NGN ATI PN MATERNAL NEWBORN FINAL
PAPER 2026 COMPREHENSIVE QUESTIONS
COMPLETE CORRECT ANSWERS
⩥ A nurse is assisting with the care of a client who is in the first stage of
labor. The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse take first? Answer:
*Place the client in a knee-chest or Trendelenburg position*
Placing the client in the knee-chest or Trendelenburg position takes
pressure off the umbilical cord to allow oxygen transport to the fetus.
This is the priority nursing action until the baby can be delivered either
vaginally or by cesarean birth.
⩥ A nurse reinforcing teaching about vitamin K with a client who is
postpartum. Which of the following statements should the nurse
include? Answer: *Vitamin K decreases the newborn's risk of
hemorrhagic disorders*
Newborns cannot produce vitamin K until about 8 days after birth. It is
administered in the delivery suite to prevent hemorrhagic disorders.
⩥ A nurse is collecting data from a newborn who is 12 hrs old. His
respiration rate is 44/min, shallow, with periods of apnea lasting up to 5
,seconds. Which of the following actions should the nurse take? Answer:
*Continue routine monitoring*
This observation indicates adaptation of the respiratory system to
extrauterine life. Continued monitoring is indicated.
⩥ A nurse is caring for a client in the immediate postoperative period
following removal of an ectopic pregnancy via salpingostomy. For
which of the following indications should the nurse administer Rho(D)
immune globulin? Answer: *the client is Rh-negative*
Administering Rho(d) immune globulin to the client prevents the
formation of antibodies to Rh-positive blood. Exposure can occur
following delivery, spontaneous or induced abortion, or amniocentesis
involving an Rh-positive fetus.
⩥ A nurse is assisting with the care of a client who is receiving oxytocin
via IV infusion following a vaginal delivery. Which of the following
findings should the nurse monitor to evaluate effectiveness of this
medication? Answer: *fundal consistency*
Oxytocin is given to improve the quality of uterine contractions and is
given following a delivery to prevent or treat uterine atony. If the
oxytocin is effective, the fundus should be firm on palpation.
,⩥ A nurse is reinforcing teaching with a client who is pregnant and
whose routine diagnostic testing reveals a negative rubella titer. Which
of the following statements should the nurse tell the client? Answer:
*"You will need an immunization following delivery."*
The negative rubella titer means that the client is susceptible to the
rubella virus and needs to be immunized after delivery. Immunization
during pregnancy is contraindicated because of possible injury to the
developing fetus. Following the rubella immunization, the client should
be cautioned not to conceive for 3 months.
⩥ A nurse is reinforcing teaching about umbilical cord care with a client
who is postpartum. Which of the following instructions should the nurse
include? Answer: *The stump will fall off in 10-14 days*
Cord separation will vary by the type of cord care, type of birth, and
other prenatal events, but usually the cord will fall off in 10 to 14 days.
⩥ A nurse is reinforcing teaching with a client who is pregnant and has a
new prescription for ferrous sulfate due to iron-deficiency anemia. The
nurse should instruct the client to take this medication with which of the
following? Answer: *orange juice*
Orange juice and other vitamin C-rich foods and beverages enhance iron
absorption.
, ⩥ A nurse is reinforcing teaching about quickening with a client who is
at 6 weeks of gestation. Which of the following information should the
nurse include? Answer: *Quickening occurs between the fourth and fifth
months of pregnancy*
Quickening is defined as the first time the client is able to feel the fetus
move. It usually occurs between 14 and 18 weeks of gestation.
⩥ A nurse is caring for a client who is at 38 weeks of gestation and has a
score of 10 on her biophysical profile. Which of the following actions
should the nurse take? Answer: *Assure the client that the score is
within the expected range*
The biophysical profile yields a score based on fetal breathing,
movement, tone, amniotic fluid volume, and fetal heart rate reactivity. A
score of 2 is assigned to each expected finding. A score of 10 indicates
expected findings in all five areas.
⩥ A nurse is assisting with the care of a client who is in labor.
Immediately after delivery of a newborn, which of the following actions
should the nurse take first? Answer: *Dry the newborn*
Using the urgent vs nonurgent framework for nursing care, the nurse
should first dry the newborn. Failing to dry and keep the newborn warm
can cause cold stress, which results in unnecessary use of oxygen by the
newborn, resulting in respiratory distress and decreased PaO2.
PAPER 2026 COMPREHENSIVE QUESTIONS
COMPLETE CORRECT ANSWERS
⩥ A nurse is assisting with the care of a client who is in the first stage of
labor. The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse take first? Answer:
*Place the client in a knee-chest or Trendelenburg position*
Placing the client in the knee-chest or Trendelenburg position takes
pressure off the umbilical cord to allow oxygen transport to the fetus.
This is the priority nursing action until the baby can be delivered either
vaginally or by cesarean birth.
⩥ A nurse reinforcing teaching about vitamin K with a client who is
postpartum. Which of the following statements should the nurse
include? Answer: *Vitamin K decreases the newborn's risk of
hemorrhagic disorders*
Newborns cannot produce vitamin K until about 8 days after birth. It is
administered in the delivery suite to prevent hemorrhagic disorders.
⩥ A nurse is collecting data from a newborn who is 12 hrs old. His
respiration rate is 44/min, shallow, with periods of apnea lasting up to 5
,seconds. Which of the following actions should the nurse take? Answer:
*Continue routine monitoring*
This observation indicates adaptation of the respiratory system to
extrauterine life. Continued monitoring is indicated.
⩥ A nurse is caring for a client in the immediate postoperative period
following removal of an ectopic pregnancy via salpingostomy. For
which of the following indications should the nurse administer Rho(D)
immune globulin? Answer: *the client is Rh-negative*
Administering Rho(d) immune globulin to the client prevents the
formation of antibodies to Rh-positive blood. Exposure can occur
following delivery, spontaneous or induced abortion, or amniocentesis
involving an Rh-positive fetus.
⩥ A nurse is assisting with the care of a client who is receiving oxytocin
via IV infusion following a vaginal delivery. Which of the following
findings should the nurse monitor to evaluate effectiveness of this
medication? Answer: *fundal consistency*
Oxytocin is given to improve the quality of uterine contractions and is
given following a delivery to prevent or treat uterine atony. If the
oxytocin is effective, the fundus should be firm on palpation.
,⩥ A nurse is reinforcing teaching with a client who is pregnant and
whose routine diagnostic testing reveals a negative rubella titer. Which
of the following statements should the nurse tell the client? Answer:
*"You will need an immunization following delivery."*
The negative rubella titer means that the client is susceptible to the
rubella virus and needs to be immunized after delivery. Immunization
during pregnancy is contraindicated because of possible injury to the
developing fetus. Following the rubella immunization, the client should
be cautioned not to conceive for 3 months.
⩥ A nurse is reinforcing teaching about umbilical cord care with a client
who is postpartum. Which of the following instructions should the nurse
include? Answer: *The stump will fall off in 10-14 days*
Cord separation will vary by the type of cord care, type of birth, and
other prenatal events, but usually the cord will fall off in 10 to 14 days.
⩥ A nurse is reinforcing teaching with a client who is pregnant and has a
new prescription for ferrous sulfate due to iron-deficiency anemia. The
nurse should instruct the client to take this medication with which of the
following? Answer: *orange juice*
Orange juice and other vitamin C-rich foods and beverages enhance iron
absorption.
, ⩥ A nurse is reinforcing teaching about quickening with a client who is
at 6 weeks of gestation. Which of the following information should the
nurse include? Answer: *Quickening occurs between the fourth and fifth
months of pregnancy*
Quickening is defined as the first time the client is able to feel the fetus
move. It usually occurs between 14 and 18 weeks of gestation.
⩥ A nurse is caring for a client who is at 38 weeks of gestation and has a
score of 10 on her biophysical profile. Which of the following actions
should the nurse take? Answer: *Assure the client that the score is
within the expected range*
The biophysical profile yields a score based on fetal breathing,
movement, tone, amniotic fluid volume, and fetal heart rate reactivity. A
score of 2 is assigned to each expected finding. A score of 10 indicates
expected findings in all five areas.
⩥ A nurse is assisting with the care of a client who is in labor.
Immediately after delivery of a newborn, which of the following actions
should the nurse take first? Answer: *Dry the newborn*
Using the urgent vs nonurgent framework for nursing care, the nurse
should first dry the newborn. Failing to dry and keep the newborn warm
can cause cold stress, which results in unnecessary use of oxygen by the
newborn, resulting in respiratory distress and decreased PaO2.
