2023 ATI RN Maternal Newborn Proctored 2019 NGN
(REVISED FULL EXAM)
1. A nurse is using Nagele’s Rule to calculate the expected delivery date of a client who
reports that the first day of her last menstrual cycle was July 28th. Which of the following
dates should the nurse document as the client’s expected delivery date?
a. May 5th−3 months & + 7 days
b. April 21st
c. −−
d. −−
2. A nurse is caring for a client who is in active labor and has gonorrhea. For which of the
following potential complications of gonorrhea should the nurse monitor? *OB
Prologue*
a. Excessive bleeding after birth
b. Vaginal laceration during birth
c. Oligohydramnios
d. Chorioamnionitis−infection of the membranes
3. A nurse is providing teaching to a postpartum client who has a prescription for a rubella
immunization. Which of the following client statements indicates understanding of the
teaching?
a. “I will receive a series of three immunizations and each one will be a month
apart”
b. “I should avoid breastfeeding for 2 weeks following the immunization”c. “I
should avoid becoming pregnant for at least 1 month followingthe
immunization”
d. “I will report joint pain that develops after the immunization to my provider
, immediately”
4. A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying
to increase intake of vitamin B12 which of the following foods should the nurse
recommend? a. Brown rice
b. Fresh citrus fruits − high in vitamin C
c. Carrots
d. Fortified Soy milk
5. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal
cord. Which of the following clinical findings should the nurse expect? *OB Prologue*
a. Periauricular papillomas
b. Telangiectatic nevi−stork bites; flat pink or red marks that easily blanch & are found on
theback of the neck, nose, upper eyelid, and middle of the forehead; usually fade by 2nd
year of life
c. Petechiae
d. Erythema toxic − newborn rash
6. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65
mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions
should the nurse take?
a. Administer 50 mL of dextrose solution IV.
b. Feed the newborn immediately
c. ???? for serum glucose level
d. Recheck prior to next feeding
7. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks
of gestation. Which of the following actions should the nurse take? (Click on the “exhibit”
button for additional information about the client. There are three tabs that contain separate
categories of data.) Neisseria gonorrhoeae in prenatal history exhibit 3
a. Obtain a maternal serum alpha−fetoprotein specimen
, b. Obtain a blood culture
c. Administer ceftriaxone IMATI pg. 53 Gonorrhea (Neisseria gonorrhoeae)
d. Administer rubella vaccine
8. A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a
younger sibling. Which of the following statements should the nurse make?
a. “You should hold your newborn in your arms when you introduce him to your toddler”
b. “ you should place your toddler in time−out if she exhibits regressive behavior after the
baby is born”
c. “You should give your toddler a gift from the baby when she visits you in the facility”
d. “You should move your toddler out of her crib 2 weeks prior to your due date”
9. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.
Which of the following actions should the nurse include in the plan?
a. Dress the newborn in a thin layer of clothing during therapy.b. Ensure the newborn’s
eyes are closed beneath the shield.
c. Give the newborn 1 oz of glucose water every 4 hr.
d. Apply a thin layer of lotion to the newborn’s skin every 8 hr.
10. A nurse is assessing a client during her first prenatal visit. The client reports March 20
as her last menstrual period. Use naegele's rule to calculate the estimated date of delivery.
(Use the
MMDD format with four numerals and no spaces or punctuation). (FILL IN ) 1227−3
months & + 7 days
11. A nurse is caring for a client who has a placenta previa. Which of the following
findings should the nurse expect?
a. Firm, rigid abdomen−abrupto placentae
b. Painless, vaginal bleeding
c. Uterine hypertonicity
d. −−
(REVISED FULL EXAM)
1. A nurse is using Nagele’s Rule to calculate the expected delivery date of a client who
reports that the first day of her last menstrual cycle was July 28th. Which of the following
dates should the nurse document as the client’s expected delivery date?
a. May 5th−3 months & + 7 days
b. April 21st
c. −−
d. −−
2. A nurse is caring for a client who is in active labor and has gonorrhea. For which of the
following potential complications of gonorrhea should the nurse monitor? *OB
Prologue*
a. Excessive bleeding after birth
b. Vaginal laceration during birth
c. Oligohydramnios
d. Chorioamnionitis−infection of the membranes
3. A nurse is providing teaching to a postpartum client who has a prescription for a rubella
immunization. Which of the following client statements indicates understanding of the
teaching?
a. “I will receive a series of three immunizations and each one will be a month
apart”
b. “I should avoid breastfeeding for 2 weeks following the immunization”c. “I
should avoid becoming pregnant for at least 1 month followingthe
immunization”
d. “I will report joint pain that develops after the immunization to my provider
, immediately”
4. A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying
to increase intake of vitamin B12 which of the following foods should the nurse
recommend? a. Brown rice
b. Fresh citrus fruits − high in vitamin C
c. Carrots
d. Fortified Soy milk
5. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal
cord. Which of the following clinical findings should the nurse expect? *OB Prologue*
a. Periauricular papillomas
b. Telangiectatic nevi−stork bites; flat pink or red marks that easily blanch & are found on
theback of the neck, nose, upper eyelid, and middle of the forehead; usually fade by 2nd
year of life
c. Petechiae
d. Erythema toxic − newborn rash
6. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65
mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions
should the nurse take?
a. Administer 50 mL of dextrose solution IV.
b. Feed the newborn immediately
c. ???? for serum glucose level
d. Recheck prior to next feeding
7. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks
of gestation. Which of the following actions should the nurse take? (Click on the “exhibit”
button for additional information about the client. There are three tabs that contain separate
categories of data.) Neisseria gonorrhoeae in prenatal history exhibit 3
a. Obtain a maternal serum alpha−fetoprotein specimen
, b. Obtain a blood culture
c. Administer ceftriaxone IMATI pg. 53 Gonorrhea (Neisseria gonorrhoeae)
d. Administer rubella vaccine
8. A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a
younger sibling. Which of the following statements should the nurse make?
a. “You should hold your newborn in your arms when you introduce him to your toddler”
b. “ you should place your toddler in time−out if she exhibits regressive behavior after the
baby is born”
c. “You should give your toddler a gift from the baby when she visits you in the facility”
d. “You should move your toddler out of her crib 2 weeks prior to your due date”
9. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.
Which of the following actions should the nurse include in the plan?
a. Dress the newborn in a thin layer of clothing during therapy.b. Ensure the newborn’s
eyes are closed beneath the shield.
c. Give the newborn 1 oz of glucose water every 4 hr.
d. Apply a thin layer of lotion to the newborn’s skin every 8 hr.
10. A nurse is assessing a client during her first prenatal visit. The client reports March 20
as her last menstrual period. Use naegele's rule to calculate the estimated date of delivery.
(Use the
MMDD format with four numerals and no spaces or punctuation). (FILL IN ) 1227−3
months & + 7 days
11. A nurse is caring for a client who has a placenta previa. Which of the following
findings should the nurse expect?
a. Firm, rigid abdomen−abrupto placentae
b. Painless, vaginal bleeding
c. Uterine hypertonicity
d. −−
