ATI PN NGN MATERNAL NEWBORN
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
1. Antepartum Nursing: Prenatal Care and Complications
2. Intrapartum Nursing: Labor, Delivery, and Fetal Monitoring
3. Postpartum Nursing: Maternal Recovery and Complications
4. Newborn Nursing: Assessment, Transition, and Complications
5. Reproductive Health: Contraception and Infertility
6. Clinical Judgment and NGN Case Studies in Maternal-Newborn
Care
Introduction
This comprehensive examination assesses practical nursing
knowledge and clinical judgment required for maternal-newborn
practice. The questions evaluate understanding of antepartum,
intrapartum, postpartum, and newborn care, including high-risk
pregnancy management, fetal monitoring, maternal
complications, and neonatal assessment. The multiple-choice and
scenario-based structure emphasizes real-world application,
prioritization, and critical decision-making, ensuring candidates
can deliver safe, effective, and family-centered care. Each
question includes verified answers with detailed clinical rationales
to reinforce exam readiness and promote sound nursing
judgment.
SECTION ONE: QUESTIONS 1–100
,1. A PN is reviewing the prenatal record of a client who is
at 28 weeks of gestation. The provider has documented
that the fundal height measures 26 cm. Which of the
following actions should the PN take?
A. Document the finding as expected
B. Report the finding to the provider immediately
C. Request an ultrasound to evaluate fetal growth
D. Assess the client for gestational diabetes
A. Document the finding as expected
RATIONALE: At 28 weeks of gestation, the fundal height in
centimeters should approximate the weeks of gestation, with a
normal variance of plus or minus 2 cm. A fundal height of 26 cm
at 28 weeks falls within this expected range (26–30 cm). The PN
should document this as an expected finding. Reporting to the
provider is unnecessary since the measurement is within normal
limits.
2. A PN is providing prenatal teaching to a client who is at
12 weeks of gestation. The client asks why she needs to
take folic acid supplements. Which of the following
responses by the PN is appropriate?
A. "Folic acid prevents iron-deficiency anemia during pregnancy."
B. "Folic acid reduces the risk of neural tube defects in the fetus."
C. "Folic acid promotes adequate calcium absorption for fetal
bone development."
D. "Folic acid prevents gestational hypertension."
B. "Folic acid reduces the risk of neural tube defects in the
fetus."
, RATIONALE: Folic acid supplementation of at least 400 mcg
daily before and during early pregnancy reduces the risk of neural
tube defects such as spina bifida and anencephaly. The neural
tube closes by the fourth week of gestation, often before a
woman knows she is pregnant, which is why supplementation is
recommended before conception. Folic acid does not prevent iron-
deficiency anemia, promote calcium absorption, or prevent
gestational hypertension.
3. A PN is assessing a client who is at 16 weeks of
gestation and reports having frequent headaches and
visual changes. The client's blood pressure is 148/92 mm
Hg. Which of the following actions should the PN take
first?
A. Instruct the client to lie on her left side
B. Obtain a urine specimen for protein analysis
C. Administer acetaminophen for headache relief
D. Document the findings in the client's chart
B. Obtain a urine specimen for protein analysis
RATIONALE: This client presents with signs of possible
preeclampsia: elevated blood pressure (148/92 mm Hg at 16
weeks), headache, and visual changes. The PN should first obtain
a urine specimen for protein analysis because proteinuria is a
required criterion for diagnosing preeclampsia. Documentation
and comfort measures are important but secondary to obtaining
diagnostic data that will guide treatment.
, 4. A nurse is collecting data from a client who is at 36
weeks of gestation and has preeclampsia. Which of the
following findings should the nurse report to the provider?
A. 1+ pitting edema in the ankles
B. Epigastric pain
C. Increased fetal movement
D. Urinary output of 40 mL/hr
B. Epigastric pain
RATIONALE: Epigastric pain is a clinical manifestation of
severe preeclampsia and indicates hepatic involvement (liver
swelling), which can lead to HELLP syndrome or seizure. This
finding requires immediate reporting. Dependent edema and
adequate urine output are expected findings, and increased fetal
movement is reassuring.
5. A nurse is reinforcing teaching with a client who is
pregnant and has a new prescription for ferrous sulfate.
Which of the following instructions should the nurse
include?
A. Take the medication with a glass of milk.
B. Take the medication with orange juice.
C. Take the medication at the same time as an antacid.
D. Expect stools to be light clay-colored.
B. Take the medication with orange juice.
RATIONALE: Vitamin C (found in orange juice) significantly
increases the absorption of iron. Calcium (milk) and antacids
inhibit absorption. Ferrous sulfate commonly causes dark green
or black stools, not light clay-colored stools, which would indicate
a bile duct obstruction.
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
1. Antepartum Nursing: Prenatal Care and Complications
2. Intrapartum Nursing: Labor, Delivery, and Fetal Monitoring
3. Postpartum Nursing: Maternal Recovery and Complications
4. Newborn Nursing: Assessment, Transition, and Complications
5. Reproductive Health: Contraception and Infertility
6. Clinical Judgment and NGN Case Studies in Maternal-Newborn
Care
Introduction
This comprehensive examination assesses practical nursing
knowledge and clinical judgment required for maternal-newborn
practice. The questions evaluate understanding of antepartum,
intrapartum, postpartum, and newborn care, including high-risk
pregnancy management, fetal monitoring, maternal
complications, and neonatal assessment. The multiple-choice and
scenario-based structure emphasizes real-world application,
prioritization, and critical decision-making, ensuring candidates
can deliver safe, effective, and family-centered care. Each
question includes verified answers with detailed clinical rationales
to reinforce exam readiness and promote sound nursing
judgment.
SECTION ONE: QUESTIONS 1–100
,1. A PN is reviewing the prenatal record of a client who is
at 28 weeks of gestation. The provider has documented
that the fundal height measures 26 cm. Which of the
following actions should the PN take?
A. Document the finding as expected
B. Report the finding to the provider immediately
C. Request an ultrasound to evaluate fetal growth
D. Assess the client for gestational diabetes
A. Document the finding as expected
RATIONALE: At 28 weeks of gestation, the fundal height in
centimeters should approximate the weeks of gestation, with a
normal variance of plus or minus 2 cm. A fundal height of 26 cm
at 28 weeks falls within this expected range (26–30 cm). The PN
should document this as an expected finding. Reporting to the
provider is unnecessary since the measurement is within normal
limits.
2. A PN is providing prenatal teaching to a client who is at
12 weeks of gestation. The client asks why she needs to
take folic acid supplements. Which of the following
responses by the PN is appropriate?
A. "Folic acid prevents iron-deficiency anemia during pregnancy."
B. "Folic acid reduces the risk of neural tube defects in the fetus."
C. "Folic acid promotes adequate calcium absorption for fetal
bone development."
D. "Folic acid prevents gestational hypertension."
B. "Folic acid reduces the risk of neural tube defects in the
fetus."
, RATIONALE: Folic acid supplementation of at least 400 mcg
daily before and during early pregnancy reduces the risk of neural
tube defects such as spina bifida and anencephaly. The neural
tube closes by the fourth week of gestation, often before a
woman knows she is pregnant, which is why supplementation is
recommended before conception. Folic acid does not prevent iron-
deficiency anemia, promote calcium absorption, or prevent
gestational hypertension.
3. A PN is assessing a client who is at 16 weeks of
gestation and reports having frequent headaches and
visual changes. The client's blood pressure is 148/92 mm
Hg. Which of the following actions should the PN take
first?
A. Instruct the client to lie on her left side
B. Obtain a urine specimen for protein analysis
C. Administer acetaminophen for headache relief
D. Document the findings in the client's chart
B. Obtain a urine specimen for protein analysis
RATIONALE: This client presents with signs of possible
preeclampsia: elevated blood pressure (148/92 mm Hg at 16
weeks), headache, and visual changes. The PN should first obtain
a urine specimen for protein analysis because proteinuria is a
required criterion for diagnosing preeclampsia. Documentation
and comfort measures are important but secondary to obtaining
diagnostic data that will guide treatment.
, 4. A nurse is collecting data from a client who is at 36
weeks of gestation and has preeclampsia. Which of the
following findings should the nurse report to the provider?
A. 1+ pitting edema in the ankles
B. Epigastric pain
C. Increased fetal movement
D. Urinary output of 40 mL/hr
B. Epigastric pain
RATIONALE: Epigastric pain is a clinical manifestation of
severe preeclampsia and indicates hepatic involvement (liver
swelling), which can lead to HELLP syndrome or seizure. This
finding requires immediate reporting. Dependent edema and
adequate urine output are expected findings, and increased fetal
movement is reassuring.
5. A nurse is reinforcing teaching with a client who is
pregnant and has a new prescription for ferrous sulfate.
Which of the following instructions should the nurse
include?
A. Take the medication with a glass of milk.
B. Take the medication with orange juice.
C. Take the medication at the same time as an antacid.
D. Expect stools to be light clay-colored.
B. Take the medication with orange juice.
RATIONALE: Vitamin C (found in orange juice) significantly
increases the absorption of iron. Calcium (milk) and antacids
inhibit absorption. Ferrous sulfate commonly causes dark green
or black stools, not light clay-colored stools, which would indicate
a bile duct obstruction.
