MATERNITY PROCTORED NGN B
CERTIFICATION EVALUATION 2026
OBSTETRICS NGN QUESTIONS AND
SOLUTIONS VERIFIED GRADED A+
●● During pregnancy, which of the following cardiovascular parameters
increases by 60%
a. blood volume
b. plasma volume
c. red cell mass
Answer: b. plasma volume
●● When pregnancy, a woman with epilepsy has a higher risk of
seizures
a. during labor through 24 hours postpartum
b. from 72 hours to 1 week pp
c. in the third trimester
Answer: a. during labor thru 24 hrs. pp
●● The risk of developing diabetes in women with a history of
gestational diabetes is
a. increased only if there are also multiple diabetes risk factors
,b. increased with onset within 10-15 years in about 50% of those women
c. the same as women who do not have gest. diabetes
Answer: b. increased with onset within 10-15 years in about 50% of
those women
●● A woman recieves magnesium sulfate during labor for gestational
hypertension. What effect can this have on newborn?
a. elevated cortisol levels
b.hypoglycemia
c.muscle weakness
Answer: c. muscle weakness
●● A pregnant woman was diagnosed with varicella-zoster at 32 weeks
gestation. She is now in active labor at 40 weeks gestation. The nurse
would expect that which of the following would be appropriate in order
to ensure the health of the newborn.
a. admister zoster immunoglobulin to newborn at delivery
b. admister zoster immunoglobulin to patient before delivery
c. the mother's antibodies will be protective so no action is needed
Answer: c. the mother's antibodies will be protective so no action is
needed
●● In order to decrease the risk of fetal death to that of a non-smoker, a
woman must quit smoking
,a. before the pregnancy occurs
b. by the end of the first trimester
c. by the end of the 2nd trimester
Answer: b. by the end of the first trimester
●● A patient in preterm labor at 30 weeks received indocin, the newborn
should be observed for?
a. duodenal atresia
b. Hirschsprung disease
c. necrotizing entercolitis (NEC)
Answer: c. necrotizing enercolitis (NEC)
●● What are the characteristics of dizygotic pregnancy?
a. 1 placenta and 1 amniotic sac
b. 1 placenta and 2 amniotic sacs
c. 2 placentas and 2 amniotic sacs
Answer: c. 2 placentas and amniotic sacs
●● A woman is diagnosed with oligohydramnios during her pregnancy.
the fetus/newborn should be evaluated for
a. diabetes insipidus
b. klippel-feil syndrome
c. polycystic kidney disease
, Answer: c
●● A fetus at 36 weeks receives a BBP score of 6. the expectated
management is
a. immediate delivery
b. repeat in 24 hrs
c. schedule the next test in one week
Answer: b
●● In evaluating the patient census for staff assignments, the pp nurse is
told that a pateint in the high risk unit may be delivered and transferred
to pp after delivery. A L/S ratio was performed with result of 2:0 the
nurse would expect the following to occur?
a. A PG (phosphatidyglycerol) test needs to be performed
b. the lungs are mature, and delivery will occur
c. the lungs are still immature, and the L/S will be repeated in 1 week
Answer: b
●● Which of the following is a limitation of an alpha-fetaprotein (AFP)
test?
a. closed neural tube defects are not detected
b. it will not detect down syndrome
c. its best sensitivity is at 20 weeks
CERTIFICATION EVALUATION 2026
OBSTETRICS NGN QUESTIONS AND
SOLUTIONS VERIFIED GRADED A+
●● During pregnancy, which of the following cardiovascular parameters
increases by 60%
a. blood volume
b. plasma volume
c. red cell mass
Answer: b. plasma volume
●● When pregnancy, a woman with epilepsy has a higher risk of
seizures
a. during labor through 24 hours postpartum
b. from 72 hours to 1 week pp
c. in the third trimester
Answer: a. during labor thru 24 hrs. pp
●● The risk of developing diabetes in women with a history of
gestational diabetes is
a. increased only if there are also multiple diabetes risk factors
,b. increased with onset within 10-15 years in about 50% of those women
c. the same as women who do not have gest. diabetes
Answer: b. increased with onset within 10-15 years in about 50% of
those women
●● A woman recieves magnesium sulfate during labor for gestational
hypertension. What effect can this have on newborn?
a. elevated cortisol levels
b.hypoglycemia
c.muscle weakness
Answer: c. muscle weakness
●● A pregnant woman was diagnosed with varicella-zoster at 32 weeks
gestation. She is now in active labor at 40 weeks gestation. The nurse
would expect that which of the following would be appropriate in order
to ensure the health of the newborn.
a. admister zoster immunoglobulin to newborn at delivery
b. admister zoster immunoglobulin to patient before delivery
c. the mother's antibodies will be protective so no action is needed
Answer: c. the mother's antibodies will be protective so no action is
needed
●● In order to decrease the risk of fetal death to that of a non-smoker, a
woman must quit smoking
,a. before the pregnancy occurs
b. by the end of the first trimester
c. by the end of the 2nd trimester
Answer: b. by the end of the first trimester
●● A patient in preterm labor at 30 weeks received indocin, the newborn
should be observed for?
a. duodenal atresia
b. Hirschsprung disease
c. necrotizing entercolitis (NEC)
Answer: c. necrotizing enercolitis (NEC)
●● What are the characteristics of dizygotic pregnancy?
a. 1 placenta and 1 amniotic sac
b. 1 placenta and 2 amniotic sacs
c. 2 placentas and 2 amniotic sacs
Answer: c. 2 placentas and amniotic sacs
●● A woman is diagnosed with oligohydramnios during her pregnancy.
the fetus/newborn should be evaluated for
a. diabetes insipidus
b. klippel-feil syndrome
c. polycystic kidney disease
, Answer: c
●● A fetus at 36 weeks receives a BBP score of 6. the expectated
management is
a. immediate delivery
b. repeat in 24 hrs
c. schedule the next test in one week
Answer: b
●● In evaluating the patient census for staff assignments, the pp nurse is
told that a pateint in the high risk unit may be delivered and transferred
to pp after delivery. A L/S ratio was performed with result of 2:0 the
nurse would expect the following to occur?
a. A PG (phosphatidyglycerol) test needs to be performed
b. the lungs are mature, and delivery will occur
c. the lungs are still immature, and the L/S will be repeated in 1 week
Answer: b
●● Which of the following is a limitation of an alpha-fetaprotein (AFP)
test?
a. closed neural tube defects are not detected
b. it will not detect down syndrome
c. its best sensitivity is at 20 weeks
