NGN ATI MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM QUESTIONS
DETAILED VERIFIED ANSWERS WITH
RATIONALES /A+ GRADE ASSURED
A nurse is caring for a client who is at 11 weeks of
gestation and reports frequent vomiting. Which of the
following findings should the nurse identify as an indication
that the client has hyperemesis gravidarum?
Ketonuria
Bradycardia
Bradypnea
Proteinuria - =Ketonuria
-A nurse is collecting data from a client who is at 36 weeks
gestation during a prenatal examination. Which of the
following findings should the nurse report to the provider?
Blurred vision
Nonpitting ankle edema
10 fetal movements in 2 hr
Leg cramps - =blurred vision
The nurse should report blurred vision to the provider as it
is an indication that the client might have preeclampsia.
-A nurse is caring for a newborn who has a high-pitched
cry and does not respond to consoling efforts. Which of
,the following neonatal data collection tolls should the
nurse expect to complete?
Apgar score
Newborn Hearing Screen
Critical Congenital Heart Disease screen (CCHD)
Neonatal Abstinence Scoring System - =Neonatal
Abstinence scoring system
This newborn is exhibiting manifestations of opioid
withdrawal and should be screened using the Neonatal
Abstinence Scoring System. Some additional
manifestations of withdrawal include restlessness,
tremors, increased muscle tone, and an exaggerated Moro
reflex.
-A nurse is caring for a newborn who is receiving
phototherapy. Which of the following actions should the
nurse take?
Reposition the newborn every 4 hr.
Feed the newborn 30 mL (1 oz) of glucose water four
times per day.
Apply a thin layer of lotion to the newborn's skin.
Place an opaque mask over the newborn's eyes. - =place
an opaque mask over the newborn's eyes
, -A nurse is collecting data from a newborn who is 8 hr old.
which of the following findings should the nurse report to
the provider?
Vernix in the skin folds
positive moro reflex
apneic episode of 10 seconds
apical HR of 90/minute while crying - =apical HR of
90/minute while crying
-A nurse is caring for a client 6 hr after a vaginal birth who
is going to breastfeed her newborn. The client reports
perineal pain of 6 on a scale of 1 to 10. The nurse also
notes mild perineal edema and ecchymosis, with a fundus
that is 2 cm above the umbilicus with deviation to the right.
Which of the following actions in the nurse's priority?
Administer analgesics.
Apply an ice pack to the perineum.
Assist the client with breastfeeding.
Help the client ambulate to the toilet. - =Help the client
ambulate to the toilet
The greatest risk for this client is postpartum hemorrhage
from uterine atony. Therefore, the priority intervention by
the nurse is to assist the client to urinate and completely
empty the bladder, which will allow the uterus to contract.
-A nurse is reinforcing teaching with a client who is at 20
weeks of gestation and has gestational diabetes mellitus.
EXAM 2024 ACTUAL EXAM QUESTIONS
DETAILED VERIFIED ANSWERS WITH
RATIONALES /A+ GRADE ASSURED
A nurse is caring for a client who is at 11 weeks of
gestation and reports frequent vomiting. Which of the
following findings should the nurse identify as an indication
that the client has hyperemesis gravidarum?
Ketonuria
Bradycardia
Bradypnea
Proteinuria - =Ketonuria
-A nurse is collecting data from a client who is at 36 weeks
gestation during a prenatal examination. Which of the
following findings should the nurse report to the provider?
Blurred vision
Nonpitting ankle edema
10 fetal movements in 2 hr
Leg cramps - =blurred vision
The nurse should report blurred vision to the provider as it
is an indication that the client might have preeclampsia.
-A nurse is caring for a newborn who has a high-pitched
cry and does not respond to consoling efforts. Which of
,the following neonatal data collection tolls should the
nurse expect to complete?
Apgar score
Newborn Hearing Screen
Critical Congenital Heart Disease screen (CCHD)
Neonatal Abstinence Scoring System - =Neonatal
Abstinence scoring system
This newborn is exhibiting manifestations of opioid
withdrawal and should be screened using the Neonatal
Abstinence Scoring System. Some additional
manifestations of withdrawal include restlessness,
tremors, increased muscle tone, and an exaggerated Moro
reflex.
-A nurse is caring for a newborn who is receiving
phototherapy. Which of the following actions should the
nurse take?
Reposition the newborn every 4 hr.
Feed the newborn 30 mL (1 oz) of glucose water four
times per day.
Apply a thin layer of lotion to the newborn's skin.
Place an opaque mask over the newborn's eyes. - =place
an opaque mask over the newborn's eyes
, -A nurse is collecting data from a newborn who is 8 hr old.
which of the following findings should the nurse report to
the provider?
Vernix in the skin folds
positive moro reflex
apneic episode of 10 seconds
apical HR of 90/minute while crying - =apical HR of
90/minute while crying
-A nurse is caring for a client 6 hr after a vaginal birth who
is going to breastfeed her newborn. The client reports
perineal pain of 6 on a scale of 1 to 10. The nurse also
notes mild perineal edema and ecchymosis, with a fundus
that is 2 cm above the umbilicus with deviation to the right.
Which of the following actions in the nurse's priority?
Administer analgesics.
Apply an ice pack to the perineum.
Assist the client with breastfeeding.
Help the client ambulate to the toilet. - =Help the client
ambulate to the toilet
The greatest risk for this client is postpartum hemorrhage
from uterine atony. Therefore, the priority intervention by
the nurse is to assist the client to urinate and completely
empty the bladder, which will allow the uterus to contract.
-A nurse is reinforcing teaching with a client who is at 20
weeks of gestation and has gestational diabetes mellitus.
