ATI RN Maternal-Newborn Proctored
Exam 2023 A&B + Retake & NGN: 100
Verified Questions & Correct Answers |
Latest Study Guide (A+ Graded)
1. A nurse is assessing a client at 30 weeks of gestation who reports sudden painless
vaginal bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Preterm labor
Answer: B
2. A client at 38 weeks gestation presents with painful vaginal bleeding and a rigid
abdomen. What is the priority assessment?
A. Fetal heart rate
B. Maternal temperature
C. Urine output
D. Cervical dilation
Answer: A
3. During a prenatal visit, a client reports persistent vomiting and weight loss.
Which complication is suspected?
A. Preeclampsia
B. Hyperemesis gravidarum
C. Gestational diabetes
D. Placenta previa
Answer: B
4. A client with preeclampsia is receiving magnesium sulfate. Which finding
indicates toxicity?
A. Respiratory rate 10/min
B. BP 150/90 mmHg
C. Urine output 40 mL/hr
D. +2 reflexes
Answer: A
5. Antidote for magnesium sulfate toxicity is:
A. Oxytocin
B. Calcium gluconate
C. Naloxone
, D. Vitamin K
Answer: B
6. Which lab value is diagnostic for gestational diabetes?
A. Fasting glucose 90 mg/dL
B. 1-hour GTT 210 mg/dL
C. Hemoglobin 12 g/dL
D. Platelets 200,000/mm³
Answer: B
7. A client in active labor has variable decelerations. What is the first intervention?
A. Increase oxytocin
B. Reposition client
C. Prepare for cesarean
D. Administer magnesium
Answer: B
8. Early decelerations are caused by:
A. Cord compression
B. Uteroplacental insufficiency
C. Head compression
D. Maternal hypotension
Answer: C
9. Late decelerations indicate:
A. Normal finding
B. Fetal hypoxia
C. Head compression
D. Maternal fever
Answer: B
10.A client receives oxytocin. Which finding requires immediate action?
A. Contractions every 2 minutes lasting 90 seconds
B. FHR 140 bpm
C. BP 120/80 mmHg
D. Cervical dilation 6 cm
Answer: A
11. The priority assessment during the fourth stage of labor is:
A. Fundal firmness
B. Lochia color
C. Breast engorgement
D. Perineal pain
Answer: A
12.Boggy uterus postpartum indicates:
A. Infection
B. Hemorrhage risk
, C. Normal involution
D. Dehydration
Answer: B
13.First action for uterine atony is:
A. Administer oxytocin
B. Massage fundus
C. Prepare OR
D. Insert catheter
Answer: B
14.Lochia rubra lasts approximately:
A. 1 day
B. 3 days
C. 10 days
D. 6 weeks
Answer: B
15.A postpartum client saturates one pad in 15 minutes. Priority action?
A. Document
B. Massage fundus
C. Notify provider after 1 hour
D. Encourage ambulation
Answer: B
16.APGAR scoring is performed at:
A. 1 and 5 minutes
B. 5 and 10 minutes
C. Birth only
D. 30 minutes
Answer: A
17.A newborn with HR 90 bpm requires:
A. Observation
B. Chest compressions
C. Positive-pressure ventilation
D. Suction only
Answer: C
18.Normal newborn respiratory rate is:
A. 10–20/min
B. 20–30/min
C. 30–60/min
D. 60–100/min
Answer: C
19.A newborn with acrocyanosis requires:
A. Oxygen
Exam 2023 A&B + Retake & NGN: 100
Verified Questions & Correct Answers |
Latest Study Guide (A+ Graded)
1. A nurse is assessing a client at 30 weeks of gestation who reports sudden painless
vaginal bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Preterm labor
Answer: B
2. A client at 38 weeks gestation presents with painful vaginal bleeding and a rigid
abdomen. What is the priority assessment?
A. Fetal heart rate
B. Maternal temperature
C. Urine output
D. Cervical dilation
Answer: A
3. During a prenatal visit, a client reports persistent vomiting and weight loss.
Which complication is suspected?
A. Preeclampsia
B. Hyperemesis gravidarum
C. Gestational diabetes
D. Placenta previa
Answer: B
4. A client with preeclampsia is receiving magnesium sulfate. Which finding
indicates toxicity?
A. Respiratory rate 10/min
B. BP 150/90 mmHg
C. Urine output 40 mL/hr
D. +2 reflexes
Answer: A
5. Antidote for magnesium sulfate toxicity is:
A. Oxytocin
B. Calcium gluconate
C. Naloxone
, D. Vitamin K
Answer: B
6. Which lab value is diagnostic for gestational diabetes?
A. Fasting glucose 90 mg/dL
B. 1-hour GTT 210 mg/dL
C. Hemoglobin 12 g/dL
D. Platelets 200,000/mm³
Answer: B
7. A client in active labor has variable decelerations. What is the first intervention?
A. Increase oxytocin
B. Reposition client
C. Prepare for cesarean
D. Administer magnesium
Answer: B
8. Early decelerations are caused by:
A. Cord compression
B. Uteroplacental insufficiency
C. Head compression
D. Maternal hypotension
Answer: C
9. Late decelerations indicate:
A. Normal finding
B. Fetal hypoxia
C. Head compression
D. Maternal fever
Answer: B
10.A client receives oxytocin. Which finding requires immediate action?
A. Contractions every 2 minutes lasting 90 seconds
B. FHR 140 bpm
C. BP 120/80 mmHg
D. Cervical dilation 6 cm
Answer: A
11. The priority assessment during the fourth stage of labor is:
A. Fundal firmness
B. Lochia color
C. Breast engorgement
D. Perineal pain
Answer: A
12.Boggy uterus postpartum indicates:
A. Infection
B. Hemorrhage risk
, C. Normal involution
D. Dehydration
Answer: B
13.First action for uterine atony is:
A. Administer oxytocin
B. Massage fundus
C. Prepare OR
D. Insert catheter
Answer: B
14.Lochia rubra lasts approximately:
A. 1 day
B. 3 days
C. 10 days
D. 6 weeks
Answer: B
15.A postpartum client saturates one pad in 15 minutes. Priority action?
A. Document
B. Massage fundus
C. Notify provider after 1 hour
D. Encourage ambulation
Answer: B
16.APGAR scoring is performed at:
A. 1 and 5 minutes
B. 5 and 10 minutes
C. Birth only
D. 30 minutes
Answer: A
17.A newborn with HR 90 bpm requires:
A. Observation
B. Chest compressions
C. Positive-pressure ventilation
D. Suction only
Answer: C
18.Normal newborn respiratory rate is:
A. 10–20/min
B. 20–30/min
C. 30–60/min
D. 60–100/min
Answer: C
19.A newborn with acrocyanosis requires:
A. Oxygen
