VATI Maternal-Newborn Exam
Next Generation NCLEX (NGN) • 2025 Practice Examination
100 Multiple-Choice Questions with Answers & Rationales
Antepartum • Intrapartum • Postpartum • Newborn Care
Original independent study resource. Not an official VATI/NCLEX examination, leaked test, or
professor-verified assessment.
Page 1 of 28
,Table of Contents
Section 1: Antepartum Care, Prenatal Assessment & Complications 3
Section 2: Intrapartum Care, Labor Stages & Fetal Monitoring 7
Section 3: Postpartum Care & Complications 11
Section 4: Newborn Assessment & Transition to Extrauterine Life 15
Section 5: Newborn Complications, Prematurity & Congenital Conditions 18
Section 6: Breastfeeding, Nutrition & Postpartum Family Education 22
Section 7: NGN Clinical Judgment & Maternal-Newborn Safety 26
Page 2 of 28
, Section 1: Antepartum Care, Prenatal Assessment & Complications
Q1: At 10 weeks’ gestation, a client reports light vaginal spotting and mild cramps.
What should the nurse advise?
A. Wait until the next routine appointment
B. Insert a tampon to measure the blood
C. Take an extra dose of prenatal vitamins
D. Contact the prenatal provider promptly for assessment [CORRECT]
Correct Answer: D
Rationale: Bleeding in pregnancy warrants evaluation; a tampon may obscure assessment and
delay care.
Q2: A client at 32 weeks reports severe headache, visual spots, and
right-upper-quadrant pain. What is the priority?
A. Recommend rest at home and reassess tomorrow
B. Offer a high-sodium snack
C. Arrange urgent evaluation for possible severe preeclampsia [CORRECT]
D. Explain that these are expected third-trimester symptoms
Correct Answer: C
Rationale: These are warning signs of severe preeclampsia and require prompt assessment.
Q3: A pregnant client with gestational diabetes asks about home glucose checks.
Which instruction is best?
A. Check only when feeling shaky
B. Follow the prescribed schedule and record results for review [CORRECT]
C. Stop monitoring after a normal value
D. Change insulin doses independently
Correct Answer: B
Rationale: Regular prescribed monitoring guides treatment; symptoms alone do not reliably reflect
glucose.
Q4: At 28 weeks, an Rh-negative client has a negative antibody screen. Which
intervention is commonly anticipated?
A. Administer Rh immune globulin as prescribed [CORRECT]
B. Give MMR vaccine during pregnancy
C. Withhold all further antibody testing
D. Administer anti-D only after delivery in every case
Correct Answer: A
Rationale: Rh immune globulin is used at the recommended gestational time and after sensitizing
events per protocol.
Page 3 of 28
Next Generation NCLEX (NGN) • 2025 Practice Examination
100 Multiple-Choice Questions with Answers & Rationales
Antepartum • Intrapartum • Postpartum • Newborn Care
Original independent study resource. Not an official VATI/NCLEX examination, leaked test, or
professor-verified assessment.
Page 1 of 28
,Table of Contents
Section 1: Antepartum Care, Prenatal Assessment & Complications 3
Section 2: Intrapartum Care, Labor Stages & Fetal Monitoring 7
Section 3: Postpartum Care & Complications 11
Section 4: Newborn Assessment & Transition to Extrauterine Life 15
Section 5: Newborn Complications, Prematurity & Congenital Conditions 18
Section 6: Breastfeeding, Nutrition & Postpartum Family Education 22
Section 7: NGN Clinical Judgment & Maternal-Newborn Safety 26
Page 2 of 28
, Section 1: Antepartum Care, Prenatal Assessment & Complications
Q1: At 10 weeks’ gestation, a client reports light vaginal spotting and mild cramps.
What should the nurse advise?
A. Wait until the next routine appointment
B. Insert a tampon to measure the blood
C. Take an extra dose of prenatal vitamins
D. Contact the prenatal provider promptly for assessment [CORRECT]
Correct Answer: D
Rationale: Bleeding in pregnancy warrants evaluation; a tampon may obscure assessment and
delay care.
Q2: A client at 32 weeks reports severe headache, visual spots, and
right-upper-quadrant pain. What is the priority?
A. Recommend rest at home and reassess tomorrow
B. Offer a high-sodium snack
C. Arrange urgent evaluation for possible severe preeclampsia [CORRECT]
D. Explain that these are expected third-trimester symptoms
Correct Answer: C
Rationale: These are warning signs of severe preeclampsia and require prompt assessment.
Q3: A pregnant client with gestational diabetes asks about home glucose checks.
Which instruction is best?
A. Check only when feeling shaky
B. Follow the prescribed schedule and record results for review [CORRECT]
C. Stop monitoring after a normal value
D. Change insulin doses independently
Correct Answer: B
Rationale: Regular prescribed monitoring guides treatment; symptoms alone do not reliably reflect
glucose.
Q4: At 28 weeks, an Rh-negative client has a negative antibody screen. Which
intervention is commonly anticipated?
A. Administer Rh immune globulin as prescribed [CORRECT]
B. Give MMR vaccine during pregnancy
C. Withhold all further antibody testing
D. Administer anti-D only after delivery in every case
Correct Answer: A
Rationale: Rh immune globulin is used at the recommended gestational time and after sensitizing
events per protocol.
Page 3 of 28
