Retake RN Maternal Newborn 2026
Proctored Assessment 70 NGN Questions
and Correct Answers
Antepartum Care
1. A client at 10 weeks' gestation reports nausea and vomiting. Which
instruction should the nurse provide first?
• A. Eat three large meals daily
• B. Drink fluids with meals
• C. Eat small, frequent dry meals
• D. Lie down immediately after eating
Rationale: Small, frequent dry meals help reduce nausea. Fluids with meals
can worsen nausea. Lying down after eating increases reflux.
2. Which prenatal lab value indicates the need for RhoGAM?
• A. Hemoglobin 11 g/dL
• B. Rh-negative mother, Rh-positive newborn
• C. Platelet count 250,000
• D. WBC 9,000
Rationale: RhoGAM is given to Rh-negative mothers who carry an Rh-positive
fetus to prevent sensitization.
3. A client at 32 weeks reports decreased fetal movement. What should the
nurse do first?
, • A. Reassure the client
• B. Obtain a nonstress test
• C. Schedule a follow-up in 1 week
• D. Instruct the client to drink caffeine
Rationale: Decreased fetal movement requires immediate evaluation,
typically with an NST.
4. Which finding is a danger sign in pregnancy?
• A. Mild ankle edema
• B. Occasional heartburn
• C. Blurred vision and severe headache
• D. Braxton Hicks contractions
Rationale: Blurred vision and severe headache are signs of preeclampsia and
require immediate evaluation.
5. A client asks when she should feel fetal movement. The nurse responds:
• A. 8–10 weeks
• B. 12–14 weeks
• C. 16–20 weeks
• D. 24–28 weeks
Rationale: Quickening is typically felt between 16 and 20 weeks.
6. Which vaccine is recommended during pregnancy?
, • A. MMR
• B. Varicella
• C. Tdap
• D. Live influenza
Rationale: Tdap is recommended in the third trimester. Live vaccines are
contraindicated.
7. A client at 28 weeks has a glucose tolerance test. Which result indicates
gestational diabetes?
• A. 120 mg/dL
• B. 130 mg/dL
• C. 200 mg/dL
• D. 140 mg/dL
Rationale: A 1-hour glucose ≥ 200 mg/dL is diagnostic of gestational diabetes.
8. Which instruction should the nurse give about folic acid?
• A. Start at 20 weeks
• B. Take 400 mcg daily before conception
• C. Take 1000 mcg only after delivery
• D. Stop at 12 weeks
Rationale: Folic acid prevents neural tube defects and should be started
before conception.
9. A client at 36 weeks has a BP of 150/95. What is the priority action?
, • A. Recheck in 1 hour
• B. Notify the provider
• C. Encourage rest
• D. Give acetaminophen
Rationale: Elevated BP at 36 weeks may indicate preeclampsia and requires
provider notification.
10. Which is a sign of preterm labor?
• A. Braxton Hicks every 2 hours
• B. Regular contractions with cervical change
• C. Mild back pain
• D. Increased vaginal discharge
Rationale: Preterm labor is defined by regular contractions with cervical
dilation/effacement before 37 weeks.
11. A client is Rh-negative. When should RhoGAM be given?
• A. Only after delivery
• B. At 28 weeks and within 72 hours postpartum
• C. At 12 weeks
• D. Only if the newborn is Rh-negative
Rationale: RhoGAM is given at 28 weeks and within 72 hours after delivery of
an Rh-positive newborn.
12. Which food should a pregnant client avoid?
Proctored Assessment 70 NGN Questions
and Correct Answers
Antepartum Care
1. A client at 10 weeks' gestation reports nausea and vomiting. Which
instruction should the nurse provide first?
• A. Eat three large meals daily
• B. Drink fluids with meals
• C. Eat small, frequent dry meals
• D. Lie down immediately after eating
Rationale: Small, frequent dry meals help reduce nausea. Fluids with meals
can worsen nausea. Lying down after eating increases reflux.
2. Which prenatal lab value indicates the need for RhoGAM?
• A. Hemoglobin 11 g/dL
• B. Rh-negative mother, Rh-positive newborn
• C. Platelet count 250,000
• D. WBC 9,000
Rationale: RhoGAM is given to Rh-negative mothers who carry an Rh-positive
fetus to prevent sensitization.
3. A client at 32 weeks reports decreased fetal movement. What should the
nurse do first?
, • A. Reassure the client
• B. Obtain a nonstress test
• C. Schedule a follow-up in 1 week
• D. Instruct the client to drink caffeine
Rationale: Decreased fetal movement requires immediate evaluation,
typically with an NST.
4. Which finding is a danger sign in pregnancy?
• A. Mild ankle edema
• B. Occasional heartburn
• C. Blurred vision and severe headache
• D. Braxton Hicks contractions
Rationale: Blurred vision and severe headache are signs of preeclampsia and
require immediate evaluation.
5. A client asks when she should feel fetal movement. The nurse responds:
• A. 8–10 weeks
• B. 12–14 weeks
• C. 16–20 weeks
• D. 24–28 weeks
Rationale: Quickening is typically felt between 16 and 20 weeks.
6. Which vaccine is recommended during pregnancy?
, • A. MMR
• B. Varicella
• C. Tdap
• D. Live influenza
Rationale: Tdap is recommended in the third trimester. Live vaccines are
contraindicated.
7. A client at 28 weeks has a glucose tolerance test. Which result indicates
gestational diabetes?
• A. 120 mg/dL
• B. 130 mg/dL
• C. 200 mg/dL
• D. 140 mg/dL
Rationale: A 1-hour glucose ≥ 200 mg/dL is diagnostic of gestational diabetes.
8. Which instruction should the nurse give about folic acid?
• A. Start at 20 weeks
• B. Take 400 mcg daily before conception
• C. Take 1000 mcg only after delivery
• D. Stop at 12 weeks
Rationale: Folic acid prevents neural tube defects and should be started
before conception.
9. A client at 36 weeks has a BP of 150/95. What is the priority action?
, • A. Recheck in 1 hour
• B. Notify the provider
• C. Encourage rest
• D. Give acetaminophen
Rationale: Elevated BP at 36 weeks may indicate preeclampsia and requires
provider notification.
10. Which is a sign of preterm labor?
• A. Braxton Hicks every 2 hours
• B. Regular contractions with cervical change
• C. Mild back pain
• D. Increased vaginal discharge
Rationale: Preterm labor is defined by regular contractions with cervical
dilation/effacement before 37 weeks.
11. A client is Rh-negative. When should RhoGAM be given?
• A. Only after delivery
• B. At 28 weeks and within 72 hours postpartum
• C. At 12 weeks
• D. Only if the newborn is Rh-negative
Rationale: RhoGAM is given at 28 weeks and within 72 hours after delivery of
an Rh-positive newborn.
12. Which food should a pregnant client avoid?
