VATI RN Maternal Newborn Actual Exam 2026/2027
| Complete Questions & Detailed Rationales | Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Antepartum Care and Fetal Development | Q1 – Q10
Section 2 | Intrapartum Care and Labor Management | Q11 – Q20
Section 3 | Postpartum Care and Complications | Q21 – Q30
Section 4 | Newborn Assessment and Care | Q31 – Q40
Section 5 | High-Risk Pregnancies and Neonatal Resuscitation | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
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SECTION 1: ANTEPARTUM CARE AND FETAL DEVELOPMENT Q1 – Q10
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Question 1 of 50
A 28-year-old primigravida at 16 weeks gestation arrives for her routine prenatal visit.
She reports taking a new herbal supplement for energy that contains high doses of
vitamin A. The nurse reviews her medication list and begins patient education.
A. Recommend she continue the supplement but reduce the dose by half
B. Explain that vitamin A megadoses are safe after the first trimester
C. Advise immediate discontinuation and review all supplements with the provider
D. Suggest switching to a beta-carotene form and maintaining the current dose
Correct Answer: C
Rationale: High-dose vitamin A is a known teratogen, especially between weeks 3 and 8,
but excess retinoids remain a concern throughout pregnancy and should be stopped
,immediately. Many patients assume herbal or over-the-counter products are harmless,
so reviewing all supplements with the provider is essential. Always ask about
non-prescription products at every visit.
Question 2 of 50
A 34-year-old G2P1 at 28 weeks gestation is being monitored for preeclampsia after
reporting persistent headaches and visual changes. Her blood pressure is 158/104
mmHg, and her urine dipstick shows 2+ protein. The provider orders a 24-hour urine
protein collection.
A. Instruct the patient to discard the first morning void and begin timing afterward
B. Tell the patient to collect all urine for 24 hours, including the first morning void
C. Have the patient collect only daytime urine and skip overnight samples
D. Advise the patient to drink extra water to ensure adequate sample volume
Correct Answer: A
Rationale: For a 24-hour urine collection, the patient should discard the first morning
void, note the time, and then collect all urine for the next 24 hours to ensure accurate
measurement. Including the first void would artificially inflate the total protein value.
Remind patients to keep the collection container refrigerated during the test.
Question 3 of 50
During a prenatal class, a 22-year-old primigravida at 30 weeks asks the nurse how she
should monitor her baby's well-being at home between appointments. She has no
pregnancy complications and reports normal fetal movement.
A. Perform a non-stress test at home using a handheld Doppler twice daily
B. Count fetal movements daily, looking for at least 10 kicks within 2 hours
C. Weigh herself weekly and report any gain over 2 pounds to the provider
D. Check her blood pressure every morning and keep a written log
Correct Answer: B
, Rationale: Daily fetal movement counting, such as the Cardiff "count to ten" method, is a
simple, evidence-based way for patients to monitor fetal well-being at home between
visits. Non-stress tests require specialized equipment and are not performed at home in
low-risk pregnancies. Teach patients to call if movements decrease significantly or
stop.
Question 4 of 50
A 29-year-old G1P0 at 12 weeks gestation presents for her initial prenatal visit. She is
Rh-negative and the father of the baby is Rh-positive. The nurse is preparing to discuss
Rh sensitization prevention.
A. Administer Rho(D) immune globulin at 28 weeks and again within 72 hours
postpartum
B. Give Rho(D) immune globulin now to prevent initial sensitization during pregnancy
C. Wait until delivery to administer Rho(D) immune globulin if the newborn is Rh-positive
D. Explain that Rh sensitization is no longer a concern with modern obstetric care
Correct Answer: A
Rationale: Standard protocol for an Rh-negative patient with an Rh-positive partner
includes a dose of Rho(D) immune globulin at approximately 28 weeks gestation and
another dose within 72 hours after delivery if the infant is Rh-positive. Giving it at 12
weeks is not routine unless there is bleeding or trauma. This two-dose approach has
dramatically reduced hemolytic disease of the newborn.
Question 5 of 50
A nurse is assessing a 31-year-old primigravida at 24 weeks gestation during a routine
visit. The patient asks when she can expect to feel her baby move regularly. The nurse
explains that fetal movement patterns vary but should follow a general timeline.
A. Most patients first feel quickening between 16 and 20 weeks, with regular patterns by
28 weeks
| Complete Questions & Detailed Rationales | Pass
Guaranteed - A+ Graded
TABLE OF CONTENTS
Section 1 | Antepartum Care and Fetal Development | Q1 – Q10
Section 2 | Intrapartum Care and Labor Management | Q11 – Q20
Section 3 | Postpartum Care and Complications | Q21 – Q30
Section 4 | Newborn Assessment and Care | Q31 – Q40
Section 5 | High-Risk Pregnancies and Neonatal Resuscitation | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: ANTEPARTUM CARE AND FETAL DEVELOPMENT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 28-year-old primigravida at 16 weeks gestation arrives for her routine prenatal visit.
She reports taking a new herbal supplement for energy that contains high doses of
vitamin A. The nurse reviews her medication list and begins patient education.
A. Recommend she continue the supplement but reduce the dose by half
B. Explain that vitamin A megadoses are safe after the first trimester
C. Advise immediate discontinuation and review all supplements with the provider
D. Suggest switching to a beta-carotene form and maintaining the current dose
Correct Answer: C
Rationale: High-dose vitamin A is a known teratogen, especially between weeks 3 and 8,
but excess retinoids remain a concern throughout pregnancy and should be stopped
,immediately. Many patients assume herbal or over-the-counter products are harmless,
so reviewing all supplements with the provider is essential. Always ask about
non-prescription products at every visit.
Question 2 of 50
A 34-year-old G2P1 at 28 weeks gestation is being monitored for preeclampsia after
reporting persistent headaches and visual changes. Her blood pressure is 158/104
mmHg, and her urine dipstick shows 2+ protein. The provider orders a 24-hour urine
protein collection.
A. Instruct the patient to discard the first morning void and begin timing afterward
B. Tell the patient to collect all urine for 24 hours, including the first morning void
C. Have the patient collect only daytime urine and skip overnight samples
D. Advise the patient to drink extra water to ensure adequate sample volume
Correct Answer: A
Rationale: For a 24-hour urine collection, the patient should discard the first morning
void, note the time, and then collect all urine for the next 24 hours to ensure accurate
measurement. Including the first void would artificially inflate the total protein value.
Remind patients to keep the collection container refrigerated during the test.
Question 3 of 50
During a prenatal class, a 22-year-old primigravida at 30 weeks asks the nurse how she
should monitor her baby's well-being at home between appointments. She has no
pregnancy complications and reports normal fetal movement.
A. Perform a non-stress test at home using a handheld Doppler twice daily
B. Count fetal movements daily, looking for at least 10 kicks within 2 hours
C. Weigh herself weekly and report any gain over 2 pounds to the provider
D. Check her blood pressure every morning and keep a written log
Correct Answer: B
, Rationale: Daily fetal movement counting, such as the Cardiff "count to ten" method, is a
simple, evidence-based way for patients to monitor fetal well-being at home between
visits. Non-stress tests require specialized equipment and are not performed at home in
low-risk pregnancies. Teach patients to call if movements decrease significantly or
stop.
Question 4 of 50
A 29-year-old G1P0 at 12 weeks gestation presents for her initial prenatal visit. She is
Rh-negative and the father of the baby is Rh-positive. The nurse is preparing to discuss
Rh sensitization prevention.
A. Administer Rho(D) immune globulin at 28 weeks and again within 72 hours
postpartum
B. Give Rho(D) immune globulin now to prevent initial sensitization during pregnancy
C. Wait until delivery to administer Rho(D) immune globulin if the newborn is Rh-positive
D. Explain that Rh sensitization is no longer a concern with modern obstetric care
Correct Answer: A
Rationale: Standard protocol for an Rh-negative patient with an Rh-positive partner
includes a dose of Rho(D) immune globulin at approximately 28 weeks gestation and
another dose within 72 hours after delivery if the infant is Rh-positive. Giving it at 12
weeks is not routine unless there is bleeding or trauma. This two-dose approach has
dramatically reduced hemolytic disease of the newborn.
Question 5 of 50
A nurse is assessing a 31-year-old primigravida at 24 weeks gestation during a routine
visit. The patient asks when she can expect to feel her baby move regularly. The nurse
explains that fetal movement patterns vary but should follow a general timeline.
A. Most patients first feel quickening between 16 and 20 weeks, with regular patterns by
28 weeks
