Page 1 of 160
Ngn Ati Rn Maternal Newborn Proctored
Exam 2026/27 Newest Exam Complete
Questions With Detailed Verified Answers,
100% Guaranteed Pass ||Complete A+
Guide
1. What is the priority nursing action?
A. Administer Rh immunoglobulin
B. Advise bed rest for 2 weeks
C. Reassure that this is common and monitor symptoms
D. Prepare for dilation and curettage
Answer: C – Rationale: At 10 weeks with viable fetus, spotting
is often benign. Reassurance and monitoring are first-line. Rh Ig
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is only if Rh-negative and bleeding persists. Bed rest not
proven effective. D&C not indicated.
2. Patient is Rh-negative. At what gestation is Rh
immunoglobulin typically given for prophylaxis?
A. 12 weeks
B. 20 weeks
C. 28 weeks
D. 34 weeks
Answer: C – Rationale: Routine antenatal anti-D prophylaxis is
given at 28 weeks and within 72 hours after birth if infant is
Rh-positive.
3. What additional maternal lab finding most increases risk
for first-trimester bleeding?
A. Hemoglobin 11 g/dL
B. Platelets 150,000
C. Progesterone 5 ng/mL (low)
D. hCG >100,000
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Answer: C – Low progesterone is associated with threatened
miscarriage. Other values are normal.
4. The patient asks about exercise during pregnancy. Best
response:
A. Avoid all exercise to prevent bleeding
B. Continue moderate exercise like walking if no
contraindications
C. Only swim after first trimester
D. Limit to 10 minutes daily
Answer: B – ACOG encourages moderate exercise (30
min/day most days) unless contraindicated (e.g., placenta
previa, preterm labor risk).
5. Fetal heart rate of 170 at 10 weeks is:
A. Bradycardia – needs immediate evaluation
B. Normal for gestational age
C. Tachycardia – indicates infection
D. Non-reassuring – needs biophysical profile
, Page 4 of 160
Answer: B – Normal FHR 120–160 at term; early pregnancy
can be 170–180 due to immature autonomic regulation.
Scenario 2 (Questions 6–10)
*G2P1 at 32 weeks presents with hypertension (150/95),
proteinuria 2+, headache. Urine dipstick 300 mg/dL protein.*
6. What is the most likely diagnosis?
A. Gestational hypertension
B. Chronic hypertension
C. Preeclampsia with severe features
D. HELLP syndrome
Answer: C – Severe features include BP ≥160/110 OR
proteinuria with symptoms (headache). Here BP is 150/95 +
proteinuria + headache → severe features.
7. Priority intervention:
A. Oral labetalol
B. IV magnesium sulfate
Ngn Ati Rn Maternal Newborn Proctored
Exam 2026/27 Newest Exam Complete
Questions With Detailed Verified Answers,
100% Guaranteed Pass ||Complete A+
Guide
1. What is the priority nursing action?
A. Administer Rh immunoglobulin
B. Advise bed rest for 2 weeks
C. Reassure that this is common and monitor symptoms
D. Prepare for dilation and curettage
Answer: C – Rationale: At 10 weeks with viable fetus, spotting
is often benign. Reassurance and monitoring are first-line. Rh Ig
,Page 2 of 160
is only if Rh-negative and bleeding persists. Bed rest not
proven effective. D&C not indicated.
2. Patient is Rh-negative. At what gestation is Rh
immunoglobulin typically given for prophylaxis?
A. 12 weeks
B. 20 weeks
C. 28 weeks
D. 34 weeks
Answer: C – Rationale: Routine antenatal anti-D prophylaxis is
given at 28 weeks and within 72 hours after birth if infant is
Rh-positive.
3. What additional maternal lab finding most increases risk
for first-trimester bleeding?
A. Hemoglobin 11 g/dL
B. Platelets 150,000
C. Progesterone 5 ng/mL (low)
D. hCG >100,000
,Page 3 of 160
Answer: C – Low progesterone is associated with threatened
miscarriage. Other values are normal.
4. The patient asks about exercise during pregnancy. Best
response:
A. Avoid all exercise to prevent bleeding
B. Continue moderate exercise like walking if no
contraindications
C. Only swim after first trimester
D. Limit to 10 minutes daily
Answer: B – ACOG encourages moderate exercise (30
min/day most days) unless contraindicated (e.g., placenta
previa, preterm labor risk).
5. Fetal heart rate of 170 at 10 weeks is:
A. Bradycardia – needs immediate evaluation
B. Normal for gestational age
C. Tachycardia – indicates infection
D. Non-reassuring – needs biophysical profile
, Page 4 of 160
Answer: B – Normal FHR 120–160 at term; early pregnancy
can be 170–180 due to immature autonomic regulation.
Scenario 2 (Questions 6–10)
*G2P1 at 32 weeks presents with hypertension (150/95),
proteinuria 2+, headache. Urine dipstick 300 mg/dL protein.*
6. What is the most likely diagnosis?
A. Gestational hypertension
B. Chronic hypertension
C. Preeclampsia with severe features
D. HELLP syndrome
Answer: C – Severe features include BP ≥160/110 OR
proteinuria with symptoms (headache). Here BP is 150/95 +
proteinuria + headache → severe features.
7. Priority intervention:
A. Oral labetalol
B. IV magnesium sulfate
