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NRSG 3302 ATI Maternal Newborn Exam 1 2026/2027: 200+ NCLEX-Style Questions & Rationales – Prenatal Care, Fetal Development, Complications, High-Yield OB Content (A+ Guide)

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Pass the ATI Maternal Newborn Exam on your first attempt with this 2026/2027 question bank. Over 200 NCLEX-style questions with detailed rationales covering all OB content. Includes: Reproductive Anatomy & Physiology: Menstrual cycle (LH surge, progesterone), GTPAL, fertilization (ampulla), sperm survival (3-5 days) Prenatal Care: Naegele's rule, fundal height (weeks = cm ±2), danger signs (bleeding, headache, decreased fetal movement), GBS screening (35-37 weeks) Fetal Development: Surfactant (L/S ratio 2:1), ductus arteriosus/foramen ovale, umbilical cord (2 arteries, 1 vein), teratogens (alcohol, isotretinoin), viability (28 weeks) Maternal Adaptations: Physiologic anemia (plasma volume ↑40-50%), supine hypotension (left side), heartburn (progesterone), chloasma, linea nigra, leukorrhea Nutrition: Folic acid (400-800 mcg for NTD prevention), weight gain by BMI (underweight 28-40 lbs, obese 11-20 lbs), avoid (unpasteurized cheese, high-mercury fish, saccharin) Antepartum Screening: Nuchal translucency (11-13w), MSAFP (high = NTD, low = Down syndrome), quad screen, NST (reactive = 2 accelerations 15x15), BPP, OGTT (GDM diagnosis) Psychosocial: Rubin's tasks (seeking safe passage), couvade syndrome, postpartum blues (50-80%, resolves in 2 weeks) Common Discomforts: Nausea (dry crackers), leg cramps (dorsiflexion), hemorrhoids (fiber, fluids, sitz bath), back pain (pelvic tilt) NGN Cases: First trimester bleeding (inevitable miscarriage, RhoGAM), GDM (3-hour OGTT), preeclampsia (severe features: platelets 100k), Rh incompatibility (RhoGAM at 28w & postpartum), preterm labor (steroids, tocolytics, GBS), post-term (oligohydramnios → induction), teratogen exposure (isotretinoin → birth defects) Perfect for: NRSG 3302 students, ATI Maternal Newborn proctored exam, OB nursing final exams, NCLEX-RN maternal-newborn section.

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NRSG 3302 ATI MATERNAL NEWBORN EXAM 1
2026-2027 | 200+ NCLEX-STYLE QUESTIONS &
RATIONALES | HIGH-YIELD CONTENT | LATEST
EDITION | A+ GUIDE



Table of Contents
1. **Reproductive Anatomy & Physiology** (Q1–Q25)
2. **Fertility & Conception** (Q26–Q40)
3. **Prenatal Care & Assessment** (Q41–Q65)
4. **Fetal Development** (Q66–Q85)
5. **Maternal Adaptations to Pregnancy** (Q86–Q110)
6. **Nutrition During Pregnancy** (Q111–Q125)
7. **Antepartum Screening & Diagnostic Tests** (Q126–Q145)
8. **Psychosocial & Cultural Considerations** (Q146–Q160)
9. **Common Discomforts of Pregnancy** (Q161–Q175)
10. **High-Yield NGN Case Scenarios** (Q176–Q200)


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Section 1: Reproductive Anatomy & Physiology (Q1–Q25)


**Q1.** The nurse is teaching a client about ovulation. Which structure
releases the mature ovum?
A. Ovary
B. Fallopian tube
C. Uterus
D. Cervix


**Correct Answer: A – Ovary**
*Rationale: The ovary releases the ovum during ovulation.*


**Q2.** A nurse is explaining the menstrual cycle. The luteal phase is
characterized by secretion of:
A. Progesterone from the corpus luteum
B. Estrogen from the follicle
C. FSH from the anterior pituitary
D. LH from the hypothalamus


**Correct Answer: A – Progesterone from the corpus luteum**
*Rationale: After ovulation, the corpus luteum secretes progesterone to
prepare the endometrium for implantation.*

,3|Page


**Q3.** Which hormone is responsible for maintaining the endometrial
lining during the first trimester of pregnancy?
A. Human chorionic gonadotropin (hCG)
B. Estrogen
C. Progesterone
D. Follicle-stimulating hormone (FSH)


**Correct Answer: A – hCG**
*Rationale: hCG from the developing placenta maintains the corpus
luteum, which produces progesterone.*


**Q4.** A nurse is teaching a client about the fallopian tubes. Which
statement accurately describes the function of the fallopian tubes?
A. Transport the ovum from the ovary to the uterus
B. Produce estrogen and progesterone
C. Implant the fertilized ovum
D. Produce cervical mucus


**Correct Answer: A – Transport the ovum from the ovary to the
uterus**
*Rationale: The fallopian tubes (oviducts) are the site of fertilization and
transport the ovum.*

, 4|Page


**Q5.** The nurse identifies that the fundus of the uterus is the:
A. Upper portion between the fallopian tubes
B. Lower portion that opens into the vagina
C. Innermost layer that sheds during menstruation
D. Middle muscular layer


**Correct Answer: A – Upper portion between the fallopian tubes**
*Rationale: The fundus is the dome-shaped upper part of the uterus.*


**Q6.** A nurse is reviewing the menstrual cycle. Ovulation typically
occurs on which day of a 28-day cycle?
A. Day 14
B. Day 1
C. Day 21
D. Day 28


**Correct Answer: A – Day 14**
*Rationale: Ovulation occurs approximately 14 days before the next
menstrual period.*


**Q7.** Which layer of the uterus is shed during menstruation?
A. Endometrium
B. Myometrium

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