ATI RN MATERNAL NEWBORN PRACTICE
QUESTIONS – VERIFIED Q&A | PROCTORED EXAM |
NGN EDITION 2026
1. A nurse is caring for a client in active labor. The fetal heart rate baseline is 160
with moderate variability and late decelerations. What is the priority action?
A. Continue monitoring
B. Administer oxygen via face mask
C. Increase IV fluids
D. Prepare for cesarean section
Correct answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency; oxygen is first‑line. If
refractory, then fluids and possible cesarean.
2. A newborn’s Apgar scores are 6 at 1 minute and 8 at 5 minutes. What is the
priority nursing action at 1 minute?
A. Resuscitation with bag‑valve mask
B. Administer oxygen via hood
C. Stimulate the infant by drying and rubbing back
D. Begin chest compressions
Correct answer: C
Rationale: Apgar 6 indicates moderate difficulty; stimulation and airway clearing are first
steps. Resuscitation is for scores 0‑3.
, 3. A postpartum client reports a gush of blood and a firm, displaced fundus. What
is the priority action?
A. Notify the provider immediately
B. Administer oxytocin as prescribed
C. Assist the client to void and then reassess fundus
D. Perform fundal massage
Correct answer: C
Rationale: A displaced fundus often indicates a full bladder. Assist with voiding first;
then reassess. Fundal massage after bladder emptying.
4. A nurse is assessing a client at 36 weeks gestation. Which finding requires
immediate reporting?
A. Blood pressure 140/90 mm Hg
B. Urine protein 2+
C. Headache and blurred vision
D. All of the above
Correct answer: D
Rationale: All findings indicate preeclampsia with severe features, requiring immediate
intervention.
QUESTIONS – VERIFIED Q&A | PROCTORED EXAM |
NGN EDITION 2026
1. A nurse is caring for a client in active labor. The fetal heart rate baseline is 160
with moderate variability and late decelerations. What is the priority action?
A. Continue monitoring
B. Administer oxygen via face mask
C. Increase IV fluids
D. Prepare for cesarean section
Correct answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency; oxygen is first‑line. If
refractory, then fluids and possible cesarean.
2. A newborn’s Apgar scores are 6 at 1 minute and 8 at 5 minutes. What is the
priority nursing action at 1 minute?
A. Resuscitation with bag‑valve mask
B. Administer oxygen via hood
C. Stimulate the infant by drying and rubbing back
D. Begin chest compressions
Correct answer: C
Rationale: Apgar 6 indicates moderate difficulty; stimulation and airway clearing are first
steps. Resuscitation is for scores 0‑3.
, 3. A postpartum client reports a gush of blood and a firm, displaced fundus. What
is the priority action?
A. Notify the provider immediately
B. Administer oxytocin as prescribed
C. Assist the client to void and then reassess fundus
D. Perform fundal massage
Correct answer: C
Rationale: A displaced fundus often indicates a full bladder. Assist with voiding first;
then reassess. Fundal massage after bladder emptying.
4. A nurse is assessing a client at 36 weeks gestation. Which finding requires
immediate reporting?
A. Blood pressure 140/90 mm Hg
B. Urine protein 2+
C. Headache and blurred vision
D. All of the above
Correct answer: D
Rationale: All findings indicate preeclampsia with severe features, requiring immediate
intervention.
