ATI RN MATERNAL-NEWBORN PROCTORED EXAM |
NEXT GENERATION NCLEX (NGN) STYLE
PREPARATION GUIDE | 2025 EXAM CYCLE |
COMPREHENSIVE PRACTICE QUESTIONS WITH
ANSWERS & DETAILED RATIONALES
SECTION I: PRENATAL CARE AND ASSESSMENT
(Questions 1-20)
1. A nurse in a prenatal clinic is assessing a client who is at 12 weeks of gestation. Which of
the following findings should the nurse report to the provider as a potential complication?
A. Client reports mild nausea in the morning
B. Client reports urinary frequency
C. Fundal height measurement of 14 cm
D. Client reports vaginal spotting after intercourse
Answer: C
,2. A nurse is providing teaching to a client who is at 8 weeks of gestation about expected
physiological changes during pregnancy. Which of the following statements by the client
indicates an understanding of the teaching?
A. "My heart rate will decrease during pregnancy."
B. "My blood pressure will increase in the second trimester."
C. "My respiratory rate will decrease during pregnancy."
D. "My cardiac output will increase by 30% to 50%."
Answer: D
3. A nurse is reviewing laboratory results for a client who is at 10 weeks of gestation. Which
of the following laboratory values should the nurse report to the provider?
A. Hemoglobin 11.2 g/dL
B. Platelet count 180,000/mm³
C. White blood cell count 14,000/mm³
D. Fasting blood glucose 110 mg/dL
Answer: D
4. A nurse is caring for a client who is at 16 weeks of gestation and has a history of preterm
labor. Which of the following assessments is the priority for this client?
A. Fetal heart rate monitoring
B. Cervical length measurement
C. Maternal blood pressure
,D. Urine protein screening
Answer: B
5. A nurse is providing education to a client at 28 weeks of gestation about signs of preterm
labor. Which of the following statements by the client indicates a need for further teaching?
A. "I should report if I have more than four contractions in one hour."
B. "Menstrual-like cramps could be a sign of preterm labor."
C. "I will limit my fluid intake to prevent frequent urination."
D. "Low back pain that comes and goes may indicate preterm labor."
Answer: C
6. A nurse is assessing a client at 20 weeks of gestation. Which of the following findings is
consistent with the expected physiological changes of pregnancy?
A. Hyperactive bowel sounds
B. Decreased gastric motility
C. Increased gastric acid production
D. Decreased salivary secretions
Answer: B
7. A nurse is performing Leopold maneuvers on a client at 36 weeks of gestation. The nurse
palpates the fetal buttocks in the fundus and the fetal head in the pelvis. Which of the
following fetal presentations does this indicate?
, A. Breech presentation
B. Cephalic presentation
C. Transverse lie
D. Oblique lie
Answer: B
8. A nurse is providing nutritional counseling to a client who is at 14 weeks of gestation.
Which of the following dietary recommendations is appropriate?
A. Increase caloric intake by 500 calories per day
B. Consume 1,000 mg of calcium daily
C. Increase protein intake to 100 g per day
D. Take 800 mcg of folic acid daily
Answer: B
9. A nurse is assessing a client at 24 weeks of gestation who reports a headache and visual
disturbances. Which of the following actions should the nurse take first?
A. Administer prescribed analgesic medication
B. Assess the client's blood pressure
C. Instruct the client to rest in a dark room
D. Notify the healthcare provider
Answer: B
NEXT GENERATION NCLEX (NGN) STYLE
PREPARATION GUIDE | 2025 EXAM CYCLE |
COMPREHENSIVE PRACTICE QUESTIONS WITH
ANSWERS & DETAILED RATIONALES
SECTION I: PRENATAL CARE AND ASSESSMENT
(Questions 1-20)
1. A nurse in a prenatal clinic is assessing a client who is at 12 weeks of gestation. Which of
the following findings should the nurse report to the provider as a potential complication?
A. Client reports mild nausea in the morning
B. Client reports urinary frequency
C. Fundal height measurement of 14 cm
D. Client reports vaginal spotting after intercourse
Answer: C
,2. A nurse is providing teaching to a client who is at 8 weeks of gestation about expected
physiological changes during pregnancy. Which of the following statements by the client
indicates an understanding of the teaching?
A. "My heart rate will decrease during pregnancy."
B. "My blood pressure will increase in the second trimester."
C. "My respiratory rate will decrease during pregnancy."
D. "My cardiac output will increase by 30% to 50%."
Answer: D
3. A nurse is reviewing laboratory results for a client who is at 10 weeks of gestation. Which
of the following laboratory values should the nurse report to the provider?
A. Hemoglobin 11.2 g/dL
B. Platelet count 180,000/mm³
C. White blood cell count 14,000/mm³
D. Fasting blood glucose 110 mg/dL
Answer: D
4. A nurse is caring for a client who is at 16 weeks of gestation and has a history of preterm
labor. Which of the following assessments is the priority for this client?
A. Fetal heart rate monitoring
B. Cervical length measurement
C. Maternal blood pressure
,D. Urine protein screening
Answer: B
5. A nurse is providing education to a client at 28 weeks of gestation about signs of preterm
labor. Which of the following statements by the client indicates a need for further teaching?
A. "I should report if I have more than four contractions in one hour."
B. "Menstrual-like cramps could be a sign of preterm labor."
C. "I will limit my fluid intake to prevent frequent urination."
D. "Low back pain that comes and goes may indicate preterm labor."
Answer: C
6. A nurse is assessing a client at 20 weeks of gestation. Which of the following findings is
consistent with the expected physiological changes of pregnancy?
A. Hyperactive bowel sounds
B. Decreased gastric motility
C. Increased gastric acid production
D. Decreased salivary secretions
Answer: B
7. A nurse is performing Leopold maneuvers on a client at 36 weeks of gestation. The nurse
palpates the fetal buttocks in the fundus and the fetal head in the pelvis. Which of the
following fetal presentations does this indicate?
, A. Breech presentation
B. Cephalic presentation
C. Transverse lie
D. Oblique lie
Answer: B
8. A nurse is providing nutritional counseling to a client who is at 14 weeks of gestation.
Which of the following dietary recommendations is appropriate?
A. Increase caloric intake by 500 calories per day
B. Consume 1,000 mg of calcium daily
C. Increase protein intake to 100 g per day
D. Take 800 mcg of folic acid daily
Answer: B
9. A nurse is assessing a client at 24 weeks of gestation who reports a headache and visual
disturbances. Which of the following actions should the nurse take first?
A. Administer prescribed analgesic medication
B. Assess the client's blood pressure
C. Instruct the client to rest in a dark room
D. Notify the healthcare provider
Answer: B
