Maternal Newborn Nursing Complete Exam
Study Guide with NGN Questions – ATI &
NCLEX-RN® Preparation – 2026/2027 Edition –
Verified Answers and Detailed Clinical
Rationales | with complete solutions.
SECTION 1: ANTEPARTUM ASSESSMENT AND
PRENATAL CARE (Questions 1-25)
1. A client at 12 weeks gestation reports frequent nausea and
vomiting. What should the nurse recommend?
A) Eat small, frequent meals
B) Avoid all fluids
C) Eat spicy foods
D) Lie flat after meals
Answer: A) Eat small, frequent meals
Rationale: To reduce nausea, eat small, frequent meals and avoid lying
down after meals.
Source: ATI Maternal Newborn Study Guide 2026-2027
,2. Which finding is considered a normal physiologic change of
pregnancy?
A) Striae gravidarum
B) Diastasis recti
C) Chloasma
D) All of the above
Answer: D) All of the above
Rationale: Striae gravidarum (stretch marks), diastasis recti (separation of
abdominal muscles), and chloasma (hyperpigmentation) are common
physiologic changes of pregnancy .
Source: ATI Maternal Newborn Study Guide
3. A nurse is reviewing the lab results of a client at 24 weeks
gestation. Which result indicates physiologic anemia of pregnancy?
A) Hematocrit 32%
B) Hemoglobin 10 g/dL
C) Hemoglobin 14 g/dL
D) Hematocrit 40%
Answer: B) Hemoglobin 10 g/dL
Rationale: Physiologic anemia of pregnancy occurs due to hemodilution from
increased plasma volume. Hemoglobin levels of 10-11 g/dL are common and
considered normal during pregnancy.
Source: ATI Maternal Newborn Study Guide
,4. A client is scheduled for a glucose tolerance test at 28 weeks.
What instruction should the nurse provide?
A) Fast for 8-12 hours before the test
B) Eat a high-carbohydrate meal before the test
C) Drink the glucose solution and wait 1 hour
D) Drink the glucose solution and wait 2 hours
Answer: A) Fast for 8-12 hours before the test
Rationale: Fasting is required for 8-12 hours before the glucose tolerance
test to ensure accurate baseline glucose measurement. Blood glucose is
checked before and after consumption of the glucose solution.
Source: ATI Maternal Newborn Study Guide
5. A nurse is providing prenatal education to a client at 8 weeks
gestation. Which statement indicates understanding of the
teaching?
A) "I should take 400 mcg of folic acid daily"
B) "I should take 600 mcg of folic acid daily"
C) "I should avoid all physical activity"
D) "I should eat a high-protein diet"
Answer: B) "I should take 600 mcg of folic acid daily"
Rationale: Pregnant women should take 600 mcg of folic acid daily to
prevent neural tube defects. Foods rich in folic acid include leafy greens and
citrus fruits.
Source: ATI Maternal Newborn Study Guide
, 6. A client at 28 weeks gestation reports back pain and difficulty
sleeping. Which teaching should the nurse provide?
A) Sleep in the supine position
B) Use pillows to support the back and knees
C) Avoid physical activity
D) Sleep in the prone position
Answer: B) Use pillows to support the back and knees
Rationale: The side-lying position with pillows supporting the back and
between the knees helps relieve back pain and improve sleep during
pregnancy. The supine position should be avoided.
Source: ATI Maternal Newborn Study Guide
7. A nurse is performing a physical examination on a client who is at
18 weeks gestation. Which fundal height measurement would the
nurse expect?
A) 12 cm
B) 14 cm
C) 18 cm
D) 22 cm
Answer: C) 18 cm
Rationale: Fundal height in centimeters roughly correlates with gestational
age in weeks. At 18 weeks, the fundal height is expected to be
Study Guide with NGN Questions – ATI &
NCLEX-RN® Preparation – 2026/2027 Edition –
Verified Answers and Detailed Clinical
Rationales | with complete solutions.
SECTION 1: ANTEPARTUM ASSESSMENT AND
PRENATAL CARE (Questions 1-25)
1. A client at 12 weeks gestation reports frequent nausea and
vomiting. What should the nurse recommend?
A) Eat small, frequent meals
B) Avoid all fluids
C) Eat spicy foods
D) Lie flat after meals
Answer: A) Eat small, frequent meals
Rationale: To reduce nausea, eat small, frequent meals and avoid lying
down after meals.
Source: ATI Maternal Newborn Study Guide 2026-2027
,2. Which finding is considered a normal physiologic change of
pregnancy?
A) Striae gravidarum
B) Diastasis recti
C) Chloasma
D) All of the above
Answer: D) All of the above
Rationale: Striae gravidarum (stretch marks), diastasis recti (separation of
abdominal muscles), and chloasma (hyperpigmentation) are common
physiologic changes of pregnancy .
Source: ATI Maternal Newborn Study Guide
3. A nurse is reviewing the lab results of a client at 24 weeks
gestation. Which result indicates physiologic anemia of pregnancy?
A) Hematocrit 32%
B) Hemoglobin 10 g/dL
C) Hemoglobin 14 g/dL
D) Hematocrit 40%
Answer: B) Hemoglobin 10 g/dL
Rationale: Physiologic anemia of pregnancy occurs due to hemodilution from
increased plasma volume. Hemoglobin levels of 10-11 g/dL are common and
considered normal during pregnancy.
Source: ATI Maternal Newborn Study Guide
,4. A client is scheduled for a glucose tolerance test at 28 weeks.
What instruction should the nurse provide?
A) Fast for 8-12 hours before the test
B) Eat a high-carbohydrate meal before the test
C) Drink the glucose solution and wait 1 hour
D) Drink the glucose solution and wait 2 hours
Answer: A) Fast for 8-12 hours before the test
Rationale: Fasting is required for 8-12 hours before the glucose tolerance
test to ensure accurate baseline glucose measurement. Blood glucose is
checked before and after consumption of the glucose solution.
Source: ATI Maternal Newborn Study Guide
5. A nurse is providing prenatal education to a client at 8 weeks
gestation. Which statement indicates understanding of the
teaching?
A) "I should take 400 mcg of folic acid daily"
B) "I should take 600 mcg of folic acid daily"
C) "I should avoid all physical activity"
D) "I should eat a high-protein diet"
Answer: B) "I should take 600 mcg of folic acid daily"
Rationale: Pregnant women should take 600 mcg of folic acid daily to
prevent neural tube defects. Foods rich in folic acid include leafy greens and
citrus fruits.
Source: ATI Maternal Newborn Study Guide
, 6. A client at 28 weeks gestation reports back pain and difficulty
sleeping. Which teaching should the nurse provide?
A) Sleep in the supine position
B) Use pillows to support the back and knees
C) Avoid physical activity
D) Sleep in the prone position
Answer: B) Use pillows to support the back and knees
Rationale: The side-lying position with pillows supporting the back and
between the knees helps relieve back pain and improve sleep during
pregnancy. The supine position should be avoided.
Source: ATI Maternal Newborn Study Guide
7. A nurse is performing a physical examination on a client who is at
18 weeks gestation. Which fundal height measurement would the
nurse expect?
A) 12 cm
B) 14 cm
C) 18 cm
D) 22 cm
Answer: C) 18 cm
Rationale: Fundal height in centimeters roughly correlates with gestational
age in weeks. At 18 weeks, the fundal height is expected to be
