ATI RN Maternal Newborn OB Proctored
Exam with NGN — Practice Exam
Total Questions: 150
Format: Multiple Choice, SATA, and NGN Case Studies
Instructions: Select the best ANSWER(s) for each question. Correct ANSWERs and
RATIONALEs follow each item.
Section 1: Antepartum Care.
1. A nurse is calculating the estimated date of birth for a client whose last menstrual period began on
March 5. Using Naegele's rule, which date should the nurse calculate?
A. December 5
B. December 12
C. December 19
D. November 12
ANSWER: B
RATIONALE: Naegele's rule: subtract 3 months (March → December) and add 7 days (5 + 7 = 12) =
December 12.
2. A nurse is teaching a client at 10 weeks gestation about expected physiological changes. Which
finding should the nurse include as a normal cardiovascular adaptation?
A. Decreased blood volume
B. Increased heart rate of 10–15 beats/min
C. Decreased cardiac output
D. Increased blood pressure in the first trimester
,ANSWER: B
RATIONALE: Heart rate increases 10–15 bpm due to increased metabolic demands. Blood volume
increases 40–50%. BP typically decreases slightly in the second trimester.
3. A client at 28 weeks gestation reports heartburn. Which instruction should the nurse provide?
A. "Lie down immediately after eating."
B. "Eat three large meals daily."
C. "Avoid fatty and spicy foods."
D. "Drink fluids with meals."
ANSWER: C
RATIONALE: Fatty/spicy foods worsen heartburn. Clients should eat small frequent meals, avoid lying
down after eating, and drink fluids between meals.
4. A nurse is assessing a client at 36 weeks gestation. Which finding should the nurse report immediately?
A. Braxton Hicks contractions
B. Visual disturbances and severe headache
C. Urinary frequency
D. Lower back pain
ANSWER: B
RATIONALE: Visual changes and severe headache suggest preeclampsia and require immediate
evaluation.
5. A nurse is reviewing expected physiologic changes during pregnancy. Which finding is considered a
normal cardiovascular adaptation?
A. Decreased cardiac output
B. Increased cardiac output
C. Persistent hypertension
D. Decreased plasma volume
,ANSWER: B
RATIONALE: Cardiac output increases during pregnancy to meet maternal and fetal metabolic demands.
6. A client asks when fetal movement is commonly first perceived during pregnancy. Which response
should the nurse provide?
A. 4 to 6 weeks
B. 8 to 10 weeks
C. 16 to 20 weeks
D. 28 to 32 weeks
ANSWER: C
RATIONALE: Fetal movement, or quickening, is commonly perceived around 16 to 20 weeks, particularly in
a first pregnancy.
7. Which hormone is primarily responsible for maintaining the endometrial lining during early pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
ANSWER: B
RATIONALE: Progesterone maintains the endometrium and supports continuation of pregnancy.
8. A pregnant client asks which food is a good source of folate. Which choice should the nurse recommend?
A. White rice
B. Leafy green vegetables
C. Hard candy
D. Butter
, ANSWER: B
RATIONALE: Leafy green vegetables are rich sources of folate, which helps reduce the risk of neural tube
defects.
9. Which finding is generally considered a positive sign of pregnancy?
A. Amenorrhea
B. Nausea
C. Positive pregnancy test
D. Fetal heart activity detected by ultrasound
ANSWER: D
RATIONALE: Fetal heart activity is a positive sign because it directly confirms the presence of a developing
fetus.
10. A nurse teaches a pregnant client about avoiding supine hypotension. Which position should the client
use when resting?
A. Flat on the back
B. Right lateral only
C. Left lateral
D. Prone
ANSWER: C
RATIONALE: Left lateral positioning promotes venous return by reducing compression of the vena cava by
the gravid uterus.
11. A client at 10 weeks of gestation reports morning nausea. Which instruction is appropriate?
A. Eat one large meal daily.
B. Drink fluids with meals.
C. Eat small, frequent, high-carbohydrate meals and avoid strong odors.
Exam with NGN — Practice Exam
Total Questions: 150
Format: Multiple Choice, SATA, and NGN Case Studies
Instructions: Select the best ANSWER(s) for each question. Correct ANSWERs and
RATIONALEs follow each item.
Section 1: Antepartum Care.
1. A nurse is calculating the estimated date of birth for a client whose last menstrual period began on
March 5. Using Naegele's rule, which date should the nurse calculate?
A. December 5
B. December 12
C. December 19
D. November 12
ANSWER: B
RATIONALE: Naegele's rule: subtract 3 months (March → December) and add 7 days (5 + 7 = 12) =
December 12.
2. A nurse is teaching a client at 10 weeks gestation about expected physiological changes. Which
finding should the nurse include as a normal cardiovascular adaptation?
A. Decreased blood volume
B. Increased heart rate of 10–15 beats/min
C. Decreased cardiac output
D. Increased blood pressure in the first trimester
,ANSWER: B
RATIONALE: Heart rate increases 10–15 bpm due to increased metabolic demands. Blood volume
increases 40–50%. BP typically decreases slightly in the second trimester.
3. A client at 28 weeks gestation reports heartburn. Which instruction should the nurse provide?
A. "Lie down immediately after eating."
B. "Eat three large meals daily."
C. "Avoid fatty and spicy foods."
D. "Drink fluids with meals."
ANSWER: C
RATIONALE: Fatty/spicy foods worsen heartburn. Clients should eat small frequent meals, avoid lying
down after eating, and drink fluids between meals.
4. A nurse is assessing a client at 36 weeks gestation. Which finding should the nurse report immediately?
A. Braxton Hicks contractions
B. Visual disturbances and severe headache
C. Urinary frequency
D. Lower back pain
ANSWER: B
RATIONALE: Visual changes and severe headache suggest preeclampsia and require immediate
evaluation.
5. A nurse is reviewing expected physiologic changes during pregnancy. Which finding is considered a
normal cardiovascular adaptation?
A. Decreased cardiac output
B. Increased cardiac output
C. Persistent hypertension
D. Decreased plasma volume
,ANSWER: B
RATIONALE: Cardiac output increases during pregnancy to meet maternal and fetal metabolic demands.
6. A client asks when fetal movement is commonly first perceived during pregnancy. Which response
should the nurse provide?
A. 4 to 6 weeks
B. 8 to 10 weeks
C. 16 to 20 weeks
D. 28 to 32 weeks
ANSWER: C
RATIONALE: Fetal movement, or quickening, is commonly perceived around 16 to 20 weeks, particularly in
a first pregnancy.
7. Which hormone is primarily responsible for maintaining the endometrial lining during early pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
ANSWER: B
RATIONALE: Progesterone maintains the endometrium and supports continuation of pregnancy.
8. A pregnant client asks which food is a good source of folate. Which choice should the nurse recommend?
A. White rice
B. Leafy green vegetables
C. Hard candy
D. Butter
, ANSWER: B
RATIONALE: Leafy green vegetables are rich sources of folate, which helps reduce the risk of neural tube
defects.
9. Which finding is generally considered a positive sign of pregnancy?
A. Amenorrhea
B. Nausea
C. Positive pregnancy test
D. Fetal heart activity detected by ultrasound
ANSWER: D
RATIONALE: Fetal heart activity is a positive sign because it directly confirms the presence of a developing
fetus.
10. A nurse teaches a pregnant client about avoiding supine hypotension. Which position should the client
use when resting?
A. Flat on the back
B. Right lateral only
C. Left lateral
D. Prone
ANSWER: C
RATIONALE: Left lateral positioning promotes venous return by reducing compression of the vena cava by
the gravid uterus.
11. A client at 10 weeks of gestation reports morning nausea. Which instruction is appropriate?
A. Eat one large meal daily.
B. Drink fluids with meals.
C. Eat small, frequent, high-carbohydrate meals and avoid strong odors.
