ATI RN MATERNAL NEWBORN PROCTORED
2 EXAM 2023 NGN A 100% VERIFIED
ANSWERS
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings support this diagnosis?
A. Painless red vaginal bleeding
B. Increasing abdominal pain with a nonrelaxed uterus
C. Abdominal pain with scant red vaginal bleeding
D. Intermittent abdominal pain following passage of bloody mucus
A. Painless red vaginal bleeding
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of
lochia rubra and several small clots on the client's perineal pad. The fundus is midline
and firm at the umbilicus. Which of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
B. Notify the client‟s provider.
C. Increase the frequency of fundal massage.
D. Encourage the client to empty her bladder.
A. Document the findings and continue to monitor the client.
,A nurse is caring for a newborn immediately following birth. After assuring a patent
airway, what is the priority nursing action?
A. Administer vitamin K.
B. Dry the skin.
C. Administer eye prophylaxis.
D. Place an identification bracelet.
B. Dry the skin.
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The
client reports urinary frequency and asks if this will continue until delivery. Which of the
following responses should the nurse make?
A. "It's a minor inconvenience, which you should ignore."
B. "In most cases it only lasts until the 12th week, but it will continue if you have poor
bladder tone."
C. "There is no way to predict how long it will last in each individual client."
D. "It occurs during the first trimester and near the end of the pregnancy."
D. "It occurs during the first trimester and near the end of the pregnancy."
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the
client's blood work, the nurse notices she does not have immunity to rubella. Which of
the following times should the nurse understand is recommended for rubella
immunization?
A. Shortly after giving birth
B. In the third trimester
C. Immediately
D. During her next attempt to get pregnant
A. Shortly after giving birth
A nurse is caring for a client who just delivered a newborn. Following the delivery, which
nursing action should be done first to care for the newborn?
A. Clear the respiratory tract.
B. Dry the infant off and cover the head.
C. Stimulate the infant to cry.
D. Cut the umbilical cord.
,A. Clear the respiratory tract.
A nurse in a family planning clinic is caring for a 17-year-old female client who is
requesting oral contraceptives. The client states that she is nervous because she has
never had a pelvic examination. Which of the following responses should the nurse
make?
A. "What part of the exam makes you most nervous?"
B. "Don't worry, I will be with you during the exam."
C. "All you need to do is relax."
D. "A pelvic exam is required if you want birth control pills."
A. "What part of the exam makes you most nervous?"
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the
nurse examines the umbilical cord. Which of the following vessels should the nurse
expect to observe in the umbilical cord?
A. Two veins and one artery
B. One artery and one vein
C. Two arteries and one vein
D. Two arteries and two veins
C. Two arteries and one vein
A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most
reliable?
A. A male condom
B. An intrauterine device (IUD)
C. An oral contraceptive
D. A diaphragm with spermicide.
B. An intrauterine device (IUD)
Anurseiscaringforanantepartumclientwhoselaboratoryfindingsindicateanegativerubellatit
er.Whichofthe following is the correct interpretation of this data?
A. The client is not experiencing a rubella infection at this time.
B. The client is immune to the rubella virus.
C. The client requires a rubella vaccination at this time.
, D. The client requires a rubella immunization following delivery.
D. The client requires a rubella immunization following delivery.
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a
large amount of painless, bright red vaginal bleeding. The client is placed on a fetal
monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The
client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate
24/min, and temperature 36.4° C (97.6° F). Which of the following is the priority nursing
action?
A. Insert an indwelling urinary catheter.
B. Initiate IV access.
C. Witness the signature for informed consent for surgery.
D. Prepare the abdominal and perineal areas.
B. Initiate IV access.
A nurse in a prenatal clinic is caring for a client who is suspected of having a
hydatidiform mole. Which of the following findings should the nurse expect to observe in
this client?
A. Rapid decline in human chorionic gonadotropin (hCG) levels
B. Profuse, clear vaginal discharge
D. Excessive uterine enlargement
D. Excessive uterine enlargement
A nurse is caring for a new mother who is concerned that her newborn's eyes cross.
Which of the following statements is a therapeutic response by the nurse?
A. "I will call your primary care provider to report your concerns."
B. "I will take your baby to the nursery for further examination."
C. "This occurs because newborns lack muscle control to regulate eye movement."
D. "This is a concern, but strabismus is easily treated with patching."
C. "This occurs because newborns lack muscle control to regulate eye movement."
A nurse is caring for a client who is having a nonstress test performed. The fetal heart
rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which
of the following actions should the nurse perform?
2 EXAM 2023 NGN A 100% VERIFIED
ANSWERS
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings support this diagnosis?
A. Painless red vaginal bleeding
B. Increasing abdominal pain with a nonrelaxed uterus
C. Abdominal pain with scant red vaginal bleeding
D. Intermittent abdominal pain following passage of bloody mucus
A. Painless red vaginal bleeding
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of
lochia rubra and several small clots on the client's perineal pad. The fundus is midline
and firm at the umbilicus. Which of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
B. Notify the client‟s provider.
C. Increase the frequency of fundal massage.
D. Encourage the client to empty her bladder.
A. Document the findings and continue to monitor the client.
,A nurse is caring for a newborn immediately following birth. After assuring a patent
airway, what is the priority nursing action?
A. Administer vitamin K.
B. Dry the skin.
C. Administer eye prophylaxis.
D. Place an identification bracelet.
B. Dry the skin.
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The
client reports urinary frequency and asks if this will continue until delivery. Which of the
following responses should the nurse make?
A. "It's a minor inconvenience, which you should ignore."
B. "In most cases it only lasts until the 12th week, but it will continue if you have poor
bladder tone."
C. "There is no way to predict how long it will last in each individual client."
D. "It occurs during the first trimester and near the end of the pregnancy."
D. "It occurs during the first trimester and near the end of the pregnancy."
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the
client's blood work, the nurse notices she does not have immunity to rubella. Which of
the following times should the nurse understand is recommended for rubella
immunization?
A. Shortly after giving birth
B. In the third trimester
C. Immediately
D. During her next attempt to get pregnant
A. Shortly after giving birth
A nurse is caring for a client who just delivered a newborn. Following the delivery, which
nursing action should be done first to care for the newborn?
A. Clear the respiratory tract.
B. Dry the infant off and cover the head.
C. Stimulate the infant to cry.
D. Cut the umbilical cord.
,A. Clear the respiratory tract.
A nurse in a family planning clinic is caring for a 17-year-old female client who is
requesting oral contraceptives. The client states that she is nervous because she has
never had a pelvic examination. Which of the following responses should the nurse
make?
A. "What part of the exam makes you most nervous?"
B. "Don't worry, I will be with you during the exam."
C. "All you need to do is relax."
D. "A pelvic exam is required if you want birth control pills."
A. "What part of the exam makes you most nervous?"
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the
nurse examines the umbilical cord. Which of the following vessels should the nurse
expect to observe in the umbilical cord?
A. Two veins and one artery
B. One artery and one vein
C. Two arteries and one vein
D. Two arteries and two veins
C. Two arteries and one vein
A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most
reliable?
A. A male condom
B. An intrauterine device (IUD)
C. An oral contraceptive
D. A diaphragm with spermicide.
B. An intrauterine device (IUD)
Anurseiscaringforanantepartumclientwhoselaboratoryfindingsindicateanegativerubellatit
er.Whichofthe following is the correct interpretation of this data?
A. The client is not experiencing a rubella infection at this time.
B. The client is immune to the rubella virus.
C. The client requires a rubella vaccination at this time.
, D. The client requires a rubella immunization following delivery.
D. The client requires a rubella immunization following delivery.
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a
large amount of painless, bright red vaginal bleeding. The client is placed on a fetal
monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The
client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate
24/min, and temperature 36.4° C (97.6° F). Which of the following is the priority nursing
action?
A. Insert an indwelling urinary catheter.
B. Initiate IV access.
C. Witness the signature for informed consent for surgery.
D. Prepare the abdominal and perineal areas.
B. Initiate IV access.
A nurse in a prenatal clinic is caring for a client who is suspected of having a
hydatidiform mole. Which of the following findings should the nurse expect to observe in
this client?
A. Rapid decline in human chorionic gonadotropin (hCG) levels
B. Profuse, clear vaginal discharge
D. Excessive uterine enlargement
D. Excessive uterine enlargement
A nurse is caring for a new mother who is concerned that her newborn's eyes cross.
Which of the following statements is a therapeutic response by the nurse?
A. "I will call your primary care provider to report your concerns."
B. "I will take your baby to the nursery for further examination."
C. "This occurs because newborns lack muscle control to regulate eye movement."
D. "This is a concern, but strabismus is easily treated with patching."
C. "This occurs because newborns lack muscle control to regulate eye movement."
A nurse is caring for a client who is having a nonstress test performed. The fetal heart
rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which
of the following actions should the nurse perform?
