Page 1 of 228
VATI PN MATERNAL NEWBORN EXAM
# 2026-2027 ACADEMIC YEAR | 250+
QUESTIONS WITH VERIFIED SOLUTIONS
itsjereguides
# SECTION 1: ANTEPARTUM – NORMAL PREGNANCY
## Questions 1-40
### Question 1
A client who is a primigravida at 8 weeks gestation reports nausea and vomiting. Which non-
pharmacologic measure should the nurse recommend?
A) Drink a full glass of water with meals to increase hydration
B) Eat dry crackers before getting out of bed in the morning
C) Take iron supplements with orange juice to improve absorption
D) Lie down flat immediately after eating
**Correct Answer: B) Eat dry crackers before getting out of bed in the morning**
**Rationale:** Eating dry crackers before rising helps reduce morning sickness by settling the
stomach and preventing the nausea associated with an empty stomach upon waking. Small,
frequent meals are also recommended throughout the day to manage nausea. Lying down flat
after eating can worsen reflux, and iron supplements can increase nausea. Drinking large
amounts of water with meals can cause gastric distension and worsen nausea .
,Page 2 of 228
**Why the other options are incorrect:**
- **A) Drink a full glass of water with meals:** Drinking large volumes with meals can cause
gastric distension and worsen nausea. Small sips of fluids between meals are recommended
instead.
- **C) Take iron supplements with orange juice:** While iron is better absorbed with vitamin C,
iron supplements can increase gastrointestinal upset and nausea. Iron is often started later in
pregnancy or taken at bedtime to minimize nausea.
- **D) Lie down flat immediately after eating:** Lying flat can promote gastric reflux and
worsen nausea. The client should remain upright for at least 30 minutes after eating.
---
### Question 2
A client at 16 weeks gestation asks when she will feel the baby move. What is the nurse's best
response?
A) "Most women feel movement between 18-22 weeks of pregnancy."
B) "You should have felt movement by 10 weeks."
C) "Only mothers who have had a previous baby feel movement this early."
D) "If you haven't felt movement by 24 weeks, it's abnormal."
**Correct Answer: A) "Most women feel movement between 18-22 weeks of pregnancy."**
**Rationale:** Quickening, or the first fetal movements, is usually felt by primigravidas at 18-
20 weeks and by multigravidas as early as 16 weeks. It is not abnormal to not feel movement
until 24 weeks, and reassurance should be provided while emphasizing that fetal movement
should become regular by the third trimester .
**Why the other options are incorrect:**
,Page 3 of 228
- **B) "You should have felt movement by 10 weeks":** Fetal movements are not perceptible at
10 weeks. The fetus is too small, and movements cannot be felt externally.
- **C) "Only mothers who have had a previous baby feel movement this early":** While
multigravidas may feel movement earlier (as early as 16 weeks), primigravidas can also begin to
feel movement at 18 weeks.
- **D) "If you haven't felt movement by 24 weeks, it's abnormal":** Many women do not feel
consistent movement until after 24 weeks. This statement would cause unnecessary alarm.
---
### Question 3
At 12 weeks gestation, which device is most appropriate for auscultating fetal heart tones?
A) Doppler ultrasound device
B) Fetoscope
C) Stethoscope
D) Transvaginal ultrasound probe
**Correct Answer: A) Doppler ultrasound device**
**Rationale:** Fetal heart tones can be detected with a Doppler ultrasound device as early as 10-
12 weeks of gestation. A fetoscope is typically used after 20 weeks when the fetal heart tones are
more audible. A standard stethoscope is not sensitive enough to detect fetal heart tones in early
pregnancy. Transvaginal ultrasound is used for diagnostic imaging, not routine auscultation .
**Why the other options are incorrect:**
- **B) Fetoscope:** A fetoscope is used after 20 weeks of gestation when fetal heart tones can
be heard more easily through the maternal abdomen.
, Page 4 of 228
- **C) Stethoscope:** A standard stethoscope is not sensitive enough to detect fetal heart tones
in early pregnancy. The Doppler device is more sensitive.
- **D) Transvaginal ultrasound probe:** This is a diagnostic imaging tool used in early
pregnancy for confirmation of viability and dating, not for routine heart rate auscultation.
---
### Question 4
A client at 28 weeks gestation reports swelling of her hands and face. What should the nurse do
first?
A) Advise her to restrict fluid intake to reduce swelling
B) Assess her blood pressure and urine for protein
C) Recommend elevating her feet and reducing sodium intake
D) Reassure her that this is a normal finding in pregnancy
**Correct Answer: B) Assess her blood pressure and urine for protein**
**Rationale:** Swelling (edema) of the face and hands can be a sign of preeclampsia, especially
when accompanied by hypertension and proteinuria. The nurse should first assess blood pressure
and check urine for protein to rule out preeclampsia. Preeclampsia is a hypertensive disorder of
pregnancy that can progress to eclampsia and is a leading cause of maternal morbidity .
**Why the other options are incorrect:**
- **A) Advise her to restrict fluid intake:** Fluid restriction is not recommended and can be
dangerous. Preeclampsia requires careful fluid management. Edema from preeclampsia is not
related to fluid intake alone.
VATI PN MATERNAL NEWBORN EXAM
# 2026-2027 ACADEMIC YEAR | 250+
QUESTIONS WITH VERIFIED SOLUTIONS
itsjereguides
# SECTION 1: ANTEPARTUM – NORMAL PREGNANCY
## Questions 1-40
### Question 1
A client who is a primigravida at 8 weeks gestation reports nausea and vomiting. Which non-
pharmacologic measure should the nurse recommend?
A) Drink a full glass of water with meals to increase hydration
B) Eat dry crackers before getting out of bed in the morning
C) Take iron supplements with orange juice to improve absorption
D) Lie down flat immediately after eating
**Correct Answer: B) Eat dry crackers before getting out of bed in the morning**
**Rationale:** Eating dry crackers before rising helps reduce morning sickness by settling the
stomach and preventing the nausea associated with an empty stomach upon waking. Small,
frequent meals are also recommended throughout the day to manage nausea. Lying down flat
after eating can worsen reflux, and iron supplements can increase nausea. Drinking large
amounts of water with meals can cause gastric distension and worsen nausea .
,Page 2 of 228
**Why the other options are incorrect:**
- **A) Drink a full glass of water with meals:** Drinking large volumes with meals can cause
gastric distension and worsen nausea. Small sips of fluids between meals are recommended
instead.
- **C) Take iron supplements with orange juice:** While iron is better absorbed with vitamin C,
iron supplements can increase gastrointestinal upset and nausea. Iron is often started later in
pregnancy or taken at bedtime to minimize nausea.
- **D) Lie down flat immediately after eating:** Lying flat can promote gastric reflux and
worsen nausea. The client should remain upright for at least 30 minutes after eating.
---
### Question 2
A client at 16 weeks gestation asks when she will feel the baby move. What is the nurse's best
response?
A) "Most women feel movement between 18-22 weeks of pregnancy."
B) "You should have felt movement by 10 weeks."
C) "Only mothers who have had a previous baby feel movement this early."
D) "If you haven't felt movement by 24 weeks, it's abnormal."
**Correct Answer: A) "Most women feel movement between 18-22 weeks of pregnancy."**
**Rationale:** Quickening, or the first fetal movements, is usually felt by primigravidas at 18-
20 weeks and by multigravidas as early as 16 weeks. It is not abnormal to not feel movement
until 24 weeks, and reassurance should be provided while emphasizing that fetal movement
should become regular by the third trimester .
**Why the other options are incorrect:**
,Page 3 of 228
- **B) "You should have felt movement by 10 weeks":** Fetal movements are not perceptible at
10 weeks. The fetus is too small, and movements cannot be felt externally.
- **C) "Only mothers who have had a previous baby feel movement this early":** While
multigravidas may feel movement earlier (as early as 16 weeks), primigravidas can also begin to
feel movement at 18 weeks.
- **D) "If you haven't felt movement by 24 weeks, it's abnormal":** Many women do not feel
consistent movement until after 24 weeks. This statement would cause unnecessary alarm.
---
### Question 3
At 12 weeks gestation, which device is most appropriate for auscultating fetal heart tones?
A) Doppler ultrasound device
B) Fetoscope
C) Stethoscope
D) Transvaginal ultrasound probe
**Correct Answer: A) Doppler ultrasound device**
**Rationale:** Fetal heart tones can be detected with a Doppler ultrasound device as early as 10-
12 weeks of gestation. A fetoscope is typically used after 20 weeks when the fetal heart tones are
more audible. A standard stethoscope is not sensitive enough to detect fetal heart tones in early
pregnancy. Transvaginal ultrasound is used for diagnostic imaging, not routine auscultation .
**Why the other options are incorrect:**
- **B) Fetoscope:** A fetoscope is used after 20 weeks of gestation when fetal heart tones can
be heard more easily through the maternal abdomen.
, Page 4 of 228
- **C) Stethoscope:** A standard stethoscope is not sensitive enough to detect fetal heart tones
in early pregnancy. The Doppler device is more sensitive.
- **D) Transvaginal ultrasound probe:** This is a diagnostic imaging tool used in early
pregnancy for confirmation of viability and dating, not for routine heart rate auscultation.
---
### Question 4
A client at 28 weeks gestation reports swelling of her hands and face. What should the nurse do
first?
A) Advise her to restrict fluid intake to reduce swelling
B) Assess her blood pressure and urine for protein
C) Recommend elevating her feet and reducing sodium intake
D) Reassure her that this is a normal finding in pregnancy
**Correct Answer: B) Assess her blood pressure and urine for protein**
**Rationale:** Swelling (edema) of the face and hands can be a sign of preeclampsia, especially
when accompanied by hypertension and proteinuria. The nurse should first assess blood pressure
and check urine for protein to rule out preeclampsia. Preeclampsia is a hypertensive disorder of
pregnancy that can progress to eclampsia and is a leading cause of maternal morbidity .
**Why the other options are incorrect:**
- **A) Advise her to restrict fluid intake:** Fluid restriction is not recommended and can be
dangerous. Preeclampsia requires careful fluid management. Edema from preeclampsia is not
related to fluid intake alone.
