ATI Maternal Newborn Proctored Exam
2025-2026: NGN Study Guide with Practice
Questions, Rationales, and Clinical
Judgment Tips
Dark red vaginal bleeding. - CORRECT ANSWERS -A nurse is assessing a client who is 34
wks gestation and has mild placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count
b. april 15 - CORRECT ANSWERS -A nurse is caring for a client whose last menstrual
period began july 8. Using Nageles rule, the nurse should identify the client's estimated
DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1
c. uteroplacental insufficiency - CORRECT ANSWERS -A nurse is caring for a client who is
at 39 wks gestation and is in the active phase of labor. The nurse observes late decels in
the FHR. What finding should the nurse identify as the cause of late decels?
. betamethasone - CORRECT ANSWERS -A nurse is caring for a client who is at 32 wks
gestation and is experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
a. urine test for presence of HCG - CORRECT ANSWERS -A nurse at a prenatal clinic is
caring for a client who suspects she may be pregnant and asks the nurse how the provider
will confirm her pregnancy. The nurse should inform the client that what lab test will be used
to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
,c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
a. palpable fetal movement - CORRECT ANSWERS -A nurse is caring for a client who
believes she may be pregnant. What finding should the nurse identify as a positive sign of
pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
a. renal agenesis - CORRECT ANSWERS -A nurse is caring for a client who has
oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma. - CORRECT ANSWERS -A nurse is assessing a client who is at 37 wks gestation
and has a suspected pelvic fracture due to blunt abd trauma. What findings should the
nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
villi, which gives rise to multiple cysts. The products of conception transform into a large
number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters. - CORRECT
ANSWERS -A nurse is assessing a client who is at 12 wks gestation and has hydatidiform
mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
a. 480 mL urine output in 24 hrs
,When using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable
urine output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is
the priority finding. - CORRECT ANSWERS -A nurse is assessing a client who is at 35
weeks of gestation and has mild gestational HTN. What finding should the nurse identify as
the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day
decreases the risk of transmission of HIV to her newborn. - CORRECT ANSWERS -A nurse
is teaching a client who is at 12 wks gestation and has HIV. What statement should the
nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
b. blurred or double vision - CORRECT ANSWERS -A nurse is providing teaching to a client
who is at 8 wks gestation about manifestations to report to the provider during pregnancy.
What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole. - CORRECT ANSWERS -A nurse is caring for a client who is in the
latent phase of labor and is receiving oxytocin via continuous IV infusion. The nurse notes
that the client is having contractions every 2 min which last 100-110 seconds that the fetal
heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
, c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
c. prepare equipment needed for newborn resuscitation
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
activity because the fetus is most likely sleeping. Fetal movement should cause
accelerations in the FHR. - CORRECT ANSWERS -A nurse is caring for a client who is at
37 wks gestation and is undergoing a nonstress test. The FHR is 130 without accelerations
for the past 10 min. What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds
a. instruct the client to obtain a rubella immunization after delivery - CORRECT ANSWERS
-A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that
the client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood
type O neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios. - CORRECT ANSWERS -A nurse is reviewing
the med record of a client who is at 39 wks gestation and has polyhydramnios. What finding
should the nurse expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm
b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing. - CORRECT ANSWERS -A nurse is teaching a client who
has pre-eclampsia and is to receive magnesium sulfate via continuous IV infusion about
expected adverse effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
2025-2026: NGN Study Guide with Practice
Questions, Rationales, and Clinical
Judgment Tips
Dark red vaginal bleeding. - CORRECT ANSWERS -A nurse is assessing a client who is 34
wks gestation and has mild placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
d. increased platelet count
b. april 15 - CORRECT ANSWERS -A nurse is caring for a client whose last menstrual
period began july 8. Using Nageles rule, the nurse should identify the client's estimated
DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1
c. uteroplacental insufficiency - CORRECT ANSWERS -A nurse is caring for a client who is
at 39 wks gestation and is in the active phase of labor. The nurse observes late decels in
the FHR. What finding should the nurse identify as the cause of late decels?
. betamethasone - CORRECT ANSWERS -A nurse is caring for a client who is at 32 wks
gestation and is experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
a. urine test for presence of HCG - CORRECT ANSWERS -A nurse at a prenatal clinic is
caring for a client who suspects she may be pregnant and asks the nurse how the provider
will confirm her pregnancy. The nurse should inform the client that what lab test will be used
to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
,c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
a. palpable fetal movement - CORRECT ANSWERS -A nurse is caring for a client who
believes she may be pregnant. What finding should the nurse identify as a positive sign of
pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test
a. renal agenesis - CORRECT ANSWERS -A nurse is caring for a client who has
oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due to abdominal
trauma. - CORRECT ANSWERS -A nurse is assessing a client who is at 37 wks gestation
and has a suspected pelvic fracture due to blunt abd trauma. What findings should the
nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
villi, which gives rise to multiple cysts. The products of conception transform into a large
number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters. - CORRECT
ANSWERS -A nurse is assessing a client who is at 12 wks gestation and has hydatidiform
mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output
a. 480 mL urine output in 24 hrs
,When using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable
urine output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is
the priority finding. - CORRECT ANSWERS -A nurse is assessing a client who is at 35
weeks of gestation and has mild gestational HTN. What finding should the nurse identify as
the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
d. you should continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day
decreases the risk of transmission of HIV to her newborn. - CORRECT ANSWERS -A nurse
is teaching a client who is at 12 wks gestation and has HIV. What statement should the
nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
b. blurred or double vision - CORRECT ANSWERS -A nurse is providing teaching to a client
who is at 8 wks gestation about manifestations to report to the provider during pregnancy.
What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is experiencing
uterine tachysystole. - CORRECT ANSWERS -A nurse is caring for a client who is in the
latent phase of labor and is receiving oxytocin via continuous IV infusion. The nurse notes
that the client is having contractions every 2 min which last 100-110 seconds that the fetal
heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
, c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
c. prepare equipment needed for newborn resuscitation
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
activity because the fetus is most likely sleeping. Fetal movement should cause
accelerations in the FHR. - CORRECT ANSWERS -A nurse is caring for a client who is at
37 wks gestation and is undergoing a nonstress test. The FHR is 130 without accelerations
for the past 10 min. What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds
a. instruct the client to obtain a rubella immunization after delivery - CORRECT ANSWERS
-A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that
the client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood
type O neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios. - CORRECT ANSWERS -A nurse is reviewing
the med record of a client who is at 39 wks gestation and has polyhydramnios. What finding
should the nurse expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm
b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body while the
magnesium sulfate is infusing. - CORRECT ANSWERS -A nurse is teaching a client who
has pre-eclampsia and is to receive magnesium sulfate via continuous IV infusion about
expected adverse effects. What adverse effects should the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
