VATI PN Maternal Newborn Nursing Exam Prep 2026 UPDATE 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
VATI PN Maternal Newborn Nursing Exam Prep 2026
UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,VATI PN Maternal Newborn Nursing Exam Prep 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is calculating a client’s expected date of delivery using Nagele’s rule. The client’s
last menstrual period began on February 10th. What is the expected delivery date?
A. November 10th
B. October 17th
C. November 17th
D. December 17th
Answer: C
Rationale: To calculate Nagele’s rule, subtract 3 months and add 7 days to the first day of the last menstrual
period. Feb 10 minus 3 months is Nov 10, plus 7 days is Nov 17. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. Which of the following is considered a positive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive pregnancy test
C. Amenorrhea
D. Chadwick’s sign
Answer: A
Rationale: Positive signs are those attributed only to the presence of a fetus, such as fetal heart tones,
visualization by ultrasound, or palpated fetal movement by a provider. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
3. A nurse is assessing a client at 20 weeks of gestation. Where should the nurse expect to
palpate the fundus?
A. Slightly above the symphysis pubis
B. Halfway between the symphysis pubis and umbilicus
C. At the level of the xiphoid process
D. At the level of the umbilicus
Answer: D
Rationale: At 20 weeks gestation, the fundus is typically located at the level of the umbilicus. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes. This is
an important clinical concept because selecting the correct answer (D) requires understanding both the
pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, VATI PN Maternal Newborn Nursing Exam Prep 2026 UPDATE 2026 Update • Verified Answers
4. Which vitamin should the nurse instruct the client to take to prevent neural tube defects?
A. Vitamin C
B. Folic acid
C. Vitamin D
D. Vitamin B12
Answer: B
Rationale: Folic acid intake is crucial in the periconceptional period and early pregnancy to reduce the risk of
neural tube defects like spina bifida. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (B) requires understanding both the pathophysiology and the practical nursing implications.
5. A client presents with painless, bright red vaginal bleeding at 32 weeks gestation. The nurse
should suspect which condition?
A. Abruptio placentae
B. Preterm labor
C. Placenta previa
D. Hydatidiform mole
Answer: C
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is the classic sign of placenta
previa. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
6. What is the priority nursing intervention for a client with a prolapsed umbilical cord?
A. Perform a vaginal exam to determine dilation
B. Initiate an oxytocin infusion
C. Cover the cord with dry sterile gauze
D. Place the client in a knee-chest or Trendelenburg position
Answer: D
Rationale: The priority is to relieve pressure on the cord to maintain fetal oxygenation, which is achieved by
positioning the mother or manually pushing the fetus off the cord. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
VATI PN Maternal Newborn Nursing Exam Prep 2026
UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,VATI PN Maternal Newborn Nursing Exam Prep 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is calculating a client’s expected date of delivery using Nagele’s rule. The client’s
last menstrual period began on February 10th. What is the expected delivery date?
A. November 10th
B. October 17th
C. November 17th
D. December 17th
Answer: C
Rationale: To calculate Nagele’s rule, subtract 3 months and add 7 days to the first day of the last menstrual
period. Feb 10 minus 3 months is Nov 10, plus 7 days is Nov 17. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. Which of the following is considered a positive sign of pregnancy?
A. Fetal heart tones heard by Doppler
B. Positive pregnancy test
C. Amenorrhea
D. Chadwick’s sign
Answer: A
Rationale: Positive signs are those attributed only to the presence of a fetus, such as fetal heart tones,
visualization by ultrasound, or palpated fetal movement by a provider. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
3. A nurse is assessing a client at 20 weeks of gestation. Where should the nurse expect to
palpate the fundus?
A. Slightly above the symphysis pubis
B. Halfway between the symphysis pubis and umbilicus
C. At the level of the xiphoid process
D. At the level of the umbilicus
Answer: D
Rationale: At 20 weeks gestation, the fundus is typically located at the level of the umbilicus. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes. This is
an important clinical concept because selecting the correct answer (D) requires understanding both the
pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, VATI PN Maternal Newborn Nursing Exam Prep 2026 UPDATE 2026 Update • Verified Answers
4. Which vitamin should the nurse instruct the client to take to prevent neural tube defects?
A. Vitamin C
B. Folic acid
C. Vitamin D
D. Vitamin B12
Answer: B
Rationale: Folic acid intake is crucial in the periconceptional period and early pregnancy to reduce the risk of
neural tube defects like spina bifida. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (B) requires understanding both the pathophysiology and the practical nursing implications.
5. A client presents with painless, bright red vaginal bleeding at 32 weeks gestation. The nurse
should suspect which condition?
A. Abruptio placentae
B. Preterm labor
C. Placenta previa
D. Hydatidiform mole
Answer: C
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is the classic sign of placenta
previa. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
6. What is the priority nursing intervention for a client with a prolapsed umbilical cord?
A. Perform a vaginal exam to determine dilation
B. Initiate an oxytocin infusion
C. Cover the cord with dry sterile gauze
D. Place the client in a knee-chest or Trendelenburg position
Answer: D
Rationale: The priority is to relieve pressure on the cord to maintain fetal oxygenation, which is achieved by
positioning the mother or manually pushing the fetus off the cord. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
