ATI Maternal Newborn Final Exam Guide Questions and
Answers 2025/ 2026 | Latest 2026/2027 Version | 100%
Verified with Correct Questions and Answers | Complete
NGN Exam Prep Study Resource with Solution
Section 1: Antepartum Care & Complications (Questions 1-30)
1. A nurse is caring for a client at 10 weeks of gestation who is experiencing
hyperemesis gravidarum. Which of the following findings should the nurse
identify as the priority?
A. Blood pressure 100/60 mm Hg
B. Urine specific gravity 1.035
C. Heart rate 92/min
D. Hemoglobin 11.5 g/dL
Correct Answer: B
Rationale: A urine specific gravity of 1.035 is elevated, indicating severe
dehydration and hemoconcentration, which is the priority concern for a client with
hyperemesis gravidarum. This can lead to electrolyte imbalances and renal failure.
The other findings are within normal limits or less urgent than severe dehydration.
2. A nurse is teaching a client who is at 12 weeks of gestation about expected
physiological changes during pregnancy. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I should expect my blood pressure to increase significantly."
B. "I might experience nosebleeds and nasal stuffiness."
C. "My blood glucose level will be lower than before I was pregnant."
D. "I will have a decreased risk for developing a urinary tract infection."
Correct Answer: B
Rationale: Estrogen levels increase during pregnancy, which causes increased
vascularity and swelling of the mucous membranes, leading to nasal stuffiness and
nosebleeds (epistaxis). Blood pressure typically remains the same or decreases
slightly. Blood glucose levels can be affected by pregnancy, but the risk for UTIs is
increased due to urinary stasis.
,3. A nurse is reviewing the laboratory results for a client who is at 28 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
A. Hemoglobin 11 g/dL
B. Platelet count 150,000/mm³
C. 1-hour glucose tolerance test result of 150 mg/dL
D. WBC count 12,000/mm³
Correct Answer: C
Rationale: A 1-hour glucose tolerance test result of 150 mg/dL is elevated
(normal is <140 mg/dL) and requires further evaluation, such as a 3-hour glucose
tolerance test, to rule out gestational diabetes. The other values are within normal
limits for pregnancy.
4. A nurse is providing teaching to a client who is at 8 weeks of gestation and
has a prescription for folic acid. Which of the following statements by the
client indicates a need for further teaching?
A. "I will take this medication with a full glass of water."
B. "This medication will help prevent neural tube defects in my baby."
C. "I should take this medication on an empty stomach."
D. "I will need to take this medication throughout my pregnancy."
Correct Answer: C
Rationale: Folic acid can be taken with or without food. Taking it with food
may help decrease gastrointestinal upset. The other statements are correct. Folic
acid is crucial for preventing neural tube defects and should be taken throughout
pregnancy.
5. A nurse is assessing a client who is at 34 weeks of gestation and reports a
sudden gush of fluid from her vagina. Which of the following actions should
the nurse take first?
A. Perform a sterile speculum exam.
B. Check the fetal heart rate.
C. Assess the color and amount of fluid.
D. Prepare the client for an immediate cesarean birth.
,Correct Answer: B
Rationale: The priority nursing action when a client reports a gush of fluid is
to assess the fetal heart rate for signs of distress, as a prolapsed umbilical cord is a
risk. This is a life-threatening emergency for the fetus. After checking the FHR, the
nurse can assess the fluid and prepare for further examination.
6. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for a nonstress test. Which of the following statements by the
client indicates an understanding of the procedure?
A. "This test will tell me if I am in labor."
B. "I will need to drink a lot of water before the test."
C. "This test will monitor my baby's heart rate in response to its own movements."
D. "This test will measure the amount of amniotic fluid around my baby."
Correct Answer: C
Rationale: A nonstress test (NST) is a non-invasive test that monitors the fetal
heart rate in response to fetal movement. A reactive NST is a sign of fetal well-
being. It does not measure amniotic fluid (that's an amniotic fluid index) or
determine if the client is in labor.
7. A nurse is caring for a client who is at 30 weeks of gestation and has been
diagnosed with placenta previa. Which of the following findings should the
nurse expect?
A. Painful, bright red vaginal bleeding
B. A firm, board-like abdomen
C. Painless, bright red vaginal bleeding
D. Dark red vaginal bleeding with clots
Correct Answer: C
Rationale: The classic sign of placenta previa is painless, bright red vaginal
bleeding in the second or third trimester. This occurs because the placenta is
implanted over or near the cervical os. Painful bleeding is more characteristic of
placental abruption.
8. A nurse is teaching a client who is at 24 weeks of gestation about the glucose
tolerance test. Which of the following instructions should the nurse include?
A. "You should eat a high-carbohydrate meal the night before the test."
, B. "You will need to fast for 8 hours before the test."
C. "You should avoid drinking water for 4 hours before the test."
D. "You will need to drink a glucose solution and have your blood drawn 1 hour
later."
Correct Answer: D
Rationale: For a 1-hour glucose tolerance test, the client drinks a glucose
solution and has blood drawn 1 hour later. There is no fasting required for the 1-
hour test. The client is typically instructed to eat a normal diet prior to the test.
9. A nurse is assessing a client who is at 20 weeks of gestation. The client
reports a white, milky vaginal discharge. The nurse should identify this
finding as which of the following?
A. Candidiasis
B. Leukorrhea
C. Bacterial vaginosis
D. Trichomoniasis
Correct Answer: B
Rationale: Leukorrhea is a normal, white, milky vaginal discharge that occurs
during pregnancy due to increased estrogen and blood flow to the vaginal area.
Candidiasis (yeast infection) would present with thick, white, cottage cheese-like
discharge and itching.
10. A nurse is caring for a client who is at 16 weeks of gestation and is
scheduled for an amniocentesis. Which of the following statements by the
client indicates a need for further teaching?
A. "I need to have a full bladder for this procedure."
B. "This test can tell me if my baby has a genetic disorder."
C. "There is a small risk of miscarriage with this test."
D. "I will need to rest for a few hours after the procedure."
Correct Answer: A
Rationale: For an amniocentesis performed after 20 weeks, the bladder should
be empty. For an early amniocentesis (before 20 weeks), a full bladder might be
used to support the uterus, but at 16 weeks, it is generally not required and can
increase the risk of bladder puncture. The other statements are correct.
Answers 2025/ 2026 | Latest 2026/2027 Version | 100%
Verified with Correct Questions and Answers | Complete
NGN Exam Prep Study Resource with Solution
Section 1: Antepartum Care & Complications (Questions 1-30)
1. A nurse is caring for a client at 10 weeks of gestation who is experiencing
hyperemesis gravidarum. Which of the following findings should the nurse
identify as the priority?
A. Blood pressure 100/60 mm Hg
B. Urine specific gravity 1.035
C. Heart rate 92/min
D. Hemoglobin 11.5 g/dL
Correct Answer: B
Rationale: A urine specific gravity of 1.035 is elevated, indicating severe
dehydration and hemoconcentration, which is the priority concern for a client with
hyperemesis gravidarum. This can lead to electrolyte imbalances and renal failure.
The other findings are within normal limits or less urgent than severe dehydration.
2. A nurse is teaching a client who is at 12 weeks of gestation about expected
physiological changes during pregnancy. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I should expect my blood pressure to increase significantly."
B. "I might experience nosebleeds and nasal stuffiness."
C. "My blood glucose level will be lower than before I was pregnant."
D. "I will have a decreased risk for developing a urinary tract infection."
Correct Answer: B
Rationale: Estrogen levels increase during pregnancy, which causes increased
vascularity and swelling of the mucous membranes, leading to nasal stuffiness and
nosebleeds (epistaxis). Blood pressure typically remains the same or decreases
slightly. Blood glucose levels can be affected by pregnancy, but the risk for UTIs is
increased due to urinary stasis.
,3. A nurse is reviewing the laboratory results for a client who is at 28 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
A. Hemoglobin 11 g/dL
B. Platelet count 150,000/mm³
C. 1-hour glucose tolerance test result of 150 mg/dL
D. WBC count 12,000/mm³
Correct Answer: C
Rationale: A 1-hour glucose tolerance test result of 150 mg/dL is elevated
(normal is <140 mg/dL) and requires further evaluation, such as a 3-hour glucose
tolerance test, to rule out gestational diabetes. The other values are within normal
limits for pregnancy.
4. A nurse is providing teaching to a client who is at 8 weeks of gestation and
has a prescription for folic acid. Which of the following statements by the
client indicates a need for further teaching?
A. "I will take this medication with a full glass of water."
B. "This medication will help prevent neural tube defects in my baby."
C. "I should take this medication on an empty stomach."
D. "I will need to take this medication throughout my pregnancy."
Correct Answer: C
Rationale: Folic acid can be taken with or without food. Taking it with food
may help decrease gastrointestinal upset. The other statements are correct. Folic
acid is crucial for preventing neural tube defects and should be taken throughout
pregnancy.
5. A nurse is assessing a client who is at 34 weeks of gestation and reports a
sudden gush of fluid from her vagina. Which of the following actions should
the nurse take first?
A. Perform a sterile speculum exam.
B. Check the fetal heart rate.
C. Assess the color and amount of fluid.
D. Prepare the client for an immediate cesarean birth.
,Correct Answer: B
Rationale: The priority nursing action when a client reports a gush of fluid is
to assess the fetal heart rate for signs of distress, as a prolapsed umbilical cord is a
risk. This is a life-threatening emergency for the fetus. After checking the FHR, the
nurse can assess the fluid and prepare for further examination.
6. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for a nonstress test. Which of the following statements by the
client indicates an understanding of the procedure?
A. "This test will tell me if I am in labor."
B. "I will need to drink a lot of water before the test."
C. "This test will monitor my baby's heart rate in response to its own movements."
D. "This test will measure the amount of amniotic fluid around my baby."
Correct Answer: C
Rationale: A nonstress test (NST) is a non-invasive test that monitors the fetal
heart rate in response to fetal movement. A reactive NST is a sign of fetal well-
being. It does not measure amniotic fluid (that's an amniotic fluid index) or
determine if the client is in labor.
7. A nurse is caring for a client who is at 30 weeks of gestation and has been
diagnosed with placenta previa. Which of the following findings should the
nurse expect?
A. Painful, bright red vaginal bleeding
B. A firm, board-like abdomen
C. Painless, bright red vaginal bleeding
D. Dark red vaginal bleeding with clots
Correct Answer: C
Rationale: The classic sign of placenta previa is painless, bright red vaginal
bleeding in the second or third trimester. This occurs because the placenta is
implanted over or near the cervical os. Painful bleeding is more characteristic of
placental abruption.
8. A nurse is teaching a client who is at 24 weeks of gestation about the glucose
tolerance test. Which of the following instructions should the nurse include?
A. "You should eat a high-carbohydrate meal the night before the test."
, B. "You will need to fast for 8 hours before the test."
C. "You should avoid drinking water for 4 hours before the test."
D. "You will need to drink a glucose solution and have your blood drawn 1 hour
later."
Correct Answer: D
Rationale: For a 1-hour glucose tolerance test, the client drinks a glucose
solution and has blood drawn 1 hour later. There is no fasting required for the 1-
hour test. The client is typically instructed to eat a normal diet prior to the test.
9. A nurse is assessing a client who is at 20 weeks of gestation. The client
reports a white, milky vaginal discharge. The nurse should identify this
finding as which of the following?
A. Candidiasis
B. Leukorrhea
C. Bacterial vaginosis
D. Trichomoniasis
Correct Answer: B
Rationale: Leukorrhea is a normal, white, milky vaginal discharge that occurs
during pregnancy due to increased estrogen and blood flow to the vaginal area.
Candidiasis (yeast infection) would present with thick, white, cottage cheese-like
discharge and itching.
10. A nurse is caring for a client who is at 16 weeks of gestation and is
scheduled for an amniocentesis. Which of the following statements by the
client indicates a need for further teaching?
A. "I need to have a full bladder for this procedure."
B. "This test can tell me if my baby has a genetic disorder."
C. "There is a small risk of miscarriage with this test."
D. "I will need to rest for a few hours after the procedure."
Correct Answer: A
Rationale: For an amniocentesis performed after 20 weeks, the bladder should
be empty. For an early amniocentesis (before 20 weeks), a full bladder might be
used to support the uterus, but at 16 weeks, it is generally not required and can
increase the risk of bladder puncture. The other statements are correct.
