1|Page
VATI MATERNAL NEWBORN 2026-2027 | 200+
PRACTICE QUESTIONS & RATIONALES |
VIRTUAL ATI | NCLEX-STYLE | HIGH-YIELD |
PASS FIRST ATTEMPT
## Table of Contents
1. **Antepartum Nursing Care** (Q1–Q30)
2. **Prenatal Screening & Diagnostic Tests** (Q31–Q45)
3. **Maternal Adaptations to Pregnancy** (Q46–Q60)
4. **Fetal Development & Assessment** (Q61–Q75)
5. **Intrapartum Nursing Care (Labor & Delivery)** (Q76–Q105)
6. **Pain Management During Labor** (Q106–Q120)
7. **Postpartum Nursing Care** (Q121–Q145)
8. **Newborn Nursing Care** (Q146–Q170)
9. **High-Risk Pregnancy & Complications** (Q171–Q195)
10. **Pharmacology in Maternal-Newborn Nursing** (Q196–Q210)
11. **High-Yield NGN Case Scenarios** (Q211–Q220)
---
,2|Page
Section 1: Antepartum Nursing Care (Q1–Q30)
**Q1.** A nurse is calculating a client’s estimated date of delivery
(EDD) using Naegele’s rule. The client’s last menstrual period (LMP)
was April 10. What is the EDD?
A. January 17
B. January 3
C. February 17
D. February 3
**Correct Answer: A – January 17**
*Rationale: Naegele’s rule: LMP – 3 months + 7 days. April 10 →
January 10 + 7 days = January 17.*
**Q2.** A nurse is teaching a client at 8 weeks gestation about common
discomforts of pregnancy. Which symptom is expected?
A. Nausea and vomiting (morning sickness)
B. Shortness of breath
C. Back pain
D. Leg cramps
**Correct Answer: A – Nausea and vomiting (morning sickness)**
,3|Page
*Rationale: Nausea and vomiting are common in the first trimester due
to rising hCG and estrogen.*
**Q3.** A nurse is assessing a client at 16 weeks gestation. Which
finding is a presumptive sign of pregnancy?
A. Amenorrhea and breast tenderness
B. Positive pregnancy test
C. Fetal heart tone auscultated by Doppler
D. Palpation of fetal outline
**Correct Answer: A – Amenorrhea and breast tenderness**
*Rationale: Presumptive signs are subjective (felt by the woman).
Positive pregnancy test and fetal heart tones are probable/positive
signs.*
**Q4.** A nurse is teaching a client about the signs of preterm labor.
Which symptom should the client report immediately?
A. Menstrual-like cramping, low back pain, pelvic pressure
B. Heartburn after meals
C. Ankle edema at the end of the day
D. Braxton Hicks contractions
**Correct Answer: A – Menstrual-like cramping, low back pain, pelvic
pressure**
, 4|Page
*Rationale: These are signs of preterm labor and require immediate
evaluation.*
**Q5.** A nurse is assessing a client at 28 weeks gestation. The client
reports occasional lightheadedness when lying on her back. This is likely
due to:
A. Supine hypotensive syndrome (aortocaval compression)
B. Anemia
C. Dehydration
D. Hypoglycemia
**Correct Answer: A – Supine hypotensive syndrome (aortocaval
compression)**
*Rationale: The gravid uterus compresses the vena cava and aorta when
supine, reducing cardiac output.*
**Q6.** A nurse is teaching a client about nutrition during pregnancy.
Which nutrient is most important for preventing neural tube defects?
A. Folic acid
B. Iron
C. Calcium
D. Vitamin D
**Correct Answer: A – Folic acid**
VATI MATERNAL NEWBORN 2026-2027 | 200+
PRACTICE QUESTIONS & RATIONALES |
VIRTUAL ATI | NCLEX-STYLE | HIGH-YIELD |
PASS FIRST ATTEMPT
## Table of Contents
1. **Antepartum Nursing Care** (Q1–Q30)
2. **Prenatal Screening & Diagnostic Tests** (Q31–Q45)
3. **Maternal Adaptations to Pregnancy** (Q46–Q60)
4. **Fetal Development & Assessment** (Q61–Q75)
5. **Intrapartum Nursing Care (Labor & Delivery)** (Q76–Q105)
6. **Pain Management During Labor** (Q106–Q120)
7. **Postpartum Nursing Care** (Q121–Q145)
8. **Newborn Nursing Care** (Q146–Q170)
9. **High-Risk Pregnancy & Complications** (Q171–Q195)
10. **Pharmacology in Maternal-Newborn Nursing** (Q196–Q210)
11. **High-Yield NGN Case Scenarios** (Q211–Q220)
---
,2|Page
Section 1: Antepartum Nursing Care (Q1–Q30)
**Q1.** A nurse is calculating a client’s estimated date of delivery
(EDD) using Naegele’s rule. The client’s last menstrual period (LMP)
was April 10. What is the EDD?
A. January 17
B. January 3
C. February 17
D. February 3
**Correct Answer: A – January 17**
*Rationale: Naegele’s rule: LMP – 3 months + 7 days. April 10 →
January 10 + 7 days = January 17.*
**Q2.** A nurse is teaching a client at 8 weeks gestation about common
discomforts of pregnancy. Which symptom is expected?
A. Nausea and vomiting (morning sickness)
B. Shortness of breath
C. Back pain
D. Leg cramps
**Correct Answer: A – Nausea and vomiting (morning sickness)**
,3|Page
*Rationale: Nausea and vomiting are common in the first trimester due
to rising hCG and estrogen.*
**Q3.** A nurse is assessing a client at 16 weeks gestation. Which
finding is a presumptive sign of pregnancy?
A. Amenorrhea and breast tenderness
B. Positive pregnancy test
C. Fetal heart tone auscultated by Doppler
D. Palpation of fetal outline
**Correct Answer: A – Amenorrhea and breast tenderness**
*Rationale: Presumptive signs are subjective (felt by the woman).
Positive pregnancy test and fetal heart tones are probable/positive
signs.*
**Q4.** A nurse is teaching a client about the signs of preterm labor.
Which symptom should the client report immediately?
A. Menstrual-like cramping, low back pain, pelvic pressure
B. Heartburn after meals
C. Ankle edema at the end of the day
D. Braxton Hicks contractions
**Correct Answer: A – Menstrual-like cramping, low back pain, pelvic
pressure**
, 4|Page
*Rationale: These are signs of preterm labor and require immediate
evaluation.*
**Q5.** A nurse is assessing a client at 28 weeks gestation. The client
reports occasional lightheadedness when lying on her back. This is likely
due to:
A. Supine hypotensive syndrome (aortocaval compression)
B. Anemia
C. Dehydration
D. Hypoglycemia
**Correct Answer: A – Supine hypotensive syndrome (aortocaval
compression)**
*Rationale: The gravid uterus compresses the vena cava and aorta when
supine, reducing cardiac output.*
**Q6.** A nurse is teaching a client about nutrition during pregnancy.
Which nutrient is most important for preventing neural tube defects?
A. Folic acid
B. Iron
C. Calcium
D. Vitamin D
**Correct Answer: A – Folic acid**
