MATERNAL NEWBORN NURSING COMPLETE EXAM STUDY
GUIDE WITH NGN QUESTIONS - ATI & NCLEX-RN®
PREPARATION - 2026/2027 EDITION - VERIFIED ANSWERS AND
DETAILED CLINICAL RATIONALES
190 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
MATERNAL NEWBORN NURSING COMPLETE EXAM STUDY GUIDE WITH NGN QUESTIONS - ATI &
NCLEX-RN® PREPARATION - 2026/2027 EDITION - VERIFIED ANSWERS AND DETAILED CLINICAL
RATIONALES. It contains 190 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 190 Questions
Foundations - Application - Maternal Newborn Nursing Complete Study Guide WITH NGN ATI & Nclex-rn
Preparation 2026/2027 Edition AND Detailed Clinical Rationales Maternal Newborn Nursing Undergraduate
YEAR 4 / Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Maternal Newborn Nursing 1-32 Weeks, Gestation, Finding, Fetal, Labor
Complete Study Guide WITH
NGN ATI & Nclex-rn
Preparation 2026/2027
Edition AND Detailed Clinical
Rationales Maternal Newborn
Nursing Undergraduate
YEAR 4 / Pre-licensure BSN
Gestation 33-64 Fetal, Weeks Gestation, Intervention, Appropriate, Heart RATE
Finding 65-96 Weeks Gestation, Labor, Postpartum, Intervention, Immediate
Fetal 97-128 Weeks, Finding, Heart, Postpartum, Intervention
Intervention 129-160 Weeks, Gestation, Fetal, Finding, Hours
Heart 161-190 Finding, Fetal, Weeks, Intervention, Gestation
TOTAL 190 All questions include answers and detailed rationales
,Section A - Maternal Newborn Nursing Complete Study
Guide WITH NGN ATI & Nclex-rn Preparation 2026/2027
Edition AND Detailed Clinical Rationales Maternal Newborn
Nursing Undergraduate YEAR 4 / Pre-licensure BSN
Q1.
A patient at 30 weeks gestation presents with a BP of 160/110, severe headache, and
epigastric pain. Lab results show platelet count 80,000/mm³, AST 120 U/L, ALT 150 U/L.
Which intervention is the priority?
A. Administer labetalol IV push B. Initiate magnesium sulfate continuous
infusion
C. Prepare for immediate cesarean delivery D. Obtain a stat CT of the head
Correct: B - Initiate magnesium sulfate continuous infusion
Rationale:The patient has severe preeclampsia with HELLP syndrome features. Magnesium
sulfate is the priority to prevent seizures, even before delivery. Labetalol may be used for BP
control but not first. Delivery is indicated but after stabilization. CT is not priority without focal
neurological signs.
Q2.
A patient at 28 weeks gestation reports decreased fetal movement. A biophysical profile
(BPP) is performed, scoring 6/10 due to absent fetal breathing and amniotic fluid index of
5 cm. What is the most appropriate next step?
A. Repeat BPP in 24 hours B. Induce labor immediately
C. Administer betamethasone and plan D. Perform a contraction stress test (CST)
delivery
Correct: D - Perform a contraction stress test (CST)
Rationale:A BPP of 6/10 is equivocal; a CST is recommended to further assess fetal
oxygenation. If CST is positive, delivery is considered. Repeating BPP may delay
intervention. Induction at 28 weeks is not immediate without further evidence. Betamethasone
may be given but not the immediate next step.
Q3.
A patient in active labor is receiving oxytocin. The fetal heart rate shows recurrent late
decelerations with moderate variability. What is the nurse's priority action?
Page 3
, Section A - Maternal Newborn Nursing Complete Study Guide WITH NGN ATI & Nclex-rn Preparation 2026/2027 Edition AND Detailed Clinical
Rationales Maternal Newborn Nursing Undergraduate YEAR 4 / Pre-licensure BSN
A. Increase the oxytocin rate to expedite B. Discontinue oxytocin and reposition the
delivery patient
C. Administer oxygen at 10 L/min via D. Prepare for immediate vacuum-assisted
non-rebreather mask delivery
Correct: B - Discontinue oxytocin and reposition the patient
Rationale:Recurrent late decelerations with moderate variability indicate possible
uteroplacental insufficiency. The priority is to improve fetal oxygenation by stopping oxytocin
and repositioning to lateral position. Increasing oxytocin worsens the pattern. Oxygen and
delivery may be considered but not first.
Q4.
A postpartum patient who delivered vaginally 6 hours ago has a fundus that is boggy and
deviated to the right. She reports moderate bleeding. What is the most likely cause?
A. Uterine atony B. Retained placental fragments
C. Vaginal hematoma D. Bladder distention
Correct: D - Bladder distention
Rationale:A boggy fundus deviated to the right is a classic sign of bladder distention, which
displaces the uterus. The nurse should first have the patient void or catheterize. Uterine atony
would present with a midline boggy fundus. Retained fragments and hematoma are less likely
to cause deviation.
Q5.
A newborn at 38 weeks gestation has a capillary blood glucose of 35 mg/dL at 2 hours of
age. The infant is asymptomatic. What is the most appropriate nursing action?
A. Initiate IV dextrose 10% bolus B. Encourage breastfeeding immediately
C. Recheck glucose in 30 minutes after D. Start formula feeding of 30 mL
feeding
Correct: B - Encourage breastfeeding immediately
Rationale:In an asymptomatic newborn with hypoglycemia (glucose <40 mg/dL), the first
intervention is to feed. Breastfeeding is preferred. If glucose remains low after feeding, then
IV dextrose may be needed. Rechecking after feeding is acceptable but feeding is the priority.
Formula is not the first choice.
Page 4
GUIDE WITH NGN QUESTIONS - ATI & NCLEX-RN®
PREPARATION - 2026/2027 EDITION - VERIFIED ANSWERS AND
DETAILED CLINICAL RATIONALES
190 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
MATERNAL NEWBORN NURSING COMPLETE EXAM STUDY GUIDE WITH NGN QUESTIONS - ATI &
NCLEX-RN® PREPARATION - 2026/2027 EDITION - VERIFIED ANSWERS AND DETAILED CLINICAL
RATIONALES. It contains 190 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 190 Questions
Foundations - Application - Maternal Newborn Nursing Complete Study Guide WITH NGN ATI & Nclex-rn
Preparation 2026/2027 Edition AND Detailed Clinical Rationales Maternal Newborn Nursing Undergraduate
YEAR 4 / Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Maternal Newborn Nursing 1-32 Weeks, Gestation, Finding, Fetal, Labor
Complete Study Guide WITH
NGN ATI & Nclex-rn
Preparation 2026/2027
Edition AND Detailed Clinical
Rationales Maternal Newborn
Nursing Undergraduate
YEAR 4 / Pre-licensure BSN
Gestation 33-64 Fetal, Weeks Gestation, Intervention, Appropriate, Heart RATE
Finding 65-96 Weeks Gestation, Labor, Postpartum, Intervention, Immediate
Fetal 97-128 Weeks, Finding, Heart, Postpartum, Intervention
Intervention 129-160 Weeks, Gestation, Fetal, Finding, Hours
Heart 161-190 Finding, Fetal, Weeks, Intervention, Gestation
TOTAL 190 All questions include answers and detailed rationales
,Section A - Maternal Newborn Nursing Complete Study
Guide WITH NGN ATI & Nclex-rn Preparation 2026/2027
Edition AND Detailed Clinical Rationales Maternal Newborn
Nursing Undergraduate YEAR 4 / Pre-licensure BSN
Q1.
A patient at 30 weeks gestation presents with a BP of 160/110, severe headache, and
epigastric pain. Lab results show platelet count 80,000/mm³, AST 120 U/L, ALT 150 U/L.
Which intervention is the priority?
A. Administer labetalol IV push B. Initiate magnesium sulfate continuous
infusion
C. Prepare for immediate cesarean delivery D. Obtain a stat CT of the head
Correct: B - Initiate magnesium sulfate continuous infusion
Rationale:The patient has severe preeclampsia with HELLP syndrome features. Magnesium
sulfate is the priority to prevent seizures, even before delivery. Labetalol may be used for BP
control but not first. Delivery is indicated but after stabilization. CT is not priority without focal
neurological signs.
Q2.
A patient at 28 weeks gestation reports decreased fetal movement. A biophysical profile
(BPP) is performed, scoring 6/10 due to absent fetal breathing and amniotic fluid index of
5 cm. What is the most appropriate next step?
A. Repeat BPP in 24 hours B. Induce labor immediately
C. Administer betamethasone and plan D. Perform a contraction stress test (CST)
delivery
Correct: D - Perform a contraction stress test (CST)
Rationale:A BPP of 6/10 is equivocal; a CST is recommended to further assess fetal
oxygenation. If CST is positive, delivery is considered. Repeating BPP may delay
intervention. Induction at 28 weeks is not immediate without further evidence. Betamethasone
may be given but not the immediate next step.
Q3.
A patient in active labor is receiving oxytocin. The fetal heart rate shows recurrent late
decelerations with moderate variability. What is the nurse's priority action?
Page 3
, Section A - Maternal Newborn Nursing Complete Study Guide WITH NGN ATI & Nclex-rn Preparation 2026/2027 Edition AND Detailed Clinical
Rationales Maternal Newborn Nursing Undergraduate YEAR 4 / Pre-licensure BSN
A. Increase the oxytocin rate to expedite B. Discontinue oxytocin and reposition the
delivery patient
C. Administer oxygen at 10 L/min via D. Prepare for immediate vacuum-assisted
non-rebreather mask delivery
Correct: B - Discontinue oxytocin and reposition the patient
Rationale:Recurrent late decelerations with moderate variability indicate possible
uteroplacental insufficiency. The priority is to improve fetal oxygenation by stopping oxytocin
and repositioning to lateral position. Increasing oxytocin worsens the pattern. Oxygen and
delivery may be considered but not first.
Q4.
A postpartum patient who delivered vaginally 6 hours ago has a fundus that is boggy and
deviated to the right. She reports moderate bleeding. What is the most likely cause?
A. Uterine atony B. Retained placental fragments
C. Vaginal hematoma D. Bladder distention
Correct: D - Bladder distention
Rationale:A boggy fundus deviated to the right is a classic sign of bladder distention, which
displaces the uterus. The nurse should first have the patient void or catheterize. Uterine atony
would present with a midline boggy fundus. Retained fragments and hematoma are less likely
to cause deviation.
Q5.
A newborn at 38 weeks gestation has a capillary blood glucose of 35 mg/dL at 2 hours of
age. The infant is asymptomatic. What is the most appropriate nursing action?
A. Initiate IV dextrose 10% bolus B. Encourage breastfeeding immediately
C. Recheck glucose in 30 minutes after D. Start formula feeding of 30 mL
feeding
Correct: B - Encourage breastfeeding immediately
Rationale:In an asymptomatic newborn with hypoglycemia (glucose <40 mg/dL), the first
intervention is to feed. Breastfeeding is preferred. If glucose remains low after feeding, then
IV dextrose may be needed. Rechecking after feeding is acceptable but feeding is the priority.
Formula is not the first choice.
Page 4
