ATI RN MATERNAL-NEWBORN PROCTORED
EXAM NGN 2026/2027 | COMPREHENSIVE TEST
BANK | 150 PRACTICE QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES |
NEXT GENERATION NCLEX (NGN) EXAM
PREPARATION GUIDE
SECTION 1: ANTEPARTUM CARE – PRENATAL ASSESSMENT AND HEALTH PROMOTION
Questions 1-35
1. A nurse in a prenatal clinic is assessing a client at 10 weeks of gestation. Which of the
following findings should the nurse report to the provider immediately?
A. Frequent urination
B. Breast tenderness
C. Blurred vision
D. Nausea in the morning
Answer: C
Rationale: Blurred vision can indicate preeclampsia or gestational hypertension, which
requires immediate evaluation. Frequent urination, breast tenderness, and morning
nausea are common first-trimester discomforts.
,2. A nurse is teaching a client who is at 8 weeks of gestation about expected physiological
changes. Which of the following statements by the client indicates an understanding of the
teaching?
A. "My blood pressure will increase throughout my pregnancy."
B. "My heart rate will decrease as my pregnancy progresses."
C. "My blood volume will increase by approximately 40-50%."
D. "My respiratory rate will increase significantly during the third trimester."
Answer: C
Rationale: Maternal blood volume increases by 40-50% during pregnancy to support fetal
oxygenation and perfusion. Blood pressure typically decreases in the second trimester.
Heart rate increases, not decreases. Respiratory rate increases slightly but not
significantly.
3. A nurse is providing education to a client about dietary needs during pregnancy. Which of
the following nutrients should the nurse emphasize as most critical for neural tube
development?
A. Calcium
B. Iron
C. Folic acid
D. Vitamin D
Answer: C
Rationale: Folic acid (folate) is essential for neural tube development and should be
increased to 600 mcg daily during pregnancy. Deficiency is associated with neural tube
defects such as spina bifida.
,4. A nurse is performing a gestational age assessment using the Naegele's rule. A client
reports her last menstrual period (LMP) began on May 10. What is the estimated date of
delivery (EDD)?
A. February 3
B. February 10
C. February 17
D. March 3
Answer: C
Rationale: Naegele's rule: subtract 3 months from the LMP and add 7 days. May 10 minus 3
months = February 10, plus 7 days = February 17.
5. A nurse is assessing a client at 16 weeks of gestation. Which of the following findings is
consistent with expected gestational changes?
A. Fundal height at the umbilicus
B. Fundal height midway between the symphysis pubis and umbilicus
C. Fundal height at the xiphoid process
D. Fundal height at the symphysis pubis
Answer: B
Rationale: At 16 weeks, the fundus is typically located midway between the symphysis
pubis and the umbilicus. At 20 weeks, the fundus reaches the umbilicus. At 36 weeks, it
reaches the xiphoid process.
6. A nurse is reviewing laboratory results for a client at 28 weeks of gestation. Which of the
following results should the nurse report to the provider?
, A. Hemoglobin 11.2 g/dL
B. Platelet count 140,000/mm³
C. Glucose 140 mg/dL on 1-hour glucose tolerance test
D. White blood cell count 12,000/mm³
Answer: C
Rationale: A 1-hour glucose tolerance test result of 140 mg/dL or greater requires a 3-hour
glucose tolerance test to diagnose gestational diabetes. Hemoglobin of 11.2 g/dL is within
expected range for pregnancy. Platelets 140,000/mm³ is slightly low but may be normal.
WBC 12,000/mm³ is elevated but expected in pregnancy.
7. A nurse is providing teaching to a client about Group B Streptococcus (GBS) screening.
At which gestational age should the nurse schedule the screening?
A. 24-28 weeks
B. 32-34 weeks
C. 35-37 weeks
D. 38-40 weeks
Answer: C
Rationale: GBS screening is routinely performed at 35-37 weeks of gestation. Positive
results require intrapartum antibiotic prophylaxis to prevent neonatal sepsis.
8. A nurse is assessing a client at 12 weeks of gestation who has hyperemesis gravidarum.
Which of the following findings indicates the client is at risk for complications?
A. Weight loss of 5% of pre-pregnancy weight
EXAM NGN 2026/2027 | COMPREHENSIVE TEST
BANK | 150 PRACTICE QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES |
NEXT GENERATION NCLEX (NGN) EXAM
PREPARATION GUIDE
SECTION 1: ANTEPARTUM CARE – PRENATAL ASSESSMENT AND HEALTH PROMOTION
Questions 1-35
1. A nurse in a prenatal clinic is assessing a client at 10 weeks of gestation. Which of the
following findings should the nurse report to the provider immediately?
A. Frequent urination
B. Breast tenderness
C. Blurred vision
D. Nausea in the morning
Answer: C
Rationale: Blurred vision can indicate preeclampsia or gestational hypertension, which
requires immediate evaluation. Frequent urination, breast tenderness, and morning
nausea are common first-trimester discomforts.
,2. A nurse is teaching a client who is at 8 weeks of gestation about expected physiological
changes. Which of the following statements by the client indicates an understanding of the
teaching?
A. "My blood pressure will increase throughout my pregnancy."
B. "My heart rate will decrease as my pregnancy progresses."
C. "My blood volume will increase by approximately 40-50%."
D. "My respiratory rate will increase significantly during the third trimester."
Answer: C
Rationale: Maternal blood volume increases by 40-50% during pregnancy to support fetal
oxygenation and perfusion. Blood pressure typically decreases in the second trimester.
Heart rate increases, not decreases. Respiratory rate increases slightly but not
significantly.
3. A nurse is providing education to a client about dietary needs during pregnancy. Which of
the following nutrients should the nurse emphasize as most critical for neural tube
development?
A. Calcium
B. Iron
C. Folic acid
D. Vitamin D
Answer: C
Rationale: Folic acid (folate) is essential for neural tube development and should be
increased to 600 mcg daily during pregnancy. Deficiency is associated with neural tube
defects such as spina bifida.
,4. A nurse is performing a gestational age assessment using the Naegele's rule. A client
reports her last menstrual period (LMP) began on May 10. What is the estimated date of
delivery (EDD)?
A. February 3
B. February 10
C. February 17
D. March 3
Answer: C
Rationale: Naegele's rule: subtract 3 months from the LMP and add 7 days. May 10 minus 3
months = February 10, plus 7 days = February 17.
5. A nurse is assessing a client at 16 weeks of gestation. Which of the following findings is
consistent with expected gestational changes?
A. Fundal height at the umbilicus
B. Fundal height midway between the symphysis pubis and umbilicus
C. Fundal height at the xiphoid process
D. Fundal height at the symphysis pubis
Answer: B
Rationale: At 16 weeks, the fundus is typically located midway between the symphysis
pubis and the umbilicus. At 20 weeks, the fundus reaches the umbilicus. At 36 weeks, it
reaches the xiphoid process.
6. A nurse is reviewing laboratory results for a client at 28 weeks of gestation. Which of the
following results should the nurse report to the provider?
, A. Hemoglobin 11.2 g/dL
B. Platelet count 140,000/mm³
C. Glucose 140 mg/dL on 1-hour glucose tolerance test
D. White blood cell count 12,000/mm³
Answer: C
Rationale: A 1-hour glucose tolerance test result of 140 mg/dL or greater requires a 3-hour
glucose tolerance test to diagnose gestational diabetes. Hemoglobin of 11.2 g/dL is within
expected range for pregnancy. Platelets 140,000/mm³ is slightly low but may be normal.
WBC 12,000/mm³ is elevated but expected in pregnancy.
7. A nurse is providing teaching to a client about Group B Streptococcus (GBS) screening.
At which gestational age should the nurse schedule the screening?
A. 24-28 weeks
B. 32-34 weeks
C. 35-37 weeks
D. 38-40 weeks
Answer: C
Rationale: GBS screening is routinely performed at 35-37 weeks of gestation. Positive
results require intrapartum antibiotic prophylaxis to prevent neonatal sepsis.
8. A nurse is assessing a client at 12 weeks of gestation who has hyperemesis gravidarum.
Which of the following findings indicates the client is at risk for complications?
A. Weight loss of 5% of pre-pregnancy weight
