MATERNAL NEWBORN
PROCTORED EXAM
(NGN-Style & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI PN test contains:
➢ passing score Guarantee
➢ Format Set of Multiple-choice
➢ questions with incorporating Next Generation NCLEX
(NGN) and Case Scenario
➢ Expert-Verified Explanations & Solutions
### Question 1
,Complications of Phototherapy
Question: A newborn receiving phototherapy for hyperbilirubinemia has decreased
urinary output. What is the most appropriate nursing intervention?
A. Document as a normal side effect of phototherapy
B. Increase frequency of feeding to promote hydration
C. Stop phototherapy and notify healthcare provider immediately
D. Monitor vital signs every hour
Correct Answer: B. Increase frequency of feeding to promote hydration
Rationale: Phototherapy increases insensible water loss, which may cause dehydration
and decreased urinary output. Increasing feeding frequency helps prevent dehydration and
promotes diuresis. Stopping phototherapy is only warranted if severe complications arise.
### Question 2
Complications of Pregnancy
Question: A pregnant client at 32 weeks gestation reports frequent headaches, visual
disturbances, and swelling of her face and fingers. What is the priority nursing
action?
A. Advise the client to rest and increase fluid intake
B. Assess blood pressure and notify the healthcare provider immediately
C. Administer acetaminophen for headache relief
D. Encourage light exercise and monitor symptoms
Correct Answer: B. Assess blood pressure and notify the healthcare provider immediately
,Rationale: These are classic signs of preeclampsia, a serious pregnancy complication
characterized by hypertension and endothelial dysfunction. Immediate assessment of blood
pressure and early provider notification are crucial to prevent progression to eclampsia or
HELLP syndrome.
### Question 3
Adverse Effects of Nifedipine
Question: A pregnant client prescribed nifedipine for preterm labor reports flushing,
headache, and dizziness. What should the nurse do?
A. Explain that these are common side effects and advise safety measures when standing
B. Instruct the client to stop the medication immediately
C. Notify the healthcare provider for a medication change
D. Monitor for signs of hypertension
Correct Answer: A. Explain that these are common side effects and advise safety
measures when standing
Rationale: Nifedipine commonly causes vasodilation effects such as flushing, headache,
hypotension, and dizziness. Educating about these side effects and advising slow position
changes can prevent falls. Medication discontinuation should only occur under provider
guidance.
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### Question 4
Symptoms of Gonorrhea
, Question: Which symptoms in a female client should raise suspicion for gonorrhea
infection?
A. Vaginal discharge, abdominal pain, low back pain, irregular/painful menstrual cycles
B. Fever, chills, and nausea
C. Weight gain and increased appetite
D. Constipation and abdominal distention
Correct Answer: A. Vaginal discharge, abdominal pain, low back pain, irregular/painful
menstrual cycles
Rationale: Gonorrhea often presents with vaginal discharge (which can be purulent), pelvic
or abdominal pain, and irregular menstruation due to infection and inflammation of the
reproductive tract. Early identification and treatment are important to prevent complications
like pelvic inflammatory disease.
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### Question 5
Normal Newborn Lab Values
Question: What is the normal platelet count range for a newborn?
A. 80,000-120,000
B. 150,000-300,000
C. 300,000-450,000
D. 50,000-100,000
Correct Answer: B. 150,000-300,000