ATI RN MATERNAL NEWBORN OB PROCTORED EXAM WITH
NGN 300+ QUESTIONS AND ANSWERS|ACTUAL & PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
REAL QUESTIONS WITH WELL ELABORATED ANSWERS AND
DETAILED RATIONALES (RELIABLE ANSWERS) LATEST
UPDATED VERSION 2026
______________________________________________________________
Exam Overview: This practice set mirrors the ATI RN Maternal Newborn
Proctored Exam format: 300+ questions covering antepartum, intrapartum,
postpartum, newborn care, and high-risk OB pharmacology. NGN item types
include multiple-choice, SATA, Bow-Tie, Matrix, and Prioritization. Each
question is followed by rationales with evidence-based explanations. Passing
benchmark: Level 2 or higher (approximately 75–80%).
______________________________________________________________
Question 1
A nurse is calculating the estimated date of delivery (EDD) for a client whose
last menstrual period (LMP) began on March 5. Using Naegele’s rule, which
date should the nurse calculate?
A) December 19
B) December 5
C) November 12
D) December 12
Correct Answer: D
Rationale: Naegele’s rule requires subtracting 3 months from the first day of
the LMP and adding 7 days. March 5 minus 3 months = December 5; December
5 + 7 days = December 12. This calculation assumes a 28-day menstrual cycle
and provides a reliable EDD for prenatal planning and fetal assessment
scheduling.
,Question 2
A nurse is reviewing expected physiologic changes during pregnancy. Which
finding is considered a normal cardiovascular adaptation?
A) Persistent hypertension
B) Decreased cardiac output
C) Decreased plasma volume
D) Increased cardiac output
Correct Answer: D
Rationale: Cardiac output increases 30–50% during pregnancy to meet
maternal and fetal metabolic demands. Blood volume increases 40–50%, while
blood pressure typically decreases slightly in the second trimester due to
peripheral vasodilation. Persistent hypertension is pathologic, not an expected
adaptation.
________________________________________________________________
Question 3
A client at 28 weeks' gestation reports heartburn. Which instruction should the
nurse provide?
A) "Drink fluids with meals."
B) "Eat three large meals daily."
C) "Avoid fatty and spicy foods."
D) "Lie down immediately after eating."
Correct Answer: C
Rationale: Fatty and spicy foods worsen heartburn by relaxing the lower
esophageal sphincter and increasing gastric acid secretion. Clients should eat
small frequent meals, avoid lying down within 2 hours after eating, and drink
fluids between meals rather than with them to reduce gastric distention.
,Question 4
A nurse is assessing a client at 36 weeks' gestation. Which finding should the
nurse report immediately?
A) Urinary frequency
B) Visual disturbances and severe headache
C) Lower back pain
D) Braxton Hicks contractions
Correct Answer: B
Rationale: Visual disturbances and severe headache are warning signs of
preeclampsia with severe features and may indicate impending seizures or
cerebral edema. Braxton Hicks contractions, urinary frequency, and lower back
pain are normal discomforts of late pregnancy. Immediate provider notification
is essential for preeclampsia management and prevention of eclampsia.
Question 5
A client asks when fetal movement is commonly first perceived during
pregnancy. Which response should the nurse provide?
A) 4 to 6 weeks
B) 28 to 32 weeks
C) 8 to 10 weeks
D) 16 to 20 weeks
Correct Answer: D
Rationale: Quickening—the first perception of fetal movement—is commonly
felt at 16 to 20 weeks' gestation, particularly in nulliparous clients. Multiparous
clients may perceive movement earlier (14–16 weeks) because they recognize
the sensation. Perception outside this range warrants further assessment.
, Question 6
A pregnant client asks which food is a good source of folate. Which choice
should the nurse recommend?
A) White rice
B) Hard candy
C) Butter
D) Leafy green vegetables
Correct Answer: D
Rationale: Leafy green vegetables (spinach, kale, romaine) are rich natural
sources of folate. Adequate folate intake (400–800 mcg/day) before conception
and during early pregnancy reduces the risk of neural tube defects. Fortified
grains and legumes are also good sources. White rice, hard candy, and butter
lack significant folate.
Question 7
Which finding is considered a positive sign of pregnancy?
A) Positive pregnancy test
B) Fetal heart activity detected by ultrasound
C) Amenorrhea
D) Nausea
Correct Answer: B
Rationale: Fetal heart activity detected by ultrasound is a positive (definitive)
sign because it directly confirms a developing fetus. Amenorrhea and nausea are
presumptive signs; a positive pregnancy test is a probable sign. Positive signs
also include fetal movement palpated by the examiner and visualization of the
fetus.
NGN 300+ QUESTIONS AND ANSWERS|ACTUAL & PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
REAL QUESTIONS WITH WELL ELABORATED ANSWERS AND
DETAILED RATIONALES (RELIABLE ANSWERS) LATEST
UPDATED VERSION 2026
______________________________________________________________
Exam Overview: This practice set mirrors the ATI RN Maternal Newborn
Proctored Exam format: 300+ questions covering antepartum, intrapartum,
postpartum, newborn care, and high-risk OB pharmacology. NGN item types
include multiple-choice, SATA, Bow-Tie, Matrix, and Prioritization. Each
question is followed by rationales with evidence-based explanations. Passing
benchmark: Level 2 or higher (approximately 75–80%).
______________________________________________________________
Question 1
A nurse is calculating the estimated date of delivery (EDD) for a client whose
last menstrual period (LMP) began on March 5. Using Naegele’s rule, which
date should the nurse calculate?
A) December 19
B) December 5
C) November 12
D) December 12
Correct Answer: D
Rationale: Naegele’s rule requires subtracting 3 months from the first day of
the LMP and adding 7 days. March 5 minus 3 months = December 5; December
5 + 7 days = December 12. This calculation assumes a 28-day menstrual cycle
and provides a reliable EDD for prenatal planning and fetal assessment
scheduling.
,Question 2
A nurse is reviewing expected physiologic changes during pregnancy. Which
finding is considered a normal cardiovascular adaptation?
A) Persistent hypertension
B) Decreased cardiac output
C) Decreased plasma volume
D) Increased cardiac output
Correct Answer: D
Rationale: Cardiac output increases 30–50% during pregnancy to meet
maternal and fetal metabolic demands. Blood volume increases 40–50%, while
blood pressure typically decreases slightly in the second trimester due to
peripheral vasodilation. Persistent hypertension is pathologic, not an expected
adaptation.
________________________________________________________________
Question 3
A client at 28 weeks' gestation reports heartburn. Which instruction should the
nurse provide?
A) "Drink fluids with meals."
B) "Eat three large meals daily."
C) "Avoid fatty and spicy foods."
D) "Lie down immediately after eating."
Correct Answer: C
Rationale: Fatty and spicy foods worsen heartburn by relaxing the lower
esophageal sphincter and increasing gastric acid secretion. Clients should eat
small frequent meals, avoid lying down within 2 hours after eating, and drink
fluids between meals rather than with them to reduce gastric distention.
,Question 4
A nurse is assessing a client at 36 weeks' gestation. Which finding should the
nurse report immediately?
A) Urinary frequency
B) Visual disturbances and severe headache
C) Lower back pain
D) Braxton Hicks contractions
Correct Answer: B
Rationale: Visual disturbances and severe headache are warning signs of
preeclampsia with severe features and may indicate impending seizures or
cerebral edema. Braxton Hicks contractions, urinary frequency, and lower back
pain are normal discomforts of late pregnancy. Immediate provider notification
is essential for preeclampsia management and prevention of eclampsia.
Question 5
A client asks when fetal movement is commonly first perceived during
pregnancy. Which response should the nurse provide?
A) 4 to 6 weeks
B) 28 to 32 weeks
C) 8 to 10 weeks
D) 16 to 20 weeks
Correct Answer: D
Rationale: Quickening—the first perception of fetal movement—is commonly
felt at 16 to 20 weeks' gestation, particularly in nulliparous clients. Multiparous
clients may perceive movement earlier (14–16 weeks) because they recognize
the sensation. Perception outside this range warrants further assessment.
, Question 6
A pregnant client asks which food is a good source of folate. Which choice
should the nurse recommend?
A) White rice
B) Hard candy
C) Butter
D) Leafy green vegetables
Correct Answer: D
Rationale: Leafy green vegetables (spinach, kale, romaine) are rich natural
sources of folate. Adequate folate intake (400–800 mcg/day) before conception
and during early pregnancy reduces the risk of neural tube defects. Fortified
grains and legumes are also good sources. White rice, hard candy, and butter
lack significant folate.
Question 7
Which finding is considered a positive sign of pregnancy?
A) Positive pregnancy test
B) Fetal heart activity detected by ultrasound
C) Amenorrhea
D) Nausea
Correct Answer: B
Rationale: Fetal heart activity detected by ultrasound is a positive (definitive)
sign because it directly confirms a developing fetus. Amenorrhea and nausea are
presumptive signs; a positive pregnancy test is a probable sign. Positive signs
also include fetal movement palpated by the examiner and visualization of the
fetus.
