballottement
Correct Answer: C
Rationale: Presumptive signs are subjective changes reported by the client, such
as fatigue, nausea, breast tenderness, and amenorrhea. Positive pregnancy test
and Goodell's sign are probable signs.
,3. A nurse is caring for a client at 32 weeks gestation who has a diagnosis of
gestational hypertension. The client's blood pressure is 145/92 mm Hg. Which of
the following additional findings would indicate progression to preeclampsia?
A) Mild ankle edema
B) 1+ protein in urine
C) Weight gain of 1 lb in 1 week
D) Fundal height 32 cm
Correct Answer: B
Rationale: Proteinuria (≥1+) is the defining feature of preeclampsia. Gestational
hypertension is hypertension without proteinuria.
, 4. A nurse is providing teaching to a client about the risks of toxoplasmosis
during pregnancy. Which of the following should the nurse include?
A) "Pregnant women should avoid changing cat litter boxes."
B) "Toxoplasmosis is transmitted through respiratory droplets."
C) "Toxoplasmosis is harmless to the fetus."
D) "There is a vaccine available to prevent toxoplasmosis."
Correct Answer: A
Rationale: Toxoplasmosis is caused by a parasite found in cat feces. Pregnant
women should avoid changing cat litter boxes or wear gloves and wash hands
thoroughly. It can cause severe fetal complications.
Practice Questions Screenshots Verified Answers Rationales
Study Guide Bundle for Nursing Students Success
1. A nurse is providing discharge teaching to a client who is 30 weeks pregnant
and has been diagnosed with gestational diabetes. Which of the following
statements indicates understanding?
A) "I will need to take insulin for the rest of my life."
B) "My baby may have high blood sugar after birth."
C) "I should check my blood sugar before meals and 1 hour after meals."
D) "I only need to check my blood sugar once per week."
Correct Answer: C
Rationale: Gestational diabetes requires blood glucose monitoring multiple times
daily, typically fasting and 1 hour postprandial. Infants are at risk for hypoglycemia
(not hyperglycemia) after birth.
,2. A nurse is assessing a client at 12 weeks gestation. Which of the following
findings is a presumptive sign of pregnancy?
A) Positive pregnancy test
B) Goodell's sign
C) Fatigue
D) Ballottement
Correct Answer: C
Rationale: Presumptive signs are subjective changes reported by the client, such
as fatigue, nausea, breast tenderness, and amenorrhea. Positive pregnancy test
and Goodell's sign are probable signs.
,3. A nurse is caring for a client at 32 weeks gestation who has a diagnosis of
gestational hypertension. The client's blood pressure is 145/92 mm Hg. Which of
the following additional findings would indicate progression to preeclampsia?
A) Mild ankle edema
B) 1+ protein in urine
C) Weight gain of 1 lb in 1 week
D) Fundal height 32 cm
Correct Answer: B
Rationale: Proteinuria (≥1+) is the defining feature of preeclampsia. Gestational
hypertension is hypertension without proteinuria.
, 4. A nurse is providing teaching to a client about the risks of toxoplasmosis
during pregnancy. Which of the following should the nurse include?
A) "Pregnant women should avoid changing cat litter boxes."
B) "Toxoplasmosis is transmitted through respiratory droplets."
C) "Toxoplasmosis is harmless to the fetus."
D) "There is a vaccine available to prevent toxoplasmosis."
Correct Answer: A
Rationale: Toxoplasmosis is caused by a parasite found in cat feces. Pregnant
women should avoid changing cat litter boxes or wear gloves and wash hands
thoroughly. It can cause severe fetal complications.
