ATI RN MATERNAL PRACTICE PROCTORED 2023 RETAKE
EXAM WITH NGN WUESTIONS AND ANSWERS WITH
RATIONALES (VERIFIED REVISED)
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following
findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
- Late decelerations
Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a contraindication
for the administration of oxytocin and should be reported to the provider.
A nurse is caring for a client who is 32 weeks of gestation and has gonorrhea. The nurse should
identify that the client is at an increased risk for which of the following complications? - Premature
rupture of membranes
The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk for
premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine
growth restriction.
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical
cord protruding from the vagina. After calling for assistance, which of the following actions should
the nurse take? - Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix,
exerting upward pressure onto the presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
A nurse is teaching a client who is at 37 weeks of gestation and has a 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."
The nurse should instruct the client to press the handheld button when the fetus moves. This action
will mark the fetal monitor tracing with the client's reports of fetal movement. This will assist in the
interpretation of the nonstress test to determine if it is reactive or nonreactive.
, A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester
of pregnancy. Which of the following findings should the nurse identify as a risk factor for the
development of preeclampsia? - Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development of preeclampsia. Other
risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus, and
rheumatoid arthritis.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of
the following findings should the nurse report to the provider? - Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and could indicate
complications. Therefore, this finding should be reported to the provider.
A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of
the following manifestations should the nurse expect? (SATA) - Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
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.
The nurse should perform Leopold maneuvers to assess the position of the fetus to best determine
the optimal placement for the external fetal monitoring transducer.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the
nurse see first? - A client who is at 11 weeks of gestation and reports abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal
cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse
should request that the provider see this client first.
EXAM WITH NGN WUESTIONS AND ANSWERS WITH
RATIONALES (VERIFIED REVISED)
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following
findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
- Late decelerations
Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a contraindication
for the administration of oxytocin and should be reported to the provider.
A nurse is caring for a client who is 32 weeks of gestation and has gonorrhea. The nurse should
identify that the client is at an increased risk for which of the following complications? - Premature
rupture of membranes
The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk for
premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine
growth restriction.
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical
cord protruding from the vagina. After calling for assistance, which of the following actions should
the nurse take? - Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix,
exerting upward pressure onto the presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
A nurse is teaching a client who is at 37 weeks of gestation and has a 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."
The nurse should instruct the client to press the handheld button when the fetus moves. This action
will mark the fetal monitor tracing with the client's reports of fetal movement. This will assist in the
interpretation of the nonstress test to determine if it is reactive or nonreactive.
, A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester
of pregnancy. Which of the following findings should the nurse identify as a risk factor for the
development of preeclampsia? - Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development of preeclampsia. Other
risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus, and
rheumatoid arthritis.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of
the following findings should the nurse report to the provider? - Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and could indicate
complications. Therefore, this finding should be reported to the provider.
A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of
the following manifestations should the nurse expect? (SATA) - Acrocyanosis
Positive Babinski reflex
Two umbilical arteries visible
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.
The nurse should perform Leopold maneuvers to assess the position of the fetus to best determine
the optimal placement for the external fetal monitoring transducer.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the
nurse see first? - A client who is at 11 weeks of gestation and reports abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal
cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse
should request that the provider see this client first.
