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Vati pn maternal newborn exam latest update Practice Questions
(Original) EXAM | 2026–2027 Latest Update | Original
Questions & Answers with Detailed Rationales | Graded A+
Section 1: Antepartum Care & Prenatal Assessment
Q1. A nurse is calculating the estimated date of birth (EDB)
using Naegele's rule for a client whose last menstrual period
(LMP) began on June 10. What is the EDB?
A. March 3
B. March 10
C. March 17
D. March 24
Correct Answer: C
Rationale: Naegele's rule: subtract 3 months from the LMP and
add 7 days. June 10 − 3 months = March 10; March 10 + 7 days
= March 17.
Q2. A pregnant client reports a dark, localized area of
pigmentation on her face. The nurse documents this as:
A. Linea nigra
B. Striae gravidarum
C. Chloasma (melasma)
D. Vascular spiders
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Correct Answer: C
Rationale: Chloasma (melasma or the "mask of pregnancy") is a
dark, localized facial pigmentation that appears during
pregnancy.
Q3. At 12 weeks' gestation, where should the nurse expect to
palpate the fundus?
A. At the symphysis pubis
B. Midway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. Above the umbilicus
Correct Answer: B
Rationale: At 12 weeks, the fundus is midway between the
symphysis pubis and the umbilicus. At 20 weeks, it reaches the
umbilicus.
Q4. A nurse is providing teaching to a client about the signs of
true labor. Which of the following is a sign of true labor?
A. Contractions are irregular
B. Contractions stop with walking
C. Contractions increase in intensity with walking
D. Contractions are felt only in the lower abdomen
Correct Answer: C
Rationale: True labor contractions increase in intensity,
frequency, and duration with walking. False labor contractions
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are irregular, often stop with walking, and are felt in the lower
abdomen.
Q5. A client with no known allergies receives one dose of
Rho(D) immune globulin. This medication is administered to:
A. Prevent Rh incompatibility in the current pregnancy
B. Prevent Rh antibody formation in the mother
C. Treat Rh incompatibility in the fetus
D. Prevent maternal anemia
Correct Answer: B
Rationale: Rho(D) immune globulin (RhoGAM) is given to Rh-
negative mothers carrying an Rh-positive fetus to prevent the
mother from forming antibodies against Rh-positive blood.
Q6. A client at 10 weeks' gestation has a blood type of O
negative. Which intervention is anticipated?
A. Administer Rho(D) immune globulin at 28 weeks
B. Administer Rho(D) immune globulin now
C. No intervention is needed until delivery
D. Administer iron supplementation only
Correct Answer: A
Rationale: Rho(D) immune globulin is typically administered at
28 weeks' gestation and again within 72 hours after delivery for
Rh-negative mothers.
Q7. Which finding is a presumptive sign of pregnancy?
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A. Positive fetal heart tones
B. Amenorrhea
C. Palpation of fetal movement
D. Ultrasound visualization of the fetus
Correct Answer: B
Rationale: Amenorrhea is a presumptive sign (subjective).
Positive signs include fetal heart tones, fetal movement
palpated by the examiner, and ultrasound visualization.
Q8. A pregnant client reports occasional mild contractions at 32
weeks. Which finding should the nurse identify as a sign of
preterm labor?
A. Contractions that stop with hydration
B. Regular uterine contractions with cervical change
C. Braxton Hicks contractions
D. Mild backache relieved by rest
Correct Answer: B
Rationale: Preterm labor is characterized by regular uterine
contractions accompanied by cervical dilation and/or
effacement.
Q9. A client with hyperemesis gravidarum is receiving IV fluid
replacement. Which assessment is the priority?
A. Daily weight
B. Urine output and specific gravity
Vati pn maternal newborn exam latest update Practice Questions
(Original) EXAM | 2026–2027 Latest Update | Original
Questions & Answers with Detailed Rationales | Graded A+
Section 1: Antepartum Care & Prenatal Assessment
Q1. A nurse is calculating the estimated date of birth (EDB)
using Naegele's rule for a client whose last menstrual period
(LMP) began on June 10. What is the EDB?
A. March 3
B. March 10
C. March 17
D. March 24
Correct Answer: C
Rationale: Naegele's rule: subtract 3 months from the LMP and
add 7 days. June 10 − 3 months = March 10; March 10 + 7 days
= March 17.
Q2. A pregnant client reports a dark, localized area of
pigmentation on her face. The nurse documents this as:
A. Linea nigra
B. Striae gravidarum
C. Chloasma (melasma)
D. Vascular spiders
, Page |2
Correct Answer: C
Rationale: Chloasma (melasma or the "mask of pregnancy") is a
dark, localized facial pigmentation that appears during
pregnancy.
Q3. At 12 weeks' gestation, where should the nurse expect to
palpate the fundus?
A. At the symphysis pubis
B. Midway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. Above the umbilicus
Correct Answer: B
Rationale: At 12 weeks, the fundus is midway between the
symphysis pubis and the umbilicus. At 20 weeks, it reaches the
umbilicus.
Q4. A nurse is providing teaching to a client about the signs of
true labor. Which of the following is a sign of true labor?
A. Contractions are irregular
B. Contractions stop with walking
C. Contractions increase in intensity with walking
D. Contractions are felt only in the lower abdomen
Correct Answer: C
Rationale: True labor contractions increase in intensity,
frequency, and duration with walking. False labor contractions
, Page |3
are irregular, often stop with walking, and are felt in the lower
abdomen.
Q5. A client with no known allergies receives one dose of
Rho(D) immune globulin. This medication is administered to:
A. Prevent Rh incompatibility in the current pregnancy
B. Prevent Rh antibody formation in the mother
C. Treat Rh incompatibility in the fetus
D. Prevent maternal anemia
Correct Answer: B
Rationale: Rho(D) immune globulin (RhoGAM) is given to Rh-
negative mothers carrying an Rh-positive fetus to prevent the
mother from forming antibodies against Rh-positive blood.
Q6. A client at 10 weeks' gestation has a blood type of O
negative. Which intervention is anticipated?
A. Administer Rho(D) immune globulin at 28 weeks
B. Administer Rho(D) immune globulin now
C. No intervention is needed until delivery
D. Administer iron supplementation only
Correct Answer: A
Rationale: Rho(D) immune globulin is typically administered at
28 weeks' gestation and again within 72 hours after delivery for
Rh-negative mothers.
Q7. Which finding is a presumptive sign of pregnancy?
, Page |4
A. Positive fetal heart tones
B. Amenorrhea
C. Palpation of fetal movement
D. Ultrasound visualization of the fetus
Correct Answer: B
Rationale: Amenorrhea is a presumptive sign (subjective).
Positive signs include fetal heart tones, fetal movement
palpated by the examiner, and ultrasound visualization.
Q8. A pregnant client reports occasional mild contractions at 32
weeks. Which finding should the nurse identify as a sign of
preterm labor?
A. Contractions that stop with hydration
B. Regular uterine contractions with cervical change
C. Braxton Hicks contractions
D. Mild backache relieved by rest
Correct Answer: B
Rationale: Preterm labor is characterized by regular uterine
contractions accompanied by cervical dilation and/or
effacement.
Q9. A client with hyperemesis gravidarum is receiving IV fluid
replacement. Which assessment is the priority?
A. Daily weight
B. Urine output and specific gravity
