VATI RN Maternal-Newborn Assessment
Questions 2026/2027-Complete Questions
with Verified Answers & Detailed
Explanations | Graded A+
Question 1:
A nurse is calculating the estimated date of birth (EDB) for a client whose last menstrual
period (LMP) began on July 8. Using Nagele's rule, which date should the nurse identify?
A. October 15
B. April 15
C. October 1
D. April 1
Correct Answer: B. April 15
Rationale: Nagele's rule: Add 7 days to the first day of the LMP, subtract 3 months, and
add 1 year. July 8 + 7 days = July 15. July 15 - 3 months = April 15. This is a standard
method for estimating the due date in a 28-day menstrual cycle .
Question 2:
A nurse is providing teaching about folic acid supplementation to a client who is
planning to become pregnant. Which statement by the client indicates understanding?
A. "I should take 400 mcg of folic acid daily."
B. "I should take 600 mcg of folic acid daily."
C. "I should take 800 mcg of folic acid daily."
D. "I should take 1000 mcg of folic acid daily."
Correct Answer: A. "I should take 400 mcg of folic acid daily."
,Rationale: The recommended daily folic acid intake for women of childbearing age who
are planning pregnancy is 400 mcg (0.4 mg) to prevent neural tube defects. During
pregnancy, the recommendation increases to 600 mcg. However, for preconception, 400
mcg is the standard recommendation .
Question 3:
A nurse is assessing a client at 12 weeks gestation. Which finding is considered a
positive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart rate auscultated by Doppler
C. Quickening
D. Chadwick's sign
Correct Answer: B. Fetal heart rate auscultated by Doppler
Rationale: A positive sign of pregnancy is one that can only be caused by pregnancy.
Auscultation of fetal heart tones is a definitive, positive sign. Presumptive signs include
amenorrhea, breast tenderness, and quickening. Probable signs include positive
pregnancy test and Chadwick's sign .
Question 4:
A client at 38 weeks gestation reports, "My breathing has become easier, but I'm
urinating more frequently now." The nurse should document this as:
A. Effacement
B. Dilation
C. Lightening
D. Quickening
Correct Answer: C. Lightening
,Rationale: Lightening is the engagement of the fetal head into the maternal pelvis,
typically occurring 2-4 weeks before term in primigravidas. When this occurs, fundal
pressure on the diaphragm decreases making breathing easier, but bladder pressure
increases causing urinary frequency .
Question 5:
A nurse is providing teaching about routine prenatal care to a group of pregnant clients.
Which statement indicates understanding?
A. "I will have monthly prenatal visits for the first 28 weeks of pregnancy."
B. "I will have weekly visits starting at 28 weeks."
C. "I only need to see the provider if I have problems."
D. "Visits are scheduled every 6 weeks until 36 weeks."
Correct Answer: A. "I will have monthly prenatal visits for the first 28 weeks of
pregnancy."
Rationale: Routine prenatal visits are scheduled monthly until 28 weeks gestation, every
2 weeks from 28 to 36 weeks, and weekly from 36 weeks until delivery. This schedule
allows appropriate monitoring of maternal and fetal well-being.
Question 6:
A nurse is assessing a client who is pregnant. Which finding should the nurse report to
the provider?
A. 10 fetal movements in 1 hour
B. Mild constipation
C. Vaginal bleeding
D. Nasal congestion
Correct Answer: C. Vaginal bleeding
, Rationale: Vaginal bleeding during pregnancy is abnormal and may indicate
complications such as placental abruption, placenta previa, or preterm labor. This
requires immediate evaluation. Ten fetal movements in 1 hour is reassuring. Mild
constipation and nasal congestion are common discomforts of pregnancy .
Question 7:
A nurse is assessing a client at 35 weeks gestation who is receiving magnesium sulfate
via continuous IV infusion for severe pre-eclampsia. Which finding should the nurse
report to the provider?
A. Deep tendon reflexes 2+
B. Respiratory rate 16/min
C. Urine output 20 mL/hr
D. Blood pressure 150/90 mmHg
Correct Answer: C. Urine output 20 mL/hr
Rationale: Magnesium sulfate therapy requires monitoring for toxicity. Urine output
should be at least 30 mL/hr. Output less than 30 mL/hr indicates inadequate renal
perfusion and possible magnesium accumulation, requiring provider notification. DTR
2+ is normal. Respiratory rate 16 is normal .
Question 8:
A nurse is teaching a client at 30 weeks gestation about warning signs of complications
to report. Which client statement indicates understanding?
A. "I will report if I have contractions every 10 minutes."
B. "I will report if I have 5 contractions in 1 hour."
C. "I will report if I have 3 contractions in 1 hour."
D. "I will report if I have 10 contractions in 1 hour."
Correct Answer: B. "I will report if I have 5 contractions in 1 hour."
Questions 2026/2027-Complete Questions
with Verified Answers & Detailed
Explanations | Graded A+
Question 1:
A nurse is calculating the estimated date of birth (EDB) for a client whose last menstrual
period (LMP) began on July 8. Using Nagele's rule, which date should the nurse identify?
A. October 15
B. April 15
C. October 1
D. April 1
Correct Answer: B. April 15
Rationale: Nagele's rule: Add 7 days to the first day of the LMP, subtract 3 months, and
add 1 year. July 8 + 7 days = July 15. July 15 - 3 months = April 15. This is a standard
method for estimating the due date in a 28-day menstrual cycle .
Question 2:
A nurse is providing teaching about folic acid supplementation to a client who is
planning to become pregnant. Which statement by the client indicates understanding?
A. "I should take 400 mcg of folic acid daily."
B. "I should take 600 mcg of folic acid daily."
C. "I should take 800 mcg of folic acid daily."
D. "I should take 1000 mcg of folic acid daily."
Correct Answer: A. "I should take 400 mcg of folic acid daily."
,Rationale: The recommended daily folic acid intake for women of childbearing age who
are planning pregnancy is 400 mcg (0.4 mg) to prevent neural tube defects. During
pregnancy, the recommendation increases to 600 mcg. However, for preconception, 400
mcg is the standard recommendation .
Question 3:
A nurse is assessing a client at 12 weeks gestation. Which finding is considered a
positive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart rate auscultated by Doppler
C. Quickening
D. Chadwick's sign
Correct Answer: B. Fetal heart rate auscultated by Doppler
Rationale: A positive sign of pregnancy is one that can only be caused by pregnancy.
Auscultation of fetal heart tones is a definitive, positive sign. Presumptive signs include
amenorrhea, breast tenderness, and quickening. Probable signs include positive
pregnancy test and Chadwick's sign .
Question 4:
A client at 38 weeks gestation reports, "My breathing has become easier, but I'm
urinating more frequently now." The nurse should document this as:
A. Effacement
B. Dilation
C. Lightening
D. Quickening
Correct Answer: C. Lightening
,Rationale: Lightening is the engagement of the fetal head into the maternal pelvis,
typically occurring 2-4 weeks before term in primigravidas. When this occurs, fundal
pressure on the diaphragm decreases making breathing easier, but bladder pressure
increases causing urinary frequency .
Question 5:
A nurse is providing teaching about routine prenatal care to a group of pregnant clients.
Which statement indicates understanding?
A. "I will have monthly prenatal visits for the first 28 weeks of pregnancy."
B. "I will have weekly visits starting at 28 weeks."
C. "I only need to see the provider if I have problems."
D. "Visits are scheduled every 6 weeks until 36 weeks."
Correct Answer: A. "I will have monthly prenatal visits for the first 28 weeks of
pregnancy."
Rationale: Routine prenatal visits are scheduled monthly until 28 weeks gestation, every
2 weeks from 28 to 36 weeks, and weekly from 36 weeks until delivery. This schedule
allows appropriate monitoring of maternal and fetal well-being.
Question 6:
A nurse is assessing a client who is pregnant. Which finding should the nurse report to
the provider?
A. 10 fetal movements in 1 hour
B. Mild constipation
C. Vaginal bleeding
D. Nasal congestion
Correct Answer: C. Vaginal bleeding
, Rationale: Vaginal bleeding during pregnancy is abnormal and may indicate
complications such as placental abruption, placenta previa, or preterm labor. This
requires immediate evaluation. Ten fetal movements in 1 hour is reassuring. Mild
constipation and nasal congestion are common discomforts of pregnancy .
Question 7:
A nurse is assessing a client at 35 weeks gestation who is receiving magnesium sulfate
via continuous IV infusion for severe pre-eclampsia. Which finding should the nurse
report to the provider?
A. Deep tendon reflexes 2+
B. Respiratory rate 16/min
C. Urine output 20 mL/hr
D. Blood pressure 150/90 mmHg
Correct Answer: C. Urine output 20 mL/hr
Rationale: Magnesium sulfate therapy requires monitoring for toxicity. Urine output
should be at least 30 mL/hr. Output less than 30 mL/hr indicates inadequate renal
perfusion and possible magnesium accumulation, requiring provider notification. DTR
2+ is normal. Respiratory rate 16 is normal .
Question 8:
A nurse is teaching a client at 30 weeks gestation about warning signs of complications
to report. Which client statement indicates understanding?
A. "I will report if I have contractions every 10 minutes."
B. "I will report if I have 5 contractions in 1 hour."
C. "I will report if I have 3 contractions in 1 hour."
D. "I will report if I have 10 contractions in 1 hour."
Correct Answer: B. "I will report if I have 5 contractions in 1 hour."
