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NRSG 3302 ATI Maternal Newborn Exam 2 2026/2027: 225+ NCLEX-Style Questions & Rationales – Intrapartum, Postpartum, Newborn Care, High-Risk Pregnancy, OB Pharmacology (A+ Guide)

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Pass the ATI Maternal Newborn Exam 2 on your first attempt with this 2026/2027 question bank. Over 225 NCLEX-style questions with detailed rationales covering intrapartum, postpartum, newborn, and high-risk obstetrics. Includes: Antepartum Nursing: Danger signs, GBS screening (35-37 weeks), RhoGAM (28 weeks & postpartum), fundal height, preterm labor signs Prenatal Screening: NST (reactive = 2 accelerations 15x15), BPP, CST, OGTT (GDM diagnosis), MSAFP (high = NTD, low = Down syndrome), CVS vs amniocentesis, NIPT, fFN Intrapartum: Stages of labor (active phase 4-6 cm, transition 7-10 cm), fetal monitoring (early decels = head compression, late = placental insufficiency, variable = cord compression), cord prolapse (knee-chest, relieve pressure), shoulder dystocia (McRoberts), vacuum/forceps, VBAC (uterine rupture signs), amniotomy Pain Management: Epidural (hypotension – left lateral, IVF bolus), spinal, pudendal block, nitrous oxide, opioids (fentanyl – monitor FHR and maternal RR), PDPH (blood patch), non-pharmacologic methods Postpartum Care: Fundus (midline, firm at umbilicus, descends 1 cm/day), lochia (rubra day 1-3, serosa day 3-10, alba day 10+), boggy fundus displaced right (full bladder), afterpains (multiparas, breastfeeding), endometritis (fever, foul lochia), mastitis (fever, breast erythema), DVT/PE (postpartum hypercoagulable), postpartum blues (50-80%, resolves 2 weeks) vs PPD, perineal care (front to back), lactation suppression (supportive bra, ice, no stimulation) Newborn Care: Apgar scoring (HR, respiratory, tone, reflex, color), vitamin K (hemorrhagic disease), erythromycin (ophthalmia neonatorum), cord (2 arteries, 1 vein), hypoglycemia (jitteriness, feeding), jaundice (pathologic 24 hours, physiologic after 24h), cephalohematoma (does not cross suture lines), Moro reflex, SIDS prevention (back to sleep), weight loss (5-10% normal) High-Risk Pregnancy: Preeclampsia (severe features: platelets 100k, epigastric pain, visual changes), HELLP syndrome, eclampsia (seizure – left lateral, airway), magnesium sulfate (toxicity: RR 12, absent reflexes, urine 30 mL/hr – antidote calcium gluconate), placenta previa (painless bleeding, no vaginal exams), abruptio placentae (painful, rigid abdomen, emergency), PPROM (steroids, antibiotics), ectopic pregnancy, hyperemesis gravidarum (IV fluids, antiemetics), cervical insufficiency (cerclage), polyhydramnios (cord prolapse risk), GDM (fasting 95 → insulin), gestational trophoblastic disease (hCG monitoring), chorioamnionitis (fever, antibiotics, delivery), Rh incompatibility (ΔOD450) OB Pharmacology: Betamethasone (fetal lung maturity), nifedipine/terbutaline (tocolytics – monitor BP/HR), indomethacin (avoid 32 weeks, ductus closure), misoprostol (cervical ripening – tachysystole), oxytocin (Pitocin), magnesium sulfate (seizure prophylaxis), RhoGAM (prevents sensitization), penicillin G (GBS prophylaxis), carboprost/methylergonovine (postpartum hemorrhage – avoid in hypertension/asthma), surfactant (RDS), naloxone (neonatal opioid reversal) Perfect for: NRSG 3302 students, ATI Maternal Newborn proctored exam, OB nursing final exams, NCLEX-RN maternal-newborn section – second exam.

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NRSG 3302 ATI MATERNAL NEWBORN EXAM 2
2026-2027 | 200+ NCLEX-STYLE QUESTIONS &
RATIONALES | HIGH-YIELD CONTENT | LATEST
EDITION | A+ GUIDE



Table of Contents
1. **Antepartum Nursing Care** (Q1–Q30)
2. **Prenatal Screening & Diagnostic Tests** (Q31–Q50)
3. **Maternal Adaptations to Pregnancy** (Q51–Q70)
4. **Fetal Development & Assessment** (Q71–Q90)
5. **Intrapartum Nursing Care (Labor & Delivery)** (Q91–Q120)
6. **Pain Management During Labor** (Q121–Q135)
7. **Postpartum Nursing Care** (Q136–Q160)
8. **Newborn Nursing Care** (Q161–Q185)
9. **High-Risk Pregnancy & Complications** (Q186–Q210)
10. **Pharmacology in Maternal-Newborn Nursing** (Q211–Q225)


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,2|Page


Section 1: Antepartum Nursing Care (Q1–Q30)


**Q1.** A client at 10 weeks gestation reports nausea and vomiting
every morning. Which recommendation is most appropriate?
A. Eat dry crackers before getting out of bed
B. Increase fluid intake with meals
C. Lie down immediately after eating
D. Avoid all carbohydrates


**Correct Answer: A – Eat dry crackers before getting out of bed**
*Rationale: Dry crackers help stabilize blood glucose and reduce
morning sickness.*


**Q2.** A nurse calculates a client’s estimated date of delivery (EDD)
using Naegele’s rule. The client’s last menstrual period (LMP) was May
10. What is the EDD?
A. February 3
B. February 17
C. March 3
D. March 17


**Correct Answer: B – February 17**

,3|Page


*Rationale: Naegele’s rule: LMP – 3 months + 7 days. May 10 →
February 10 + 7 days = February 17.*


**Q3.** A client at 8 weeks gestation reports frequent urination. The
nurse explains this is due to:
A. Increased blood volume and pressure on the bladder
B. Urinary tract infection
C. Decreased kidney function
D. Overhydration


**Correct Answer: A – Increased blood volume and pressure on the
bladder**
*Rationale: Enlarging uterus and increased renal perfusion cause urinary
frequency in first trimester.*


**Q4.** A client at 36 weeks gestation reports heartburn after meals.
Which instruction is most effective?
A. Eat small, frequent meals and avoid lying down after eating
B. Drink large amounts of water with meals
C. Increase spicy foods to improve digestion
D. Lie flat on the right side after meals


**Correct Answer: A – Small, frequent meals and avoid lying down**

, 4|Page


*Rationale: Progesterone relaxes the lower esophageal sphincter; small
meals reduce reflux.*


**Q5.** A nurse assesses a client at 20 weeks gestation for quickening.
The client asks what this means. The nurse explains:
A. First perception of fetal movement
B. Braxton Hicks contractions
C. Cervical softening
D. Fetal heart rate acceleration


**Correct Answer: A – First perception of fetal movement**
*Rationale: Quickening is fetal movement felt by the mother, typically
at 18–20 weeks in primigravida.*


**Q6.** A client at 32 weeks gestation reports ankle edema that is worse
at the end of the day. Which action is appropriate?
A. Advise elevating legs and increasing fluid intake
B. Prescribe a diuretic
C. Recommend bed rest in supine position
D. Tell the client this is abnormal and needs immediate evaluation


**Correct Answer: A – Elevate legs and increase fluids**

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