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RN Maternal Newborn Online Practice A & B: NGN Questions & Detailed Solutions

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This comprehensive study guide contains exam-style questions and detailed solutions for the RN Maternal Newborn Online Practice A and B exams, including Next Generation NCLEX (NGN) item types. Content covers essential maternal-newborn nursing topics including antepartum care (prenatal visits, gestational age assessment, risk factors, complications such as preeclampsia, gestational diabetes, hyperemesis gravidarum, placental abruption, placenta previa, preterm labor), intrapartum care (labor stages, fetal monitoring, contraction stress test, nonstress test, biophysical profile, amniocentesis, epidural anesthesia, oxytocin administration, amniotomy, umbilical cord prolapse), postpartum care (fundal assessment, uterine atony, postpartum hemorrhage, endometritis, thrombophlebitis, lactation suppression, engorgement, perineal care, baby blues vs. postpartum depression), newborn care (APGAR scoring, newborn assessment, circumcision care, hypoglycemia, hyperbilirubinemia, phototherapy, neonatal abstinence syndrome, hypothermia, respiratory distress, birth injuries such as Erb-Duchenne paralysis and clavicle fracture, universal newborn screening), pharmacology (magnesium sulfate, oxytocin, terbutaline, betamethasone, misoprostol, carboprost, azithromycin, Rh(D) immunoglobulin, oral contraceptives, emergency contraception, levonorgestrel, methotrexate, ceftriaxone, doxycycline), high-risk conditions (HIV in pregnancy, parvovirus B19, ITP, epilepsy, cocaine use, pre-gestational diabetes), and family planning (diaphragm, tubal ligation, IUD). Includes select-all-that-apply questions, dosage calculations, prioritization, and NGN case studies. Designed for RN nursing students preparing for maternal-newborn proctored exams, ATI RN Maternal Newborn Online Practice, and NCLEX-RN.

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1




RN MATERNAL NEWBORN ONLINE
PRACTICE
A& B NEW VERSION EXAM WITH NGN
QUESTIONS ND CORRECT DETAILED
SOLUTIONS



A nurse is in a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's history should the nurse
recognize as a contraindication to oral contraceptives? (Select all that apply)
-cholecystitis
-hypertension
-migraine headaches
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to
the right above the umbilicus. Which of the following interventions should the nurse
perform?
Assist the client to empty their bladder.
A nurse on an antepartum unit is caring for four clients. Which of the following clients
should the nurse identify as the priority?
A client who is at 34 weeks of gestation and reports epigastric pain A nurse is
assessing a late preterm newborn. Which of the following manifestations is an
indication of hypoglycemia?
respiratory distress




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A nurse is caring for a client who is at 10 weeks of gestation. Which of the following
findings should the nurse report to the provider?
Frequent vomiting with weight loss of 3 lb in 1 week
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test. For which of the following diagnostic tests should the nurse prepare the client?
Biophysical profile (BPP)
A nurse is planning care for a client who is to undergo a no stress test. Which of the
following actions should the nurse include in the plan of care?
Instruct the client to press the provided button each time fetal movement is detected A nurse is
caring for a client who is at 38 weeks of gestation. Which of the following actions should the
nurse take prior to applying an external transducer for fetal monitoring?
Perform Leopold Maneuvers
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the
following findings contraindicates the initiation of the oxytocin infusion and should be
reported to the provider?
Late decelerations
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just
has an amniocentesis. Which of the following interventions is the nurse's priority following
the procedure?
Monitor the FHR
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia
for pain control. Which of the following actions should the nurse include in the plan of
care?
Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution.
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain?
Chin quivering




2

, 3



A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation
and has a positive chlamydia culture. The prescription states
"administer azithromycin 1 g orally now." Available are 250 mg tablets. How many tablets
should the nurse administer?
4 tablets
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta.
Which of the following actions should the nurse take first?
Determine respiratory function
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.
Which of the following findings should the nurse report to the provider?
Swelling of the face
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
should the nurses see first?
A client who is at 11 weeks of gestation and reports abdominal cramping A nurse is teaching a
client who is at 37 weeks of gestation and has a new prescription for a nonstress test.
Which of the following instructions should the nurse include?
"You should press the handheld button when you feel your baby move." A nurse is
preparing to administer oxytocin who is postpartum. Which of the following findings
is an indication for the administration of the medication?
(Select all that apply.)
-flaccid uterus
-excess vaginal bleeding
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New
Ballard Score. Which of the following findings should the nurse expect?
Minimal arm recoil
A nurse is caring for a newborn. For each assessment finding, click to specify if the finding
is consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
Respiratory distress: hypoglycemia, sepsis


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