ATI MATERNAL NEWBORN PROCTORED A&B EXAMS 2023
(NGN) WITH 100% CORRECT ANSWERS
1. A nurse is reviewing the medical record of a patient who is one day postpartum. The patient had a
vaginal birth with a fourth-degree perineal laceration.The nurse should contact the provider
regarding which of the following prescriptions?
The nurse should not administer a rectal suppository or enema.
2. A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription
states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.)
0.5 mL IM.
3. A nurse is teaching a patient who is at 8 weeks of gestation about exercise. Which of the follow-
ing instructions should the nurse include in the teaching?
The nurse should instruct the patient to engage in 30 min of moderate exercise.
4. A nurse is assessing a patient who is in labor and notes early decelerations on the fetal monitor.
Which of the following findings should the nurse identify as a possible cause of the early
decelerations?
Fetal head compression
5. A nurse is caring for a patient and her partner who have experienced a fetal death. Which of the
following actions should the nurse take?
Take photos of the newborn to give to the parents.
6. A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of
the following actions by the mother should the nurse recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways.
7. A nurse on an antepartum unit is caring for four patients. Which of the following patients should
the
nurse identify as the priority?
Epigastric pain
8. A nurse is preparing to administer oxytocin to a patient 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
9. A nurse is teaching a new mother about newborn safety. Which of the following instructions
should the nurse include in the teaching?
Room-sharing is recommended during the first few weeks.
10. A nurse is calculating a patient's expected date of birth using Naegele's rule. The patient tells the
nurse that her last menstrual cycle started on November 27th. Which of the following dates is
the patient's expected date of birth?
September 3rd.
,11. A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform
Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers?
the nurse palpates the patient's abdomen with her palms to determine which fetal part is in the
uterine fundus.
12. A nurse is caring for a patient 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
13. A staff nurse on an obstetric unit is caring for a patient who is scheduled for an induced abortion.
The staff nurse informs the nurse manager that she has a moral issue with the patient's decision.
Which of the following actions should the nurse manager take?
reassign the care of the patient to another staff nurse.
14. A nurse is caring for a patient who is pregnant and is at the end of her first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following locations to begin as-
sessing for the fetal heart tones (FHT)?
just above the symphysis pubis.
15. A nurse is planning care for a patient who is to undergo a nonstress test. Which of the following
actions should the nurse include in the plan of care?
press the button when she detects fetal movement
16. A nurse in the antepartum clinic is assessing a patient's adaptation to pregnancy. The patient
states that she is, "happy one minute and crying the next." The nurse should interpret the patient's
statement as an indication of which of the following?
emotional lability
17. A nurse is caring for a prenatal patient who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
ultrasound examinations
18. A nurse is caring for a patient who is at 35 weeks of gestation and is undergoing a nonstress test
that reveals a variable deceleration in the FHR. Which of the following actions should the nurse
take?
Having the patient change position
19. A nurse is providing teaching about comfort measures to a patient who is breastfeeding and is
ex-
periencing engorgement. Which of the following nonpharmacological measures should the nurse
include in the teaching?
applying cold compresses or ice packs
20. A nurse is caring for a patient who is in active labor and has had no cervical change in the last 4
hr. Which of the following statements should the nurse make?
Insertion of an intrauterine pressure catheter
21. A nurse in an antepartal clinic is providing care for a patient who is at 26 weeks of gestation.
Upon
reviewing the patient's medical record, which of the following findings should the nurse report to the
, provider? (Click on the "Exhibit" button for additional information about the patient. There are three
tabs that contain separate categories of data.)
fundal height measurement of 30 cm
22. A nurse is assessing a patient 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
23. A nurse in a prenatal clinic is assessing a group of patients. Which of the following patients
should the nurse request the provider see first?
A patient who is at 11 weeks of gestation and reports abdominal cramping
24. A nurse is planning discharge for a patient who is 3 days postpartum. Which of the following non-
pharmacological interventions should the nurse include in the plan of care for lactation suppression?
cabbage leaves can help to relieve swelling and discomfort caused by breast engorgement.
25. A nurse is reviewing the laboratory report of a patient who is 24 hr postpartum following a vaginal
delivery. Which of the following laboratory results should the nurse identify as an indication of a
postpartum infection?
The nurse should realize that this value exceeds the expected reference range for a postpartum
patient and indicates an infection.
26. A nurse is assessing a newborn 12 hr after birth.Which of the following manifestations should the
nurse report to the provider?
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or
Rh-isoimmunization. The nurse should report this manifestation to the provider.
27. A nurse on a postpartum unit is caring for a patient who is experiencing hypovolemic shock. After
notifying the provider, which of the following actions should the nurse take next?
massage the patient's
fundus to expel clots and promote contractions.
28. A nurse is caring for a full-term newborn immediately following birth. Which of the following
actions should the nurse take first?
immediately after delivery is to dry the newborn.
29. A nurse is teaching a patient who is pregnant about managing nausea and vomiting. Which of
the following instructions should the nurse include in the teaching?
The nurse should instruct the patient to eat high-carbohydrate foods (for example,toast, potatoes,
and rice) to decrease nausea and vomiting.
The nurse should also instruct the patient to avoid spicy, fatty, or fried foods.
30. A nurse is assessing a patient who gave birth vaginally 12 hr ago and palpates her uterus to the
right above the umbilicus. Which of the following interventions should the nurse perform?
The nurse should assist the patient to empty her bladder because the assessment findings indicate
that the patient's bladder is distended. This can prevent the uterus from contracting, resulting
in increased vaginal bleeding or postpartum hemorrhage.
31. A nurse is caring for a patient who is at 26 weeks of gestation and has epilepsy. The nurse
enters
the room and observes the patient having a seizure.After turning the patient's head to one side,
(NGN) WITH 100% CORRECT ANSWERS
1. A nurse is reviewing the medical record of a patient who is one day postpartum. The patient had a
vaginal birth with a fourth-degree perineal laceration.The nurse should contact the provider
regarding which of the following prescriptions?
The nurse should not administer a rectal suppository or enema.
2. A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription
states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.)
0.5 mL IM.
3. A nurse is teaching a patient who is at 8 weeks of gestation about exercise. Which of the follow-
ing instructions should the nurse include in the teaching?
The nurse should instruct the patient to engage in 30 min of moderate exercise.
4. A nurse is assessing a patient who is in labor and notes early decelerations on the fetal monitor.
Which of the following findings should the nurse identify as a possible cause of the early
decelerations?
Fetal head compression
5. A nurse is caring for a patient and her partner who have experienced a fetal death. Which of the
following actions should the nurse take?
Take photos of the newborn to give to the parents.
6. A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of
the following actions by the mother should the nurse recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways.
7. A nurse on an antepartum unit is caring for four patients. Which of the following patients should
the
nurse identify as the priority?
Epigastric pain
8. A nurse is preparing to administer oxytocin to a patient 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
9. A nurse is teaching a new mother about newborn safety. Which of the following instructions
should the nurse include in the teaching?
Room-sharing is recommended during the first few weeks.
10. A nurse is calculating a patient's expected date of birth using Naegele's rule. The patient tells the
nurse that her last menstrual cycle started on November 27th. Which of the following dates is
the patient's expected date of birth?
September 3rd.
,11. A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform
Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers?
the nurse palpates the patient's abdomen with her palms to determine which fetal part is in the
uterine fundus.
12. A nurse is caring for a patient 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
13. A staff nurse on an obstetric unit is caring for a patient who is scheduled for an induced abortion.
The staff nurse informs the nurse manager that she has a moral issue with the patient's decision.
Which of the following actions should the nurse manager take?
reassign the care of the patient to another staff nurse.
14. A nurse is caring for a patient who is pregnant and is at the end of her first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following locations to begin as-
sessing for the fetal heart tones (FHT)?
just above the symphysis pubis.
15. A nurse is planning care for a patient who is to undergo a nonstress test. Which of the following
actions should the nurse include in the plan of care?
press the button when she detects fetal movement
16. A nurse in the antepartum clinic is assessing a patient's adaptation to pregnancy. The patient
states that she is, "happy one minute and crying the next." The nurse should interpret the patient's
statement as an indication of which of the following?
emotional lability
17. A nurse is caring for a prenatal patient who has parvovirus B19 (fifth disease). Which of the
following actions should the nurse take?
ultrasound examinations
18. A nurse is caring for a patient who is at 35 weeks of gestation and is undergoing a nonstress test
that reveals a variable deceleration in the FHR. Which of the following actions should the nurse
take?
Having the patient change position
19. A nurse is providing teaching about comfort measures to a patient who is breastfeeding and is
ex-
periencing engorgement. Which of the following nonpharmacological measures should the nurse
include in the teaching?
applying cold compresses or ice packs
20. A nurse is caring for a patient who is in active labor and has had no cervical change in the last 4
hr. Which of the following statements should the nurse make?
Insertion of an intrauterine pressure catheter
21. A nurse in an antepartal clinic is providing care for a patient who is at 26 weeks of gestation.
Upon
reviewing the patient's medical record, which of the following findings should the nurse report to the
, provider? (Click on the "Exhibit" button for additional information about the patient. There are three
tabs that contain separate categories of data.)
fundal height measurement of 30 cm
22. A nurse is assessing a patient 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
23. A nurse in a prenatal clinic is assessing a group of patients. Which of the following patients
should the nurse request the provider see first?
A patient who is at 11 weeks of gestation and reports abdominal cramping
24. A nurse is planning discharge for a patient who is 3 days postpartum. Which of the following non-
pharmacological interventions should the nurse include in the plan of care for lactation suppression?
cabbage leaves can help to relieve swelling and discomfort caused by breast engorgement.
25. A nurse is reviewing the laboratory report of a patient who is 24 hr postpartum following a vaginal
delivery. Which of the following laboratory results should the nurse identify as an indication of a
postpartum infection?
The nurse should realize that this value exceeds the expected reference range for a postpartum
patient and indicates an infection.
26. A nurse is assessing a newborn 12 hr after birth.Which of the following manifestations should the
nurse report to the provider?
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or
Rh-isoimmunization. The nurse should report this manifestation to the provider.
27. A nurse on a postpartum unit is caring for a patient who is experiencing hypovolemic shock. After
notifying the provider, which of the following actions should the nurse take next?
massage the patient's
fundus to expel clots and promote contractions.
28. A nurse is caring for a full-term newborn immediately following birth. Which of the following
actions should the nurse take first?
immediately after delivery is to dry the newborn.
29. A nurse is teaching a patient who is pregnant about managing nausea and vomiting. Which of
the following instructions should the nurse include in the teaching?
The nurse should instruct the patient to eat high-carbohydrate foods (for example,toast, potatoes,
and rice) to decrease nausea and vomiting.
The nurse should also instruct the patient to avoid spicy, fatty, or fried foods.
30. A nurse is assessing a patient who gave birth vaginally 12 hr ago and palpates her uterus to the
right above the umbilicus. Which of the following interventions should the nurse perform?
The nurse should assist the patient to empty her bladder because the assessment findings indicate
that the patient's bladder is distended. This can prevent the uterus from contracting, resulting
in increased vaginal bleeding or postpartum hemorrhage.
31. A nurse is caring for a patient who is at 26 weeks of gestation and has epilepsy. The nurse
enters
the room and observes the patient having a seizure.After turning the patient's head to one side,
